Miltex
Very low stock (5 units)Regular price LE 895.00 EGPUnit price /Unavailable
Premia
Very low stock (3 units)Regular price LE 450.00 EGPUnit price /Unavailable
How to Choose the Right Periotome for Atraumatic Extraction
- Blade Thickness — Periotome blades measure approximately 0.5-1mm thick at the tip, thin enough to be worked into the periodontal ligament space (typically 0.2-0.4mm wide) without the wedging, bone-displacing force a standard dental elevator applies against the socket wall.
- Single-Bevel vs Double-Bevel Edge — Single-bevel periotomes (flexitome-style designs) cut on one face only, directing force toward the root rather than the bone, reducing the risk of buccal plate fracture during PDL severing — the preferred design for thin buccal bone cases common in anterior extraction sites.
- Rigid vs Flexible Blade — Rigid periotomes transmit more controlled force for single-rooted teeth with dense PDL attachment; flexible (flexitome) blades adapt around curved root surfaces and multi-rooted teeth, working circumferentially around the root without repositioning the handle angle as frequently.
- Working Tip Width — Narrower tips (2-3mm) access tight interproximal PDL space on adjacent standing teeth; wider tips (4-5mm) cover more root circumference per insertion, reducing the number of working strokes needed on single-rooted anterior teeth.
- Handle Design and Mallet Compatibility — Some periotome systems include a mallet-compatible handle for controlled tapping insertion in dense PDL attachment, while purely hand-pressure designs suit routine cases where PDL fibres are already compromised by periodontal disease.
Periotome Use Cases at a Glance
| Blade Type | Design | Clinical Indication |
|---|---|---|
| Single-bevel flexible | Thin (0.5-1mm), curved/flexible blade | Anterior teeth, thin buccal plate, immediate implant sites |
| Single-bevel rigid | Thin, rigid blade | Single-rooted premolars, dense PDL attachment |
| Narrow-tip (2-3mm) | Fine working end | Tight interproximal spaces between standing teeth |
| Wide-tip (4-5mm) | Broader working end | Faster circumferential severing on anterior single-rooted teeth |
Availability & Delivery in Egypt
MedSTA supplies Premia Flexitomes periotome sets priced from approximately 450 EGP, with fast delivery to oral surgery and implant practices across Cairo, Giza, Alexandria, and all Egyptian governorates. Autoclave the blade between patients and inspect the cutting edge before each use, since a dulled periotome reverts to elevator-style bone-wedging force rather than clean PDL severing.
Frequently Asked Questions
What is the difference between a periotome and a dental elevator?
What is the difference between a periotome and a dental elevator?
A periotome is designed purely to sever periodontal ligament fibres with a thin, sharp blade worked circumferentially around the root — it should never be used as a lever against bone. A dental elevator is designed to apply wedging and rotational leverage against the socket wall or adjacent bone to displace the tooth once PDL attachment is already compromised. Using a periotome as a lever risks fracturing its thin blade tip inside the socket.
Can periotomes be used for every tooth extraction?
Can periotomes be used for every tooth extraction?
Periotomes are most valuable for single-rooted anterior and premolar teeth, and for extractions preceding immediate implant placement where preserving the socket walls and buccal plate is clinically important. For multi-rooted molars with divergent roots, sectioning the tooth first and then using the periotome on each root segment individually is generally more predictable than attempting full-tooth PDL severing in one pass.
How deep should a periotome blade be inserted into the periodontal ligament space?
How deep should a periotome blade be inserted into the periodontal ligament space?
Insert the blade along the root surface to the depth of the PDL space — typically working incrementally to 3-4mm per pass around the full circumference of the root before progressing deeper — rather than forcing the blade to the full root length in a single insertion, which risks blade deflection or fracture, particularly with thin, flexible blade designs.
Does a flexitome design offer any advantage over a rigid periotome?
Does a flexitome design offer any advantage over a rigid periotome?
Yes, for curved or multi-rooted teeth. A flexible blade adapts to root surface curvature and can be worked circumferentially without repositioning the handle angle as often as a rigid blade requires, which reduces total chairside time on teeth with pronounced root curvature or fusion. Rigid periotomes remain preferable for straight, single-rooted teeth where blade control matters more than flexibility.
Does MedSTA supply periotomes across Egypt?
Does MedSTA supply periotomes across Egypt?
Yes. MedSTA supplies Premia Flexitomes periotome sets, with EGP pricing and fast delivery to oral surgery, periodontal, and implant practices throughout Egypt.