Tooth extraction
The tooth removal can be necessary
in the following instances:
- centre of infected tooth, holding chronic
inflammation (e.g. in case of the upper teeth,
where sinusitis infection can develop
- moving, aching, decayed tooth
- healthy tooth removal for the sake of orthodontics
- by a canine or a wisdom tooth caused complaints
- extraction of wrongly grown teeth with the
aim of a prosthesis
Tasks preceding the treatment
In all cases a thorough dental
examination and visiographical X-ray precede the
interference. The dentist decides upon the X-ray
if is going to be a simple tooth extraction or
an operation will be required. Since both the
dental surgery and the dental theatre are available,
the intervention can be executed immediately.
It is important that the patient should eat before
the dental treatment, because after the anaesthetic
injection, he/she can not eat until the numbness
holds (about 3-4 hours).
The simple tooth removal
The interference is done with
a local anaesthetic lidocain injection. The dentist
separates the gum by a gum pusher from the tooth,
than removes the tooth with an upper-positioned
plier. However, if the removable tooth is inflammed
in the wound cavity, the inflamed tissue must
also be removed. The dentist narrowes the wound
rims by pressing those to each other. For 15 minutes
after the interference the patient has to bite
on a gauze pad. After the bleeding has ceased,
the patient can go home.
The operative tooth removal
It happens often that the tooth
can not be removed with a simple extraction. For
example: a largely destroyed tooth by decay, the
pliers would crunch the tooth at the extraction.
There is danger of the cavity system opening,
when the tooth root is too close to the facial
cavity, which is trapped by the wisdom tooth,
eyetooth or upper molar. Hence, the dentist removes
the tooth operatively.
The interference is done with a local anaesthetic
lidocain injection. The dentist makes an incision
around the tooth, peels the gum off, removes the
bone around the roots with a chisel, than lifts
the tooth out; finally he closes the operation
area with stitches. If it is required, the patient
receives a blood-clotting injection following
the intervention. The patient should wait for
half an hour biting on a sterile gauze pad and
when the bleeding ceased, she/he can go home.
Complications and tasks after
the tooth removal
Generally one can say that the
operative tooth removal is much safer and heals
faster than the simple tooth extraction. The possible
occurring complications, like loosening of adjacent
teeth or gum shattering, are generally results
of a simple tooth extraction.
Bleed leaks might occur and in such cases one
must bite on a sterile gauze pad. Sucking the
wound, sink it with water, poultice the face,
keep warm with a cushion is prohibited.
The swelling can be iced on the outside 5-6 times
daily for one or two minutes. After tooth brushing
it is advisable to disinfect the mouth cavity
2- 3 times a day (e.g. Chlorhexamed). Heavy physical
work should not be done for 7-8 days. If it is
necessary, painkillers can be taken, however antibiotics
are only allowed with the dentist’s consent. The
stitches are removed 5 - 7 days after the operative
tooth extraction.
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