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Dental Extraction

Dental extraction is the removal of a tooth from its socket in the bone.

Reasons for tooth extraction

The most common reasons for tooth extraction are damage such as breakage or fracture. Some other possible reasons could be:

• Critical gum diseases which may affect supporting tissues and bone structures inside mouth

• Extreme tooth decay or infection • For orthodontic treatment

• Insufficient space for wisdom teeth

• Receiving radiation to head and neck may require extraction in the field of radiation.

Extractions are often divided into two categories including "simple" or "surgical". Simple extractions are performed on visible teeth, usually under local anesthesia and require only use of instruments to elevate and/or grasp the visible portion of tooth. Basically tooth is lifted using an elevator and subsequently using dental forceps, rocked back and forth until periodontal ligament has been sufficiently broken and supporting alveolar bone has been sufficiently widened to make tooth loose enough to remove. On the other hand, surgical extractions involve removal of teeth that is not easy to reach, either because they have broken under the gum line or because they have not arrived completely. In a surgical extraction dentist may elevate soft tissues covering the tooth and bone and may also remove some of the overlying and/or surrounding bone tissue with a drill or osteotome. Often, tooth may be split into several pieces for easy removal.


Problems with dental extractions


Dental extraction is one of the most common treatments, requested by people, at dental clinics and hospitals. However, root canal is a more effective option to relieve pain from an infected tooth, in most of the cases dental extraction is the only option left. Even though most extractions proceed without any difficulty, some can occur.
Most people who have had tooth or teeth extracted know that a certain degree of pain and bleeding is normal. Pain that lasts up to a week or more but is gradually improving and bleeding that continues for up to 12-24 hours but is slowing down should be considered typical and will most likely not require follow-up care. Pain that worsens after two days should be considered abnormal and may require attention of a medical expert. Ache that increases after extraction might be due to a dry socket, usually treated by the dentist rinsing the socket with medicated lotion, packing the area with a medicated dressing and putting the patient on pain relieving pills. Bleeding is another problem that lasts for more than 24-hour or is increasing after some time. This might be a point of serious problem that needs immediate attention from dentist. Persistent bleeding may occur if any blood vessel or tissue is damaged during extraction, if a patient is taking specific kind of medication or has a predisposing medical condition. Extreme bleeding can also be caused by a patient rinsing, spitting, or smoking after the extraction. Dentist can pack and stitch the socket to stop bleeding

 

How It's Done?

There are two types of extractions:
A simple extraction is performed on a tooth that can be seen in the mouth.In a simple extraction using a local anesthesia   the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to   remove the tooth.
A surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not   come into the mouth yet. Surgical extractions commonly are done by oral surgeons using local anesthesia or anesthesia   through veins.

 

Follow-Up

Our doctor will give you detailed instructions on what to do and what to expect after your surgery. If you have any questions send a query to us.You can expect some discomfort after even simple extractions. Usually it is mild. Research has shown that taking nonsteroidal anti-inflammatory drugs (NSAIDs) can greatly decrease pain after a tooth extraction.Surgical extractions generally cause more pain after the procedure than simple extractions. our dentist may prescribe pain medicine for a few days and then suggest an NSAID. Most pain disappears after a couple of days.

 

 

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