Elvatome 2.0, the Ultimate Dental Tool for Precise and Atraumatic Tooth Extractions

Dental elevators have been around for centuries,

But it was not until the 1880s that they became commonly used in dentistry. Unfortunately, little has changed in their design over the past 140 years, with only minor tweaks to the handles and tips. However, with the increasing success of dental implant surgery, maintaining bone has become crucial for both immediate and delayed implant placement. Traditional elevators use a wheel and axle or lever action to force a tooth out of its socket, causing significant stress on the tooth-bone complex, leading to alveolar or root fractures.

In the early 2000s,

Periotomes were introduced to cut periodontal ligaments for atraumatic tooth extractions and dental implant placement. But they couldn’t withstand pressure or force. In 2019, TBS Dental introduced elvatome, a revolutionary tool combining the strength of a luxating elevator with the precision and sharpness of a periotome. The elvatome was designed with advanced engineering and craftsmanship, providing finer handles, tips, and angles for tooth displacement than previous predecessors like proximators, luxators, and other PDL-Elevators.

The elvatome’s spade-shaped tips, angles, and grip options provide clinicians with a superior alternative to traditional elevators when obtaining a purchase point for tooth displacement. This technique is especially effective for multi-rooted teeth, once sectioned, each elvatome angle allows the clinician to reach even the most difficult angles with comfortable ergonomics to push and twist each root from its alveolar housing.

One of the main advantages of the Elvatome is that it is designed to be less traumatic than traditional elevators. The Elvatome’s spade-shaped tips and angles are specially designed to sever the periodontal ligament with minimal force, leading to less trauma to the tooth and surrounding tissues. Additionally, the elvatome’s grip options are specially designed to reduce slippage and increase control, allowing for more precise tooth displacement and less trauma to the bone.

Elvatome 2.0

Now, TBS Dental is excited to announce the latest iteration of their revolutionary dental instrument: Elvatome 2.0. Designed with advanced engineering and craftsmanship, Elvatome 2.0 boasts a spade-shaped sharp tip that effortlessly severs the periodontal ligament while expanding the alveolar bone, making extractions faster and easier than ever before. The patent-pending TWIST handle promotes superior ergonomics, guiding clinicians to the recommended “Push and Twist” motion for precision and accuracy with every use.

One of the key features of Elvatome 2.0 is its thicker construction. This increased thickness maximizes rigidity and reduces clinician fatigue when working in interproximal areas. The enhanced grip with its TWIST handle and thicker stabilizing tear drop provides increased surface area for the palm grip, creating even greater apical force for smoother root displacement. Additionally, Elvatome 2.0 is crafted with a single rod construction and a weighted stainless steel tear drop, maximizing strength and durability while effortlessly balancing the tip, allowing for easier entry into proximal areas with more force.

Elvatome 2.0 is designed to be a must-have tool for dental practitioners seeking to protect tissue, preserve bone, and enhance patient experience during tooth extractions. Upgrade your dental practice with this revolutionary tool and experience a new level of precision, strength, and ease during every extraction.

A Guide to Dental Implant Surgical Kit

implant surgery kits

Are you deciding on starting a dental office? You may have completed your training, certifications, and courses learning how surgeries are performed using an implant surgical kit and other advanced tools.

What is the next thing now?

You will need the setup with an implant surgery kit and other basic instruments required to perform the dental operations. The tooth placement procedures along with the different tools and technologies associated with it are the need of every modern dentistry facility. Equipment like dental forceps, rongeurs, and more are helpful in achieving the best possible outcomes and improving the practice’s efficiency. 

So, in this write-up, we will talk about our best implant surgical kits to assure secure patient health and efficient execution of implant surgeries.

Implant Surgical Kit Offered by TBS Dental

The implant surgical kit by TBS Dental can be the best choice for your new dental surgery facility setup. All the tools in this kit are customized by specialized professionals and made from quality materials. Thus, assuring safe and simple surgical treatments and practice’s growth with time.

The tools it comprises are:

Dental Retractor

The retracting instruments are essential to perform safe implant surgery. Dental professionals use it to assure the cheeks and teeth are quite away from the mouth area that needs treatment. Its paddle ends separate and retracts the underlying bone tooth. Thus, the patients are safe from any harm to their dental health. Besides, there are also retractors available with big paddles. It comes into use when there is the need to pull out the flaps without damaging the tissues. 

Dental Elevator

Another instrument required for performing implant surgery is the dental elevator. It assists in executing the gingival reflection or loosening the periodontal ligaments for safe tooth extraction. Its comfortable handles have the required grip to execute the implant procedure efficiently. Moreover, its robust design puts less pressure exertion on the professional’s hands. The best part is it is made from high-quality stainless steel that ensures longevity. 

Serrated Surgical Curettes

The serrated curettes look elegant and are easy to use. Its patented and well-shaped handles assure efficient and safe implant surgeries. Dentists need it to remove the calculus deposits, socket debridement, and granular tissues from the surface of teeth. You can use it to get rid of tartar in both supragingival and subgingival ways. Not only does it assures a safe implant. It also delivers a positive experience to the surgeons. Additionally, such tools are efficient, durable, and robust. 

Periodontal Probe

Periodontal Probe

It is a very essential implant surgical tool used to determine any possibilities of cavity or periodontal concerns. Another major mouth issue it helps to measure is the tissue depth and gap between implants and the abutments. Probes comprise single and double ends. One acts as a probe and the other fulfills the functioning of an explorer. 

In addition, the kit comprises multiple other tools like Castro X Needle Holder, Straight Elvatome, Scalpel Handle, Surgery Bowl with Sterilizable Cassette, and Mirror Handle with Ruler.


TBS Dental provides modern tools and implant surgery kits to help practitioners and surgeons assure patients of the best oral health care. The streamlined kits comprise all the basic and advanced tools that fit all your practice requirements. Also, it necessitates less time and delivers the best experience possible to the professionals. The best part is all the tools in the kit enable the surgeons to conveniently store, sterilize, and handle the surgical instruments.

Dental Extraction Tools: Purpose, Use, and Its Types

Tooth extraction is unquestionably the treatment that most patients fear. After all, it is the process of removing the tooth attached inside the alveolar bone sockets. However, they are removed only when damaged, chipped, broken, or decayed. 

The best thing is that the extraction procedure becomes easy to perform and bearable by using the ideal surgical instruments. Professional dental practitioners use dental extraction tools like forceps, elevators, curettes, etc. These help them make the treatments as much atraumatic and simplified as possible. 

Additionally, dental surgical instruments assist professionals in diagnosing, treating, manipulating, restoring, and extracting teeth and connected oral tissues.

Now let’s look more closely at the reasons for tooth removal, the procedure for dental extraction, and the instruments dentists can employ to perform it.

Purpose of Dental Extraction Tools

All surgical tools used in dentistry come with varying purposes to carry out particular tasks. Dental elevators, for instance, are used to cut through the periodontal ligament and detach the tooth from it. They merely make the tooth more easily removable without harming the tissues or gums in the area. The extraction forceps are used once the use of elevators is over. It helps in removing broken teeth. Furthermore, it helps to grasp the tooth and pull it out of the alveolar socket.

Forceps of various sizes are available to assist dentists in extracting teeth with a variety of issues. For instance, certain forceps have curved jaws that help dentists remove molars. These forceps are made of stainless steel, and some models have inserts made of tungsten carbide. As a result, this sort of material guarantees greater tool strength and longevity, which are expectations that every dentist has when investing. Thanks to such high-quality, long-lasting surgical equipment, dentists could guarantee the patients that extraction procedures would be atraumatic.

Why do Dentists Need Dental Extraction Equipment? 

Many often, a filling, a crown, or some other procedure is all that is essential for dentists to fix a fractured or chipped tooth. Dentists who favor tooth extraction, however, risk serious dental damage.

There are several specific reasons why dentists extract teeth and why they need certain equipment, including:

  • Infection or decay has reached into the patient’s tooth deeply
  • An injury or trauma
  • Need to remove the wisdom tooth 

Dentists first need to examine the dental concerns and understand the patient’s needs and then suggest the ideal procedure. Also, they must possess the appropriate tool to effectively treat the patient.

Types of Dental Extraction Instruments Used by Professionals

Dental Extracting Forceps

Dental Extraction Instruments

With the help of the extraction forceps, dentists can precisely complete the procedure and gain access to difficult-to-reach mouth regions. While handling the tooth crown diameters and shapes, it provides an unmatched grip.

This instrument is used by dentists to effectively remove teeth that are cracked, damaged, chipped, or decayed. Simply said, dentists use extraction forceps to remove teeth with the least amount of force and effort while maintaining patient safety.


Elvatome Kit with Cassette (5 Pack) - TBS Dental

Dental proximators fall under the category of dentistry extraction equipment. These are safe and effective to use when treating patient tooth issues. Additionally, it helps dentists in minimizing surgical concussions. Thereby, helping in delivering the best dental care possible to the patients and comfort when performing the procedure.

The blades are sharp and the tool is sturdy and balanced. Thus, ensuring successful, stable, and safe procedures. The nearby bone structure is also safe from any tension or discomfort. Dentists use this equipment to assure safe ligament incision and tooth extraction. 



The frings fall under the category of forceps. It comprises an internal spring that makes it quite convenient to use. The tool also has contemporary, patented auto-retractable technology.

Usually, this tool enables dentists to treat upper incisors and lower and upper molars. Also, the frings are made of German stainless steel and titanium finishing. Thus, helping dentists deliver high performance and treatment precision.

Dental Rongeurs

90 Rongeur FRINGS, Lower Universal - TBS Dental

Dental rongeurs assist dentists to treat oral health illnesses like bone disorders. Commonly, enormous patients face such oral health problems. The best thing about rongeurs is they are flexible and unique. It streamlines the process of diagnosing and treating any oral bone-related problems.

If we talk about the rongeur’s design, it is thin and efficiently penetrates the bones. Rongeurs come in a variety of sizes and shapes. Dentists frequently use the rongeurs to cut, remove or give shape to the bones. On the other side, when the tissue removal is over, it is also useful for extracting the sharp edges of the alveolar bone.

Dental Elevators

Dental Elevators

Dental elevators fall under the category of dental surgical instruments. It helps execute many processes like teeth mobilization, tooth extraction, gingival, and root removal. 

Elevators help loosen the teeth so forceps are easy to use for tooth extraction from the socket. It comprises three parts including handles, blades, and a shank.

Also, different types of elevators are available. It includes:

  • Angular: This includes both Left and Right types.   
  • Cross Bar: In this, the handle and shank are placed at a right angle. With little pressure applied, it delivers more force.
  • Straight: It has a straight wedge-shaped tip.  

Bottom Line

Simply put, tooth extraction is a treatment that dentists recommend for multiple oral health concerns. However, the treatment quality can delay if appropriate tools are not available in the practice establishment. So, no matter whether you are a beginner or a dental extraction professional, ensuring successful practice and the best patient experience depends on the tools you use. After all, dental care services contribute to the patient’s confidence and healthy smile.

You can get a wide range of quality, durable, and essential dental extraction tools from TBS Dental. The experts here, understand the need to deliver safe treatment to patients while ensuring maximum treatment comfort and precision. Hence, we design the best tools possible that meet all the dentistry practice standards. 

Atraumatic Extraction to Preserve the Alveolar Socket

Tooth extraction may be performed for a variety of reasons, and when doing so, it is important to determine the most efficient treatment plan that allows for preservation of surrounding tissues. Factors to consider prior to extraction are bone resorption and the possible changes in gingival contours. For these reasons, an atraumatic extraction is recommended to help preserve the alveolar socket and bone ridge. Additional consideration may be given to bone grafting, membranes, and possible dental implants. Prior to tooth extraction, a complete radiographic assessment will be performed to help determine the characteristics of the tooth. For example, has the crown of the tooth undergone previous prosthodontic or endodontic treatment, making it more susceptible to fracture during extraction? Additional complexity may be discovered by the presence of long and/or divergent, bulbous roots, root fusions, curved roots, dimensional changes of periodontal ligament space, ankylosis, or proximity to the maxillary sinus floor or mandibular canal.


Many dentists favor the Elvatome by TBS Dental (fig. 1-2) for the loosening of soft tissue attachment of the tooth prior to extraction. The Elvatome eliminates the need for two different instruments by combining the sharpness and precision of the periotome with the strength of a luxating elevator. The spade-shaped working end features a fine, sharp point, ideal for entering the tightest spaces with minimal damage on soft tissues. As it is inserted into the PDL-space to cut connective periodontal fibers, the concave surface of the Elvatome hugs the root and aids in expansion of the alveolus. Luxation is performed when inserted by applying a twisting and/or rocking motion to reduce tooth retention in the alveolar socket. The Elvatomes come in 5 different tip angulations–straight, mesial, distal, right, left–making any tooth in the mouth easy to access.

FRINGS® Forceps

Tooth luxation and extraction can be made easier by using the award-winning FRINGS Forceps by TBS Dental (fig. 3-4) which feature a new spring-driven “auto-retractable” design that replaces the need to open the forceps with your fingers, requiring an awkward grip during extraction. This simple approach completely revolutionizes tooth extraction, offering a more atraumatic extraction through improved apical grip with tapered, beveled, and serrated beaks. Given that teeth come in different shapes and are located at different angles in the mouth, TBS offers twelve unique FRINGS for optimal crown/root engagement. All TBS instruments come with a lifetime warranty. To see these instruments in action, visit www.youtube.com/tbsinstruments.

Dental Instruments That Make Suturing Easier

Suturing materials and techniques have evolved over the years; however, the fundamentals of suturing have remained mostly the same. Suturing and its application in dental surgery may give pause to many dental practitioners as it requires proper technique and lot of practice to become comfortable with the challenges presented. The primary goal is to manipulate and stabilize the tissue to optimize wound healing and minimize complications. Anything short of reaching this goal may result in wound dehiscence at the edges or separation of tissues from the underlying bone, leading to complications such as unnecessary scarring, tissue or bone loss, or graft failure. For example, granulation tissue bridges the gap between wound edges and epithelializes over time, forming scar tissue.

One thing that can vastly improve the rate of success in suturing beyond material and technique is to have the proper tools and quality instrumentation to make your job easier.

Castro X Needle Holder

While every dentist trains with and uses a tradition Mayo-style Needle Holders (Fig. 1) with its finger rings and ratcheted locking style handle, more should also experience the Castro X Needle Holder (Fig. 2). While the Mayo Needle Holder is used for holding and manipulating heavy needles during suturing because of its wide jaws, the Castroviejo needle holder is designed for smaller applications. The Castroviejo needle holders and scissors were originally designed for ophthalmic surgery. The double-spring instrument tends to be the preference of most specialists and is ideal for holding small delicate needles used across all microsurgical applications.

The Castro X from TBS Dental is the most efficient microsurgical needle driver to grasp and guide the needle when suturing. The patent-pending X-twist hinge prevents suture snag commonly experienced with the Mayo-style hemostats. The slim, long design with shark handle makes it easier to reach far into interproximal areas. The straight, cross-serrated tungsten carbide tips securely hold any needles, preventing rotation and slippage in even the smallest of needle. Manufactured with German stainless steel and boasting a lifetime warranty. Finished in a stunning blue titanium for increased durability.

Mayo Needle Holder

Castro X Needle Holder

Other instruments that can certainly make suturing easier would include the addition of atraumatic tissue forceps that are specially designed to manipulate and hold tissue without perforation, or secure and hold other materials such as PRF, PRP and membrane during implant surgery. Tissue forceps should generally match your other instrumentation in length to allow for proper ergonomics since they are held in the non-dominant hand during suturing.

1×2 Adson Tissue Forceps 

Perry Tissue Forceps 

Dental surgeons should have sharp, dedicated surgical scissors for trimming tissue and suture. Again, fine scissors with short blades are originated in ophthalmic surgery and have equal application in dental surgery. Castroviejo scissors are small, fine, double-spring scissors designed to minimize trauma associated with periodontal and microsurgeries. They are commonly used for fine resections of soft tissue and the trimming of wound margins or mucosal grafts.

Castro X Scissors 

To see these and other quality TBS Dental instruments, contact your preferred dental dealer or visit https://www.tbsdental.com .


Necessity is the Mother of Invention

The proverb “necessity is the mother of invention” can be found in the Random House Dictionary of Popular Proverbs and Sayings. There, it is first attributed to William Fitzhugh and His Chesapeake World (1681). Whether the actual origin of the saying or not, the meaning resonates with those who hear it. Solutions are created from the need to solve a given problem.

Pictured below is a Civil War-era Extraction Forceps (circa 1860). It is said that this instrument was invented after the failure of a “tooth key.” The concept was that the drill in the center of the device would work on the root while the forceps would grip and help extract the tooth.   

Atraumatic Extraction Today

While instrument design and function have come a long way since the Civil War, new challenges continue to arise in dentistry. The need for atraumatic extraction accelerated as clinicians sought better outcomes in dental implants during the past 20 years. While some extraction forceps today are designed to aid in atraumatic extraction, there are still design improvements that need evolving. Examine dental instruments such as rongeurs or Castroviejo needle drivers which are spring-loaded and designed to stay in the clinician’s hand and function without the need to adjust or modify one’s grip to effectively use the instrument. Haseeb Sajid, President and CEO of TBS Dental, pondered why extraction forceps cannot function that same way. It drove him to design a spring-loaded extraction forceps, something most said could not be done. And, now TBS Dental proudly introduces FRINGS®, “forceps with spring”. This spring-loaded, auto-retractable design entirely replaces the need to manually open forceps. FRINGS is a game-changer for tooth extraction because it allows the clinician to easily hold and control the instrument in a position with less stress on the hand, while allowing one to free up the index finger and reposition it on top of the hinge. With light pressure, the instrument is seated subgingival for both apical and coronal grip.  As the first company in the world to have designed such an extraction forceps, TBS has set a new standard in exodontia and continues to revolutionize instrument design by improving and innovating other surgical instruments for optimal performance.    

Special Edition FRINGS

More than 10 years of clinical research went into the development of TBS Dental’s Special Edition FRINGS®. Specially designed by dentists in the field, these FRINGS® forceps designs have been modified to offer clinical advantages over iterations of traditional extraction forceps found in most dental practices today.

Pictured above are our Special Edition FRINGS® inspired by real dentists:


Dr. Neal Patel, Columbus, OH
Item #33006F
Modified Cowhorns, Lower 3rd Molars, Tapered, Beveled, Serrated Beak

Dr. Isaac Tawil, Brooklyn, NY
Item #33005F
Modified 151, Lower Universal, Tapered, Beveled, Serrated Beaks


Dr. Scott Ganz, Fort Lee, NJ
Item #33011F
Micro Universal Roots, Cross Serrated Beaks

Lifetime Warranty

In addition to the patented spring-loaded hinge and auto-retractable handles, TBS Dental boasts 13-different strategically- designed FRINGS that offer varying bi-directional serrations, beveled tips and anatomically shaped beaks for precise apical and coronal grip. Each instrument is laser-inscribed with the designated teeth numbers for which it is designed, making it easy for dental staff to identify. TBS Dental also proudly offers a lifetime warranty on their entire line of FRINGS Forceps. You will love how they feel and work in your hand. 

Visit tbsdental.com to see our complete atraumatic extraction instrument lineup and #findyourFRINGS.


Remember when you lost your first tooth? Tooth extraction may have first been introduced, in jest, with the image of a string, a tooth, and a doorknob. Regrettably, many patients today perceive tooth extraction as an unpleasant but necessary step to attain a healthy, confident smile.

Make Your Search for The Right Instruments Less Traumatic

The reality is that tooth extraction is routinely performed in most dental practices, but atraumatic extractions and proper bone grafts in dentistry are critical to achieve desirable esthetic results as well as provide an adequate foundation for implant placement.

Tooth extractions are performed when teeth are compromised or cannot be restored due to clinical or financial reasons, or when teeth are healthy and non-symptomatic, as in the case of third molars or premolars for future orthodontics. Regardless of the reason, an atraumatic approach should replace conventional techniques.

What is Atraumatic Tooth Extraction?

Atraumatic tooth extraction is a technique that is specifically designed to remove teeth with minimal damage or trauma to the surrounding bone and tissue. This minimally-invasive technique yields optimal outcomes for both the patient and the clinician. When benefited by specially-designed surgical instruments, a clinician is able to loosen the tooth in the socket and remove the tooth without destroying the bone, preserving the bony and gingival architecture.

Benefits of atraumatic tooth extraction:

•    Less risk of damage to the bone, helping to preserve bone height and width for placement of dental implants

•    Less risk of damage to the surrounding gum tissue and nearby nerves

•    Ensures long-term implant function and esthetics

Instruments Best for Atraumatic Extraction

Instruments specifically designed for atraumatic extraction enable the clinician to achieve optimal surgical outcomes. A proper extraction kit should contain:

•    Instruments designed to reach deep into the periodontal ligament (PDL) space and cut the PDL while hugging the long axis of the root, such as an elvatome®

•    Instruments that eliminate the need for traditional prying or elevating, and significantly reduce the need for rotational luxation with extraction forceps, such as FRINGS® forceps and elvatomes®

•    Extraction forceps with greater anatomical shape on the crown that also enable subgingival grip on the root to prevent tooth fracture, such as FRINGS® extraction forceps

TBS Dental offers award-winning atraumatic extraction forceps called FRINGS®, unique forceps with an internal spring that allows the forceps to auto-retract. This patented design removes the need to use fingers to open the forceps and incorporates an ergonomic grip for optimal handling. FRINGS® are fabricated with German stainless steel for durability, a two-tone registered titanium finish, and come with a lifetime warranty. FRINGS® are available in a wide range of the most preferred beak designs for high precision and performance–reducing the risk of tooth fracture.

Better-designed, more efficient instruments optimize the skill of the dental clinician and help produce ideal outcomes and happier patients. When was the last time you upgraded your extraction forceps or surgical setups? If you are still working with inherited or outdated surgical hand instruments, consider complementing your craft with quality instruments to increase your efficiency and lower your stress.

Visit tbsdental.com to see our complete atraumatic extraction instrument lineup and #findyourFRINGS