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Health

Removal of a tooth

, medical expert
Last reviewed: 23.04.2024
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Tooth extraction - this phrase sounds so frightening that many people bravely endure any pain, engaged in self-medication in the form of applying to the sore spot products of exotic species and properties. Nevertheless, the hour X comes, when you have to give in to the hands of an experienced dentist. Despite all effective promotional appeals, tooth extraction remains a problem for many of us. However, this is not just a delusion, but also a dangerous belief, because a sick tooth begins to provoke inflammation in nearby tissues, then you have to remove more than one tooth, and at least treat all the others.

Tooth extraction is a procedure that has its own rather ancient history. Exodontics - so correctly call this "terrible" procedure was known to our ancestors. True, in ancient times the extraction of the tooth occurred in truly barbaric ways, moreover, there were even some kinds of medieval tortures, during which the unfortunate prisoners were pulled out by absolutely healthy teeth. Perhaps our fear has genetic roots in those days, otherwise how to explain the stubborn refusal to go to the dentist, despite the fact that everyone knows about modern methods when tooth extraction is painless. Dentistry of the XXI century is considered "tooth-preserving" and low-traumatic, so developed dental technology, methods and equipment. Of course, exodontics remains a rather complicated procedure, because, as a rule, the tooth is inflamed, crumbled in the same way as its root. Tooth extraction in modern clinics is carried out in extreme cases, when all means of saving it are tried, but measures to preserve it do not give a result. Also, tooth extraction can be a necessity in correcting an incorrect occlusion. Such orthodontic procedures are justified and necessary.

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When is tooth extraction shown?

Tooth extraction should be done in the following cases: 

  • more than half of all exodontic operations are a soft tissue infection around a diseased tooth or neglected caries; 
  • When it is an insurmountable obstacle to the growth of neighboring teeth; 
  • inflammatory gum disease of an infectious or bacterial etiology; 
  • it breaks down, collapses due to mechanical trauma; 
  • bite correction; 
  • the tooth of "wisdom" prevents growth of neighboring teeth, or grows into the gum.

The tooth is removed by two methods - complicated, surgical and simple, less painful and quick.

A simple method is a good visualization, the extraction of the tooth occurs under local anesthesia. The dentist operates with the help of special tools that expand the jaw. The tooth usually begins to loosen in order to swing the alveolar tissue and bone, it is applied dental forceps, grasps the tooth and pulls it out.

A complicated method (surgical mini-surgery) is indicated in cases when it is difficult to get to the tooth by conventional instruments. Also, surgery is needed to remove teeth that stick out in the form of small debris over the gum, or for teeth that are ingrown into the gum. In this case, often the excision of the jaw bone or dissection of nearby soft tissues is performed. Sometimes the tooth has to be divided into components and removed in portions, in parts.

Tooth extraction: consequences and therapeutic measures

As a rule, right after removal, you need to sit down next to the doctor's office and wait until the bleeding stops completely, so that you can not cope with it alone at home. Between the place where the tooth was removed and the opposite jaw, a gauze antiseptic tampon is applied, which should be bitten to create pressure to stop the blood. Then rinses of a wound which can be done or made in house conditions are appointed or nominated. Care of the cavity is mandatory, as well as the period of hunger after removal. The exact time is determined by the doctor depending on the severity of the operation. Often antibiotics of a wide spectrum of action are prescribed to avoid infection of wounds. They need to be drunk for at least five days. In no case can you touch the damaged area yourself, try to touch the wound or open it. A re-examination, a visit to the doctor is also mandatory. If after removal painful sensations become strong, you can take an analgesic, it is better if the dentist writes it out in advance. Do not take tsitramon and all aspirin-containing drugs, as acetylsalicylic acid will liquefy the blood and prevent its rapid folding in the wound. Perhaps an increase in body temperature, in this case, you should drink the drug NSAID - a non-steroidal anti-inflammatory drug (ibuprofen, diclofenac). Do not worry about the swelling of the cheek, on the side of which was the removal of the tooth. This is a completely normal, transitory phenomenon of an inflammatory nature. In case of suppuration of the wound, it is necessary to visit the attending physician again, perhaps an additional course of antibiotics or a visit to the clinic for specialized antiseptic irrigation.

Complications after tooth extraction

Removal of the tooth will not be painful, and, probably, will not happen at all, if you plan a preventive examination of teeth in advance. It is believed that a regular visit to the dentist should be the norm, not the reason for dental deprivation. Medieval horrors are a thing of the past, modern dentistry is literate, professional doctors, high-tech diagnostic equipment, a lot of anesthetics and methods that allow tooth extraction quickly and painlessly.

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