Modern dentistry enables the treatment of teeth without the need to pull them out. Extraction, or removal of a tooth or teeth, is sometimes a necessity. This is a scenario that occurs when conservative, canal or prosthetic treatment is no longer possible. Extraction is one of the treatments I perform in my office in patients from the citi and the surrounding area.
When Is The Removal Of The Tooth Surgically Indicated?
An indication to remove a tooth are the following:
- hemisection – removal of roots and part of the crown,
- pulpitis inflammation of wisdom,
- teeth stopped,
- resection of tooth root tips,
- oblong or oblique tooth root fracture,
- crown fracture that prevents prosthetic reconstruction,
- breakage of a multi-root tooth,
- teeth set outside the arch (when it is not possible to correct them in a different way),
- removal of wisdom tooth buds in the case of crowding teeth,
- recurrent periodontal abscesses in case of ineffective treatment,
- gangrene and pulp necrosis in the case of multi-rooted teeth in the absence of the possibility of root canal treatment (eg obstruction of canals),
- teeth damaged by caries so much that they can no longer be treated and rebuilt,
- dental diseases in mentally ill people who can not be treated,
- teeth cracked or broken as a result of an accident, fights, etc. random events.
What is the surgical removal of the tooth?
The procedure for the decision on surgical removal of the tooth is as follows:
- dental-surgical consultation – a detailed interview about the general health of the patient, previous illnesses, possible allergies to anesthetics,
- radiological diagnostics,
- discussion of the treatment plan,
- selection of the type of anesthesia,
- agreeing the date of the procedure,
- local anesthesia or sedation (ie lowering the activity of the central nervous system by pharmacological means without excluding consciousness) made by an anaesthesiologist,
- Extraction using specialized tools – the dentist breaks the circular ligament surrounding the tooth and with the use of dental tongs causes his dislocation and then removes it from the alveolus by means of appropriate extraction movements,
- cleaning the alveolus, that is, removing all fragments of the tooth and bones with inflammation,
- biting the swab located on the wound for about 20 minutes to stop the bleeding,
- postoperative recommendations: it is usually a cold compress, pharmacotherapy, consumption of soft, semi-liquid foods (preferably cold or cold).
- Simple tooth removal is done with the help of traditional tools. More complicated cases are based on surgical, specialist knowledge and the use of modern equipment that will not damage soft tissues, blood vessels, nerve fibers, nor will it allow dangerous overheating of the bone matrix during surgery.