Many patients perceive teeth remove with great caution and resentment. This is quite natural: the procedure is quite unpleasant, and the subsequent feelings are left to be a kind of better ones. Doctors come across teeth disposal in cases when the treatment loses its effectiveness or irreversible changes in tissues are taking place.
Teeth remove - a cardinal measure of treatment and implantation initial step
Procedure carrying out in a professional dental office and with high-quality medicines reduces the discomfort feelings to a minimum threshold. In some cases tooth removal is the only one measure to stop the pain and to expense a patient from any of tooth diseases.
Indications to the procedure:
- permanently injured with sharp cleavages gums or cheeks, tongue, abnormality occlusion because of wisdom teeth;
- implants installation - but in this case a strong evidence is required;
- chronic disease in the acute stage - such as periodontitis, cysts, inflammation of the nerve.
Tooth removal is carried out only with the use of modern anesthetics, after patient careful examination and in case of impossible therapeutic and tooth-preserving treatments usage.
The tooth removal surgery in a professional clinic and with professional doctors could be a first step in prosthetics. The doctor you choose will start the preparation for the implantation from the very first day, so that later you would be able to enjoy a beaming beautiful smile.
In some cases after tooth removal surgery adjacent teeth begin to shift – this causes some difficulties to the chewing process, and can affect the bite. Due to the implantation these problems can be avoided by restoring a teeth row defect with the help of artificial tooth.
In the clinic doctors perform operations quickly and accurately using anesthetic and effective treatment for preventing such situation in the future. In some cases, a removal process can be necessary to even outwardly healthy wisdom teeth which with age can cause lot of troubles.
Tooth removal is associated with patient psychological and emotional trauma and can cause complications after tooth disposal, of both general and local character. It must be taken into account while taking a decision about tooth removal, preparing the patient for the surgical intervention and implementing it.
Teeth remove is taking place only when teeth themselves are very much damaged by caries, affected by periodontal disease ("sick gums"), were broken so that they can't be restored or fixed, or simply are placed in the mouth incorrect (f.e. wisdom tooth removal (deep loaded)) or in the process of preparation for the orthodontic treatment.
After tooth extraction, the connected with it neighboring teeth are gradually beginning to shift, sometimes significantly, which can greatly affect the general teeth condition. Teeth removal (even one of them) can create serious problems with chewing. To avoid these complications, the dentist will recommend to make a replacement of removed tooth with an artificial one.
Indications for tooth remove
- The acute stage of odontogenic jaw osteomyelitis.
- Odontogenic suppurative periostitis, cellulitis admaxillary, abscesses, purulent lymphadenitis, sinusitis, maxillary sinuses.
- Teeth with damaged crowns (roots) are removed in a case when they can't be used for prosthetics.
- Teeth which are placed in the area of jaw or alveolar bone fracture are also removed.
- Impacted teeth, the eruption of which was complicated by the accession of infectious-inflammatory process, the development of cysts and tumors should be also removed.
- Advanced stages of periodontal disease in a 1-4 stage of tooth mobility.
- Radical removal of the tooth with the alveolar bone tumors.
- The beginnings of the eighth teeth in children and adolescents with advanced macrognathia to hold back the growth of the mandible.
- Anomalies of occlusion conducted by orthodontic treatment in order to free a place for teeth moving.
- Teeth which came to the fore from the jaw alveolar edge as a result of antagonists loss (Popov-Gordon phenomenon), convergent teeth, the single tooth, remained in the jaw and prevented the prosthesis fixation, are also removing.
- Teeth that are incorrectly located or supernumerary ones, those which lead to the teeth row deformation or violate the configuration entity must be removed.
Contraindications for the tooth removal
- Cardiovascular diseases (hypertension during the crisis, stenocardia in period of the disease exacerbation, rheumatic in a period of its exacerbation, bacterial endocarditis in a period of its exacerbation, severe cardiac decompensation, pronounced disturbances of pace and rhythm of heartbeats - atrial fibrillation, paroxysmal tachycardia, accompanied by heart failure).
- Kidney disease.
- Infectious hepatitis in the acute stage.
- Acute leukemia, agranulocytosis.
- Hemorrhagic diathesis.
- Mental illness in the period of exacerbation.
- Acute cerebral of blood flow.
- Acute infections (influenza, acute catarrh of the upper respiratory tract), including the highly contagious and highly dangerous.
- Suppurative inflammation (abscesses, cellulitis of non-maxillofacial localization, erysipelas).
- Acute bat illness.
- 1, 2, 9th months of pregnancy.
- Stomatitis.
- Radiation therapy which is carried out on tumors of maxillofacial localization.
Before tooth disposal surgery the surgical field is treated with non-allergenic antiseptic, which also causes no burns and necrosis of oral mucosa. Anesthesia is carried out. Then the dentist separates the circular ligament from the tooth, places the tongs onto the tooth root, shatters the tooth and removes it. After tooth disposal an audit of the hole is performed, edges are squeezed which is made for postsurgical wound's size reducing, and then a gauze ball is put on for nearly 15-20 minutes. Dentist, after making sure that there is no bleeding and the hole is filled with clot, lets the patient go home with recommendations for postoperative care about the wound.
Recommendations of how to care the wound left after tooth disposal:
- refrain from eating for 2-3 hours after the tooth removal process;
- Do not drink alcohol, and take sauna in the same day with operation;
- Do not touch the hole with tongue and any other object;
- Do not take hot food;
- Do not rinse your mouth.
Common complications after tooth removal surgery and during the process itself are related to the condition of the patient and concomitant diseases. Usually such complications are manifested as syncope due to psycho-emotional condition of the patient and stress connected with the upcoming operation. More severe complications after tooth disposal are collapse (vascular insufficiency) and shock.
Local complications during tooth removal process are a broken tooth, damage of the adjacent tooth crown, breakdown of the adjacent tooth, tooth root pushing into the maxillary sinus and soft tissues, gum's mucosal damage in the place of tooth extraction.
Local complications after tooth remove are phanorrhagia and alveolitis.
Dry holes One of the most frequent complications after tooth disposal is the so-called "dry hole." The syndrome of "dry hole" is connected with the clot formed in the hole after tooth extraction. The presence of a blood clot in the hole is necessary for the healing process. Most often "dry holes" are formed after difficult disposals connected with significant injuries. For example, the wisdom tooth removal (immersed one) process, during which a doctor must first to take a deletion of the surrounding tooth bone for being able to get to the tooth itself.
It is very important to listen to the dentist advices about hygiene and care over the tooth extraction area to reduce the risk of "dry hole" appearing. "Dry holes" are formed more often among women (especially those who are taking birth control pills), people of the age over 30 and smokers.
Usually dry holes are manifested in the form of arid or severe pain in 3-4 days after wisdom tooth removal. There is a feeling that the pain in wisdom tooth extends from the point of disposal straight into the ear direction. In a case of dry hole formation an unpleasant taste or smell in the mouth is an often fact.
"Dry hole" should be examined by a dentist. Usually the doctor puts onto the place of removed tooth a bandage soaked with drug that reduces and relieves pain.
How to repair the defects of teeth rows after teeth extraction? Tooth disposal violates the function of mastication, speech, bite deformation develops. Sometimes after back-teeth removal gaps between front teeth are forming which leads to aesthetics disruption.
The replacement of an extracted tooth with an artificial one is carried out with the help of special bridges usage. But it would be even much better to conduct this using implants and removable partial dentures.
