Why are teeth extracted?
Nowadays, thanks to the contributions of scientific and technological progress to dentistry, the primary aim is to treat the tooth and keep it in the mouth. In some cases, tooth extraction is required to protect the patient's health or to plan treatment. We can summarize these situations as follows:
• Teeth that cannot be saved with treatment due to advanced decay and material loss.
• Teeth that are broken as a result of impact in a way that cannot be treated.
• Abscessed teeth that cannot be saved despite root canal treatment.
• Loose teeth due to advanced gingivitis.
• Baby teeth that do not fall out on time.
• Teeth that cause problems due to excessive position changes (rotation, tipping, etc.)
• Teeth in cysts or tumors.
• Teeth that have not fully erupted (impacted) and cause problems.
• Due to lack of space, some teeth can be extracted even though they are problem-free
in order to assist orthodontic treatment.
Tooth extraction requires force. ? Is there a difference between male and female dentists in this regard?
Of course, a force is applied during extraction. However, since extraction devices are designed to increase the force applied by the physician several times, excessive force may even have negative consequences. Therefore, tooth extraction is rather an intervention that requires technical knowledge and skills. It should not be forgotten that many jaw surgeons are women.
� Why do teeth break during extraction?
• Especially in large molars, that is, multi-rooted teeth, when the roots are very separated or curved.
• In elderly people where the bone has lost its elasticity
• In people with very thick jawbones that cannot be stretched
• In teeth that have lost their grip and become brittle due to excessive material loss, fracture may occur during extraction.
This is not something to be afraid of. If anesthesia, that is, numbness, is successfully achieved, the dentist removes the remaining parts painlessly, using tools produced for this purpose.
What can be done to overcome the fear of tooth extraction?
In special cases when it is understood that this fear cannot be eliminated in any way, shooting can be performed under general anesthesia. However, most of the time, the dialogue and approach between the patient and the physician shows that such an intervention is not necessary. First of all, it should be remembered that it is necessary to get rid of the tooth that needs to be extracted, considering the damage it causes to the body and the negativities such as pain. Once a good numbness is achieved, during extraction, only a feeling of pressure and small crackles can be heard as the tooth rises. There should be no pain or soreness. Generally, people like to scare those around them and exaggerate these pressures and crackles. One should not be influenced by such false suggestions, and all questions should be directed to the physician.
What should be done before the shooting?
If your doctor recommends a medication (for example, an antibiotic), you should use it regularly, adhering to the timing. If you have a disease or allergy and also Therefore, if there are medications you use regularly, you should definitely tell your doctor about them. Aspirin-type drugs that delay clotting should not be used before the shooting. If possible, teeth should be thoroughly brushed and rinsed with antiseptic water. Thus, it would be good to reduce the bacteria in the mouth and reduce the risk of infection.
What should be taken into consideration after tooth extraction?
• The tampon placed on the extraction wound should be kept for half an hour.
• After this tampon is removed, another tampon should not be placed unless necessary, care should be taken not to disrupt the clot formed.
• The mouth should not be rinsed with water.
• Nothing should be eaten for about two hours after the shooting, and after this period, warm foods should be preferred and very hot or cold foods should be avoided.
• No smoking for 24 hours. Smoking may cause the clot to break down and cause inflammation of the wound. This condition, called dry socket, causes pain for a long time.
• Alcohol should not be consumed for 24 hours.
• The extraction site should not be touched in any way, and the wound area should not be sucked and spit out.
• The injured area should not be used for 24 hours.
• If pain occurs, a medicine other than aspirin should be preferred, and if possible, a physician
should be consulted.
• The extraction site must be clean. should be kept. Food residue filling into the wound should be prevented. 24 hours after extraction, the area should be gently brushed with a soft toothbrush. Meanwhile A first salt water gargle can also be used.
• It is considered normal for bleeding to last 6-24 hours in case of a slight leak.
However, if there is excessive bleeding or this period has been exceeded, be sure to consult a dentist.
• Likewise, in cases of long-lasting pain and swelling, the physician should be informed.
• In case of ongoing bleeding in the form of leakage, a soaked tea bag can be wrapped with gauze and placed on the wound. Doing tampons in this way for a while may be beneficial due to the blood-stopping properties of some substances in the tea.
What can be done after the wound heals?
In place of the extraction space, a bridge, prosthesis or implant should be applied, depending on the situation. Missing teeth may cause digestive disorders, as well as positional disorders (leaning, tipping, etc.) and thus chewing problems in the teeth adjacent to the extracted tooth.
Empacted tooth What is it, is extraction necessary?
In cases where the jawbone around the tooth is very dense or the gum is very thick, and the tooth cannot find a place to grow due to the narrow jaw arch, Teeth that have not erupted as a result of early loss of milk teeth or due to some diseases and remain in the bone under the gum are called impacted teeth. These teeth should be extracted if they cause abscess, if they cause pain, if the size and location of the tooth causes the bone to become thin enough to pose a risk of jaw fracture, if it is accompanied by a tumor or cyst, and if it causes the adjacent tooth to decay.
Source : (Istanbul Dental Chamber magazine)
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