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Features, methods and tools to remove the root of the tooth, how to undergo the operation, the video process

Removal of the root of the tooth The removal of the root of the tooth is considered to be one of the most unpleasant dental procedures.This is so, if the patient happens to the dentist every few years, while choosing the municipal clinics.For a long time already dentistry has advanced far ahead, and if you treat your teeth in a clinic that has modern equipment, there is no reason to be afraid of pain and consequences.

After removing the tooth, the root can stay.Sometimes, in order to detect it, you need to take an X-ray The root damaged by improper treatment or injury may disturb the patient with discomfort or pain.For a long time, the patient feels uncomfortable, if after the tooth has been removed, the root remains.It seems that something is interfering.There are rare cases when the remaining root does not make itself felt for a long time.It can be detected only after the patient has taken an X-ray.

The problem most people disregard and go to the dentist refuse categorically.Often this leads to complications.

What complications can occur

  • The inflammation of the gum and ligamentous apparatus may occur because of a chronic foci of infection that occurs if tooth decay is caused by tooth decay.Inflammation of the gums can cause periodontal disease and then the inflamed and infected hole will heal for a long time.
  • If tooth decay occurred due to injury, infection of the wound surface may occur.Therefore, the rest of the root must be urgently removed, and the damaged hole and gum should be sanitized.
  • Often the develops the pathological process of surrounding tissues due to the presence of a part of the root in the thickness of the bone.

How the tooth roots are removed

Tooth extraction can be of different complexity.Sometimes this is a fairly simple process, but it can be complicated:

  • Alveolitis - removal of the hole after the inflammation of the tooth as a result of a trauma or manipulation of the dentist, the fractures the of the middle part of the root or its apex;
  • the root and bone tissues that surround it were exposed to pathological changes of ;
  • is not easy to remove the roots that are located deep in the alveolus of .

Therefore, the removal method is selected individually, depending on the situation.

forceps removal A portion of the tooth protrudes above the edge of the socket from the outer and inner sides, which the dentist must grasp with forceps.For this, he carefully separates the gum from the root.

Sometimes the dentist has to exfoliate the mucous membrane and periosteum from the edge of the socket in order to properly grasp the tooth.

But if as a result of pathological changes bone resorption has occurred, the cheeks of the forceps can be pushed deep enough and firmly grasped the root.

Removal of the upper jaw

Removal of the root of the tooth with a boron machine

Depending on which tooth to remove, the doctor uses special forceps to remove.For example, bayonet forceps are used for large molars.Their cheeks can move deep under the gum.Cutters and fangs are removed with an S-shaped tool.

Basically, the removal occurs with the rotational movements of the .In the event that the roots sit deep in the alveolus or are large, the dentist adds more rotational movements.

If the root can not be removed with forceps due to its deflection or thick walls of the wells, the doctor disconnects them with boron.

In case of root deviation, the bottom of the tooth cavity is sawed, where the buccal roots are connected to the palatines.First, using a globular boron, an aperture is made in the inter-root spike, and then, using the bony burson, the bottom of the tooth is sawn longitudinally.In the cavity formed, an elevator is introduced and the palatal root dislocates.After that, it is removed with bayonet forceps.

Removing the mandibular root

It is much easier to extract the roots of the lower jaw teeth, because they are shorter and have thinner walls of the wells.

For the removal of the root of the tooth of the lower jaw, the dentists mainly use curved forceps with thin and narrow cheeks.

Fang is not easily extracted.To remove it, use forceps with wider cheeks.Sometimes there are difficulties in extracting the lower large molars.Often it is not possible to deeply insert the cheeks of forceps due to the fact that they slip.Since the alveolar process at the edges of the socket is of considerable thickness, it is impossible to impose the cheeks of forceps.Therefore, when removing the lower molars, dentists often use an elevator.

Removal of the root of the tooth with the

elevator. If the forceps can not remove the tooth roots, an elevator is used.This situation can occur if they are deep in the hole.Using forceps, you can damage adjacent bone tissue and mucous membranes.The use of the elevator is less traumatic for .

Removal by direct elevator

Tools for root tooth removal It is used to remove the upper teeth and roots of teeth that are located outside the dentition, and sometimes when removing the lower third molar.

The elevator is inserted between the wall of the well and the root to be removed.To do this, the convex part of the cheek is located to the wall of the well, and the concave part faces the root.The dentist pushes the handle and rotates it around the longitudinal axis in both directions.The periodontal fibers are torn and shifted to the opposite wall of the well.After the cheek of the elevator enters approximately four millimeters, the tool rest on the edge of the hole and act as a lever.The effort of the doctor is transferred to the end of the elevator, and the root is squeezed out of the alveoli.

It is very dangerous to use as a support for neighboring teeth, as they can easily be dislocated.Especially it can happen if they are mobile or there is an adentia.And if the tooth, which is chosen as a support, is damaged by a carious process, then it can break down.

Removing roots of molars, which are welded together, should be separated with fissure boron and then extracted in turn with bayonet forceps or an elevator.

To remove the lower third molar, a straight elevator is inserted into the interdental space on the side of the buccal side.The concave side of the instrument should be directed towards the tooth to be removed.Be sure to hold a dislocated tooth so that it does not accidentally slip into the throat.

Removal by angular elevator

Angled elevators are used to extract roots of the lower teeth of , mainly molars.Removing them, the tool is held with the whole hand.In this case, the handle of the instrument should be on the buccal side.

The cheek of the angular elevator is introduced to the tooth to be removed by the concave part in the gap between the wall of the well and the root or between the adjacent tooth and the root.In order for the cheek to move deeper, press the middle finger of the left hand on the intermediate part of the instrument at the point of its transition to the working one.At the same time, the handle of the elevator is retracted alternately forwards and backwards by twenty degrees.After the introduction of approximately 0.6 centimeters in the periodontal gap, rotate the handle and pull the tooth out of the hole.

Treatment of the tooth socket

If the removal occurred against a background of purulent inflammation, then the treatment of the tooth socket is necessary.The well must be washed with an antiseptic solution, and then Alvozhel( an anti-inflammatory drug) is placed in it.Alvazhel should be put in the hole in the case, even if there is no inflammation.This is done with a preventive purpose, so that after the removal of the wound healed without inflammation.

Sealing

After removing the root of the tooth, the socket must be processed, so as to avoid inflammatory and infectious processes To close the edges of the wound, they are sewn with a special suture material.

After detachment with a smoothing gum a little dangles, and a blood clot can fall out of the hole.To prevent this from happening, the wound is sewn up.In addition, it will allow it to heal faster.

Due to the seams, the wound size is reduced, and this reduces the development of the inflammation of the well.

Also the stitches are applied with bleeding to stop it.They help prevent bleeding, which can occur after some time after tooth extraction.

Sutures are removed after about five to ten days.If the suture material was used catgut, the seams will not need to be removed, as the catgut resorbs.

After removal, the dentist ends up with advice on care and, if necessary, prescribing medications.

In essence, the process of removing the root of the tooth and the methods of its conduct will help you to understand the video, which can be viewed on the site.Perhaps, having studied the question in more detail, considering all the nuances, people who are afraid of dentists will not worry, sitting at the dentist's office, and will turn to dental care in time.

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