The problem
The extraction of a tooth should be the last resort we have resorted to, which means that there is no other solution we can resort to tooth healing.
The reasons that push us to extract a tooth or root are:
1. Dental Caries
2. Periodontal disease
3. Peritonitis
4. Dental abscess
5. Tooth or root fracture
6. Impacted/ semi-impacted teeth (most of them are wisdom teeth)
7. For implant placement
Healthy teeth may also need to be extracted for reasons such as:
1. Orthodontic treatment
2. Problem of tooth eruption (when children’s teeth do not allow permanent erection)
3. Total denture placement
The extraction of teeth in modern dentistry, with the multitude of solutions available, should only be done when there is no other solution to treat the tooth.
The extraction of a tooth can be done by a simple or surgical procedure.
The simple procedure involves the simple extraction of a tooth, which is done by pulling the tooth with special dental instruments without any special surgery. We do this when the coronal part of the tooth is in good condition, and there is no risk of fracture of the coronal or root part.
The surgical procedure is performed in the most complicated cases such as the extraction of a semi-impacted or impacted tooth as well as a residual tooth root in the jaw cavity. It is usually performed on teeth that have been damaged in the tooth coronal part of the tooth, their roots have excessive curve resulting in an increased probability of fracture, or their location is such that they do not provide a firm grip for easy pulling of the tooth from the alveolar.
The difficulty of extracting a tooth depends on the location and condition of the tooth to be extracted.
Before extracting a tooth, it is important for the patient to give a complete health record of existing medical problems (eg heart problems), any allergies and drug consumption.
Due to the complexity of the procedure, the dentist should know everything about the patient so that no problems arise during the extraction but know how to deal with a situation if presented.
It is the easiest process from the “export” chapter.
The tooth meets all the requirements for a minimally invasive extraction.
In all extractions, we begin with anesthesia so that the patient does not feel pain.
Then with special surgical tools we loosen the tooth with slight movements from its alveoli and within a short time the tooth has been extracted.
Finally, if we consider it necessary, stitches are made.
Semi-impacted tooth extraction: a semi-closed tooth (usually a toothbrush), is the tooth that is partially covered by the alveolar bone and the gum, the other half of the tooth groove is exposed and visible in the mouth.
Extraction of a closed tooth: is the tooth (usually a wisdom tooth), which is completely covered by the alveolar bone, gum or both together, and is not visible in the mouth.
Tooth root extraction: It may be due to fracture of the tooth crown, either due to the convexity of the root that broke during a tooth extraction, or due to damage to the tooth crown after extensive caries.
In all these cases, in the extraction process, our first concern is to evaluate the degree of difficulty of extracting the tooth clinically and radiographically and to inform the patient of the exact approach to be taken.
We always start with anesthesia so that the patient does not feel anything and is relaxed. We then reveal the tooth / root by anatomical points which prevent us from extracting it easily, but also to make it visible, then loosen the tooth / root with special surgical tools to make it easier to extract, and with traction forces , curl, rotate we extract the tooth / root.
Finally, for complete and easy healing but also to reduce bleeding, stitches are made.
When the procedure is completed, the dentist will allow the patient to bite a gauze over the extraction site, to control the bleeding and protect the wound (after 1 hour the patient will have to replace the gauze with a little cotton), We give ice to the patient to hold it on the cheek for 10-25 minutes and repeat after 20 minutes in the extracted area to reduce the swelling that may occur.
The patient for the next 2-3 days should wash with saline (a teaspoonful in half a glass of water) 2-3 times a day.
Avoid hot and hard foods.
Food for these days should be soft and chewing on the opposite side of the mouth.
It is necessary to reduce smoking as much as possible because it affects wound healing.
The patient should avoid exercising for 4-5 days.
At night he should sleep on his back and his head slightly raised.
There may be a slight bleeding for 4-5 days, which is perfectly normal.
Aspirin should be avoided because it does not help with blood clotting.
Brushing should be avoided over the extraction area.
For postoperative pain and any other problems you should consult your dentist to prescribe the right medicine for you.
In the first 5-7 days the bleeding will be stopped and the pain will be minimized.
After 3-4 weeks the patient will feel fully healthy and the extraction point will have greatly healed.
Tooth extraction has a perfect healing.
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