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Sullman Luxatome®
Instructions
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How to use the Sullman Luxatome ®
The Luxatome ® allows the clinician to use the same instrument to direct and apply luxating forces buccally and lingually allowing good illumination, vision and access during the procedure with reduced force and pressure on surrounding soft tissues.
| Figure 1 shows three ways the Sullman Luxatome ® can be held during function. This grip allows the Luxatome ® to be firmly held whilst allowing improved handling, control and direction of the forces being applied so there is a reduced chance of slippage, and reduced workload on the dentist's wrist. This is achieved by allowing more musculature of the arm to come into play. |  (fig1) |
| Figure 2 shows the Luxatome ® when forces are being applied to the buccal side of a lower right premolar tooth, showing how the thumb of the free hand is used to assist in application of directed forces whilst the fingers of the free hand continue to support and stabilise the lower jaw. |  (fig2) |
| Figure 3 shows how the same Luxatome ® is repositioned lingually to apply luxating forces to the lingual surface of the lower right premolar. This instrument repositioning is achieved by the clinician either switching hands or changing their position. Note that the mandible is still stabilised and supported during the procedure by the fingers of the free hand, whilst the thumb of the free hand assists in force application. |
 (fig3) |
| Figure 4 shows application of luxating forces buccally to an upper right second molar. |  (fig4) |
| Figure 5 shows the same instrument being used to apply luxating forces palatally to the upper right second molar. |  (fig5) |
The pictures show the instrument being used on teeth but is ideally suited for roots.
As upper 8's usually decay bucally and mesially, being able to luxate palatally assists the clinician during extraction.
To minimise trauma further, it is advisable to use x-rays to determine root morphology and the position of adjacent anatomical structures, e.g the lingual nerve etc. Excessive and rough forces should not be used. Caution must be exercised where the alveolar bone is thin, e.g. labially to lower incisors.
IMPORTANT: The Sullman Luxatome ® is a luxating instrument, not an elevator and should be used to deliver luxating forces only. Use as an elevator could result in damage to the instrument.