International Journal of Medical Discoveries

Background: The extraction of the posterior teeth with complex root morphology continues to be a challenge to oral and maxillofacial surgery as it is associated with greater operative difficulty and the risk of complications from the use of conventional elevators. Problems with access, force transmission or the long operative time are also present with the existing instruments, which emphasizes the need for ergonomic tools for complex posterior extractions. This study aimed to evaluate the design and preliminary clinical performance of a novel titanium-based dental elevator (Doctor Halawani Elevator) for complex posterior tooth extraction. Methodology: A specially designed 25 cm, 90-degree angled titanium elevator was developed and assessed through preliminary clinical observation, measuring operative time, pain, postoperative complications, and tissue preservation. Results: Findings revealed approximately 50% reduction in operative time, decreasing from 15-20 minutes to 7-10 minutes, along with 40-50% reduction in pain, 60% reduction in swelling, and 70% reduction in complications, with complete preservation of adjacent structures. Conclusion: The novel elevator improves the efficiency of surgical procedures and patient outcomes, indicating its potential clinical application in complex posterior extractions, but larger controlled studies are still needed to validate its use. These early findings also suggest patient morbidity reduction and enhanced procedural ergonomics in routine and challenging surgical scenarios. But multicenter trials are needed for confirmation of efficacy.