Removal of teeth and tooth nerve

May 7, 2013

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Removal of a tooth   - Surgery under which a tooth extraction of the tooth alveoli. Indications for tooth extraction determines the dentist.

Indications

Determined emergency and planned indications for tooth extraction. Remove the tooth doctor urgently necessary to the development of acute purulent inflammation, which gradually affects the bone, as well as abscesses . sinusitis . phlegmons et al. The doctor determines that the conservative treatment of the tooth is not possible, or that the functional value it is not. Also, tooth extraction is practiced, if observed very strong toothaches are not treatable. Tooth extraction is carried out in case of longitudinal fracture, fracture of the crown when exposed pulp , If you can not restoration of the crown   orthopedic or by sealing.

Planned extraction is carried out in determining root canal impassable with radicular periodontitis   or cysts . Remove those teeth that can not save, moving teeth with periodontitis (3-4 degree of mobility), an atypical location of teeth, traumatic mucosa and affecting the function of speech and the process of eating.

The indication for removal of a fracture of the tooth root, finding the tooth to fracture the jaw line, the presence of tumors of the jaw. Teeth can be removed for orthodontic and orthopedic treatment.

There are also a number of contraindications for tooth extraction. This number of acute illnesses - hypertensive crisis . myocardial infarction . infectious diseases ; poor blood clotting (menstruating women), reception preparaov that reduce blood clotting, the first and the last trimester of pregnancy. If a person is diagnosed hemophilia Tooth it is removed only in the hospital.

Whenever possible, doctors try to avoid tooth extraction, as after his loss to gradually move other teeth. As a consequence, there are problems not only by chewing.

Before removing the tooth patient should always inform your doctor about what medications he takes, as well as to talk about chronic diseases.

If the physician determines the infection with the front tooth extraction, he may appoint a course of antibiotics. Take them must be strictly prescribed by a doctor.

The process of tooth extraction

Before removing the tooth made an X-ray to determine the location of the root of the tooth. Typically, during the removal of the tooth is used local anesthesia . During the procedure, the removal of teeth a person feels strong pressure, but no pain. Anesthesia effectively blocks the nerves. But if the pain during removal is still present, it is necessary to tell the doctor, who may make additional anesthesia. Anesthesia was performed using a drug delivery syringe. Sometimes a patient at his request can also offer sedatives in order to relieve stress.

Initially, the doctor separates the gum from the neck of the tooth with the help of special tools and imposes a forceps. Tongs are closed and locked in the correct position. Dentist determines further actions depending on the location of the number of roots. Multirooted   swinging teeth and single rooted   doctor cranks. Then the tooth is extracted from the alveoli. Sometimes multiroot teeth have to be cut into pieces and remove the roots of drill stages.

Complications

Failure to comply with the rules of care for the hole after removing the tooth from a man who removed a tooth can develop alveolitis   or Dry Hole . Sometimes a complication - a consequence of incomplete removal of the tooth, which is part of the root. Alveolitis develops in the second or fourth day after tooth extraction. Due to the loss of a blood clot in the hole becomes infected, resulting in the well there is a touch, pain.

Sometimes there is a long period of bleeding in people with diseases of the blood. In severe tooth extraction process can occur dislocation or removal of the adjacent tooth.

A rare complication is a fracture of the lower jaw, which occurs if tooth extraction is applied considerable force.

Removing the nerve of the tooth

Near the root of the tooth is the pulp - bunched nerve endings and blood vessels. The pulp is called the nerve of the tooth . It causes the pulp of the tooth reaction to stimuli. If the removal of the nerve of the tooth is made, then it stops the supply of blood and its mineralization. The tooth becomes "dead" and exhibits a low resistance to external influences. Patients often say and that they darkened the tooth, which is removed from the pulp.

Removal of the nerve of the tooth is made if the time was not cured caries And the patient develops pulpitis . Advanced stages of pulpitis - testimony to the removal of the nerve. Also, the pulp is removed at appreciable destruction of the tooth, a large cavity and with a constant and severe pain tooth.

Previously, removal of nerve actively used in dentistry arsenic Which was laid at a certain time in the slurry. The tooth is sealed with a temporary seal. In the process of how arsenic kill the nerve, the patient often felt pain. The subsequent cleaning channel is also often been very painful for the patient.

However, this method was not safe, as the arsenic - a strong poison, and the effects of the removal of the nerve of the tooth in this way could lead to a complete loss of the tooth.

Modern dentistry involves removing the nerve of the tooth during a single visit to the doctor. It is performed under local anesthesia. The pulp is removed using special tools for about an hour. Sometimes the doctor nevertheless decides to install temporary seals to make sure that the removal of the nerve was successful.

Sometimes the patient shows partial removal of the nerve, as practiced in case the inflammation spread only on the coronal part of the pulp. In such a case the tooth is opened and cut off a coronal part of the pulp. This method is often practiced when being treated molars of the child, as in this case, the tooth remains alive.

Sometimes, after a while depulpation patient can feel the pain that is associated with the process of treatment. In this case, doctors recommend repeatedly applied analgesics. It is important to note that when low-quality treatment of inflammation and pain will soon be resumed.

Removal of milk teeth

Removal of milk teeth - a very important event for both the child and parents. Modern dentistry is performed Remove milk tooth in children is very easy, without pain and anxiety of the patient. Still, parents should be aware that the rush to this procedure should not be. There are reasons, because of the removal of a baby tooth that is slightly defer. The roots of the deciduous teeth begin to gradually resolve the child around the age of three. Later, the teeth fall out naturally. The presence of milk teeth is the key to proper eruption of permanent teeth, and growth. In addition, early removal of milk teeth can delay the development of the jaw bone.

Premature baby tooth removal is considered, if not then a permanent tooth appears only after a year or more. If the tooth is removed before the eruption of permanent teeth can be chaotic, which later leads to a malocclusion.

Yet there are indications for removal of milk teeth. As an absolute indications determined strong tooth decay tooth decay, failure to treat the tooth, the emergence of a cyst at the root of a tooth or a fistula on the gums. If you are already noticeable permanent tooth, and milk did not even falter, it must also be removed. You also need to remove the milk tooth with pulpitis or periodontitis, a disease that did not affect the germ of the permanent tooth.

Relative indications   - A reel of the tooth, which is uncomfortable for the child, chronic periodontitis or pulp, tooth fractures.

Removal of deciduous teeth is performed under anesthesia only if there is a serious inflammation. If the tooth is already reeling, the doctor removes it easily without anesthesia.

But if the process of change of teeth is normal, then the doctors can not handle. The child can chew just give something solid. If the tooth fell out, the wound that remains need to be disinfected.

Actions after tooth extraction

After removing the tooth doctor tells the patient how to behave in order to avoid confusion. The first day after the removal - the most important. Immediately after the tooth has been removed, bleeding may continue. To stop it put in the hole cotton wool That must be firmly pressed. It is important that the site be sure to remove the tooth formed a blood clot, which protects against infection. Therefore, despite the pain after tooth extraction, rinse your mouth should not be during the day. You also can not eat hot food and drinks. Gums after tooth extraction may swell. It is easily removed by applying a cold cheek. By the way, after the extraction hole worse heals those who smoke. Alcoholic drinks   immediately after extraction is also undesirable to drink, since the alcohol can dissolve the blood clot.

If the removal of the tooth root was very difficult, after surgery pain can be very intense. With relatively not strong pain can apply analgesics that are sold without a prescription (such as ibuprofen, analgin). When severe pain doctor prescribes a more powerful tools that should be taken strictly according to its precepts. During the reception of such drugs is better not to be engaged in the affairs require special attention (such as driving a car). Also, in the early days can not avoid strong physical stress.

On the first day you need to brush your teeth so as not to affect the well brushed. Further, this process also needs to be gentle. Sleep with your head elevated to be. To do this, under the head can put an extra pillow. Hot tubs are forbidden on the first day.

One day after tooth extraction can rinse well brine . This procedure is carried out before bedtime and after meals.

If a person has a so-called " Dry Hole "Then after a few days the patient may be concerned about a dull ache, and out of the hole an unpleasant smell. In this case, it is necessary to consult a doctor and follow its recommendations. Usually, the doctor puts a bandage on the medicine well. The drug relieves pain. This bandage should be updated once a day. Sometimes wells are located on a surface portion of necrotic bone. A person can remove them yourself.

Healing may take several weeks, and sometimes months. It should be remembered that the quicker and easier removal of the tooth was carried out, the sooner will heal well and the less is the chance of complications. Sometimes, after a difficult tooth extraction is recommended to take anti-inflammatory drugs to avoid complications.

Young people heal faster wells than in the elderly. About three months after tooth extraction hole fills bone.