Tooth extraction: indications for removal, removal process, complications and consequences


Sometimes a toothache signals that the tooth is spoiled, and it is impossible to save it. Sometimes you have to remove even healthy teeth, most often it's wisdom teeth. They are removed for various reasons: due to improper location, due to the development of caries on it, due to eruption and so on. Removal of any tooth is a surgical intervention and a serious stress for the body.

If at least one tooth is missing in the mouth, the quality of mechanical food processing deteriorates. This can lead to serious diseases of the gastrointestinal tract. In addition, the absence of teeth worsens the appearance and leads to complexes. Complications after tooth extraction cause a lot of inconvenience to the patient, but when this is unavoidable, it is necessary to know about some indications for removal:

  • The patient has granulating periodontitis or granulomatous periodontitis in chronic form. The doctor decides to remove only in cases where the patient's root canals are strongly curved and impassable.
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  • Presence of purulent periodontitis. Removal is appointed only in the event that the doctor can not carry out from the periodontal outflow of pus because of the curved root canals or their obstruction.
  • Presence of odontogenic osteomyelitis of the jaw. With such a disease, the tooth is removed immediately to eliminate the presence of foci of pathogens.
  • Wisdom teeth are removed when they become inflamed or begin to erupt.
  • Removed if atypical location - if the tooth worsens the bite or injures the mucous membranes of the mouth.
  • The doctor prescribes removal with corrupted tooth roots. But the roots themselves are not always removed, but only in cases where the tooth is a chronic hotbed of infection and can not be used as a support in prosthetics.
  • The presence of teeth that are located in the region of the jaw fracture and are not subject to reposition fragments, but only are the conductor of the infection.
  • Sometimes single teeth are removed that prevent the correct fixation of the removable denture.

Consequences of removal of

Removal of one tooth leads to disruption of the entire dentition. Adjacent teeth will gradually begin to shift, and as a result, the bite is broken. It will be difficult for a person to chew food, jaw joints can be injured. Teeth that quickly move, will begin to undergo deformation and gradually begin to break down. As a result, you will have to put the implant.

Therefore, if you can save a tooth, be sure to use it. After all, the subsequent treatment and installation of the implant will cost you much more than the removal itself.

The process of tooth removal

You should understand that during the removal you will feel very strong pressure, as the doctor will make efforts. The root of the tooth is very tight in the bone hole and to pull out the tooth, first you need to expand the socket of the tooth. The doctor begins to loosen the tooth forwards and backwards. It is these actions that lead to a feeling of pressure. But do not be afraid and wait until you feel pain. Modern painkillers block the nerve endings that are responsible for pain.

If you still start to feel pain, then immediately tell the doctor about it. He will give you an injection of anesthetic. It is necessary to know that such drugs as ketones and its analogues reduce the effect of anesthesia. Therefore, they can not be consumed 24 hours prior to removal. If you still accepted them, inform the doctor in advance.

Complicated tooth extraction

Sometimes the tooth from the socket can not be removed in the usual way. Most often it happens with curved roots of the tooth. In such cases, the doctor will remove the tooth in parts. A special tool will be cut into several fragments. Then each of the fragments will be removed by special forceps. To be frightened of such removal it is not necessary, as the procedure is absolutely painless and allows you to remove the tooth easier and faster. Also after fragmentation of the tooth complications after removal occur less often.

Complications after tooth extraction

Sometimes, after tooth extraction, there are various complications. They can be caused by the peculiarities of your body or not by the professionalism of the dentist. The most common complications are as follows:

Stitching

Stitches are applied in cases where removal was difficult and the gum was damaged. The most commonly used are self-absorbing seams. If the stitches are imposed by usual threads, then after a while they will have to be removed. This procedure is painless and fast.

Alveolitis

If after removal the gum is painful, it is necessary to immediately see the doctor. You may have had a dry hole syndrome. It appears as a result of a blood clot. The presence of a blood clot is a prerequisite for normal healing. The absence of this clot leads to various complications.

As a rule, the alveolitis occurs after complex deletions, during which the tissues of the gums and the jaw bone are injured. For example, this occurs after the removal of wisdom teeth. This is because the wisdom tooth is immersed deep in the bone, and to remove it you have to injure the bone.

After removal, the doctor will give you recommendations that must be followed. With strict adherence to them, the development of the "dry hole" syndrome is almost minimal. Smoking people and women taking contraceptives, the risk of developing the alveolitis is much higher.

Blunt pain

Such pain can appear in three to four days after removal. It gradually intensifies and painful attacks sometimes can not be stopped even with the help of strong pain medications. Dull pain can give even in the ears.

Unpleasant odor

After removing the tooth, an unpleasant odor may appear in the mouth. Sometimes you can even feel an unpleasant aftertaste. This indicates the presence of microbes in the oral cavity or in the socket of the removed tooth. Consult a doctor or rinse your mouth with chamomile broth or other antibacterial agents.

What to do in the first day after removal of

Bleeding after removal can last for several hours. The doctor will remove a special swab after removal, which should be replaced in case of severe bleeding. To do this, from the bandage form a new tampon and put it in the hole. If bleeding persists, consult a doctor.

To the blood clot formed in the hole, do not destroy, observe the simple rules:

  • do not rinse your mouth for 24 hours and spit out saliva;
  • do not use hot liquids: tea, coffee, soup and so on;
  • do not smoke;
  • avoid physical activity.

What should be done after removal:

  • for swelling of the cheeks, you can briefly apply ice( for no more than 15 minutes);
  • to avoid complications it is recommended to start taking antibiotics;
  • with severe pain drink anesthetic;
  • brush your teeth with a toothbrush with soft bristles;
  • do not chew on the side where you have removed the tooth.