Extractions – Dental Treatment

Introduction – Extractions

Extractions or simple tooth removal means having one or more teeth completely removed from the mouth. The extraction is usually performed by a dentist, but sometimes the procedure is done in hospital by a surgeon.

There are several indications for removing the teeth. The most common reasons include:

  1. Dental decay
  2. Periodontal diseases
  3. A broken teeth which is beyond repair
  4. Collection of pus or abscess in the gums or around the teeth
  5. Overcrowding of teeth
  6. Impacted wisdom teeth causing infection and pain
  7. Baby tooth which does not give place for permanent tooth to erupt
  8. To create space before fixing dental bridge

Teeth may be removed in a single appointment, or may take a few sessions. Prior to extraction, the dentist may try other alternatives such as:

  1. Pain relievers
  2. Antibiotics
  3. Root canal treatment may be required in some cases.
  4. A veneer or crown can be applied to a damaged tooth.

Preparation before tooth removal:

  1. The dentist first asks about complete dental and medical history of the patient. Doctor should be informed about any existing medical conditions, drug allergies or recent surgery. Use of any medications or inhaler, use of contraceptive pills and blood thinning medicines (such as aspirin) should be informed to the doctor.
  2. The procedure is done in the dentist’s office under local anaesthesia. This helps to block the pain from gums completely and the patient is awake during the procedure. Sometimes, a sedative medication may be given to relieve anxiety and helping the patient to relax.
  3. The dentist discusses about the entire procedure with the patient. The patient can also ask the doctor about the preparation, risks, benefits and any alternatives to the procedure.
  4. A consent form is signed by the patient before undergoing the procedure.

Procedure – Extractions:

  1. A local anesthetic medication is injected by the doctor to numb the nerve supplying the teeth to be removed. The extraction is started after checking that the anesthesia has taken effect.
  2. After this, the dentist widens the tooth socket and gently rocks the tooth side to side until it is loose enough to be pulled out. During this process, some pressure is felt in the mouth and some noise is heard. There is no pain associated with the process.
  3. Most teeth only take a few minutes to remove. Sometimes, the tooth socket requires to be closed with stitches.

After tooth extraction:

  1. Some bleeding is expected to occur as the tooth is removed under local anesthesia. The blood clot formed at the site of tooth removal usually covers the wound. A piece of soft padding is provided by the dentist to bite on to stop further bleeding.
  2. If sedation was givenbefore the extraction, it can temporarily affect the coordination and reasoning skills. Therefore, the patient should not drive, drink alcohol, operate machinery or sign legal documents for about 24 hours after the extraction.
  3. The dentist advises the patient about care of the teeth and gums. Pain-relievers, antibiotics and mouthwash solutions may be prescribed according to the need.A follow-up appointment is fixed within a few days.
  4. The local anesthesia may take several hours to wear-off. Over-the-counter pain-killers may be taken for pain if they have not been prescribed.

Recovery after extraction:

There are certain steps to follow to help the recovery:

  1. Mouth should not be rinsed for at least six hours. After that, gentlerinsing with warm salt water is advised.
  2. Eating should be started usually with sips of warm (not hot or spicy), soft or pureed food.
  3. In case of bleeding from gums, a clean pad of material such as a handkerchief should be used to bite on for at least 15 minutes.
  4. Alcohol drinking and smoking should be avoided until the wound has fully healed.I
  5. Full recovery can take up to seven days.Teeth should be brushed but the toothbrush should be kept away from the healing wound.
  6. If stitches were given, they are removed about a week after the procedure.

Side-effects

Some temporary discomfort can occur and swelling may require a few days to subside. Stiffness of jaw and some bleeding can possibly occur for a short period.

Complications after removal of teeth may be as follows:

  1. Infection-symptoms of infection may be a burning sensation in mouth, heavy bleeding, increased swelling, or pain. This may need a course of antibiotics.
  2. Dry socket- This happens when the blood fails to clot in the tooth socket and it interferes with proper healing. Severe pain can occur and further treatment is required.

- Link of interest: Twitter Extractions – Dental Treatment.

 

This article is not medical advice nor a substitute to professional health advice. Always consult a doctor.

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