Tooth extraction is one of the treatments that patients have the most difficulty in accepting psychologically. Delaying or neglecting the treatment also causes the progression of caries in the tooth and the shrinkage of the part of the tooth in the mouth. Teeth that have completely decayed over time and remained only as roots, or teeth that are broken during extraction and some of their roots remain in the bone, are generally seen as difficult extractions and are referred to a maxillofacial surgeon. In patients whose tooth root is broken during extraction, if it is applied on the same day without allowing time for the closure of the soft tissue, there may be a chance to access the root through the socket. In such a case, the root can be removed without the need for an extra incision. However, if the gingiva is closed or teeth that have decayed over the years and have fallen below the gingival level, surgical extraction is generally planned. With the x-ray film taken from the patient, the extraction area and the location, position and shape of the root remaining in this area are examined in detail. The area is then locally numbed. During the procedure, the patient feels that the area is being worked on, feels pressure and does not feel pain. In these areas, a simple incision is made in the gingiva, the bone is removed and the remaining root is tried to reach. After extraction, there are stitches in the mouth, swelling, bruising, and limitation in mouth opening may occur. These symptoms disappear in about a week and the stitches are removed at the end of the first week. The patient should pay attention to eating and drinking in the first few days and should take care of the wound area. In smokers, stopping smoking for a certain period of time after extraction will be critical for wound healing. The healing process in the extraction area does not show any difference in normal extraction and surgical extraction. Soft tissue closes in about a week, and it takes about three months for bone filling to occur.
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