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Know the related things with tooth extraction

Tooth removal is an action to remove teeth from the gums. The act of tooth extraction is usually done on a troubled tooth and can not be repaired again.

The action of tooth extraction is performed by the dentist, with first anesthesia performed on the patient, usually a local anesthetic. If the tooth is not blocked by the gums, retraction can be done without surgery. Whereas if the dental crown is not visible due to fracture or grow tilted tooth next to it (impaction), it takes action tooth removal operation (odontectomy).

Indication of Tooth Removal

Some common dental conditions should be removed:

  • Perforated teeth that can no longer be repaired.
  • Shaking teeth with infections such as gum infections or tooth abscesses.
  • Abnormal tooth position, can accumulate, uneven or tilted and cause cuts to the cheek tissue.
  • Dental infections.
  • Teeth damaged by serious injuries.
  • Teeth that are on the network are not normal, like being on the jaw fracture line.

Dental Removal Warning

Patients with certain conditions please be careful before undergoing tooth extraction. The conditions in question include:

  • Teeth that will be revoked located in the area ever done radiotherapy.
  • Teeth to be pulled close to malignant tumor tissue. Tooth extraction under these conditions may increase the risk of tumor spread.
  • The condition of the jaw is cracked.
  • Underwent treatment with bisphosphonates, immunosuppressants such as corticosteroids, and chemotherapy drugs.
  • Have diabetes, liver disease, end-stage renal disease, lymphoma, blood cancer, high blood pressure, heart rhythm disorders, and blood vessel injury in the brain.
  • Pregnant trimester first and last trimester.
  • Medium fever, nausea or vomiting before tooth extraction. The doctor will schedule the dental procedure at a later time.

Prepare the Dental Removal

The doctor will inquire about the medical history and the drugs being consumed. If you are taking blood-thinning medication, such as aspirin, your doctor will ask the patient to stop it temporarily, in order to avoid bleeding after tooth extraction. The doctor will also ask the patient to undergo X-ray examination. Keep in mind, you should not smoke before tooth extraction action.

The doctor will make sure the condition of the patient is ready to undergo tooth extraction. Patients will be given antibiotics shortly before tooth extraction if the patient is infected, has a weakened immune system, or if the dental procedure is predicted to last a long time. If the patient is anxious before the action, the doctor may provide a sedative.

If a tooth is removed more than one, or there is tooth impaction, the doctor may give a total anesthetic to allow the patient to fall asleep during the course of the action.

Dental Removal Action

Tooth removal

Tooth removal can be done simply or accompanied surgery. Simple tooth extraction is done if the crown of the tooth to be removed is visible. If the crown is not visible, for example due to impaction, tooth surgery can be performed (odontectomy).

The following are the steps in a simple tooth extraction procedure:

  • The dentist will give a local anesthetic by injection to the nerves around the tooth to be removed. To reduce pain during injection, the doctor can apply anesthetic gel to the area to be injected to feel numb, 1-2 minutes before injection
  • After the patient is anesthetized, the doctor will shake his teeth by using levers of a type and size depending on the size and position of the tooth to be removed. The influence of the drug makes the patient feel no pain, but can still feel like being pressured.
  • If the tooth is feeling quite sagging, the doctor will use pliers to pull teeth.
  • Generally, bleeding in the tooth, after the tooth Patients will be given the gauze to be bitten to stop the bleeding. Doctors can also give some stitches to the gums in the area of tooth extraction.

Post-Action Dental Removal

The patient can go straight home after tooth extraction, and do home care. The recovery process generally takes several days. To help with the recovery process, patients are advised to do the following:

  • Bite the cotton attached to the gums where the teeth are removed, to stop the bleeding and help the formation of blood clots. Keep the cotton stick for 3-4 hours.
  • Compress gums with ice as soon as the tooth removal procedure is done, to reduce swelling. Wrap the ice with a small towel or place it in a bag. Do not attach ice directly to your gums or skin.
  • Consumption of drugs prescribed by a doctor, such as painkillers or antibiotics.
  • Eat soft foods, such as yoghurt, pudding, soup, or fruits such as avocados and bananas. Avoid tough food until a week after the action.
  • Do not use sick mouth sides to chew food.
  • Do not drink using a straw, at least up to 24 hours post-action, because it will interfere with blood clots in the gums where teeth are removed, and cause pain and bleeding.
  • It is recommended to take 24 hours post-action rest and not to do any heavy activity.
  • Avoid rinsing for the first 24 hours. After 24 hours, gargle with warm water mixed with half a teaspoon of salt.
  • When brushing your teeth, do not touch the gums where the teeth are removed.
  • Use a pillow to support the head while lying down.
  • Do not smoke, because it can slow the healing process.
  • Avoid touching the sore area with the tongue.

Used tooth extraction hole will generally heal in 1-2 weeks. However, it takes longer for the bones and tissue around the teeth to heal. Immediately contact your doctor if fever occurs, pus out from the hole where the tooth is removed, and pain up to several hours after the tooth is removed. Patients are also advised to go to the doctor immediately if the bleeding continues for several hours after the action, dry socket, or swallowing.

Dental Cleft Complications

Tooth removal generally rarely causes complications. Although rare, the following conditions may be experienced by patients undergoing a tooth extraction procedure:

Bleeding

Dry sockets or detachment of blood clots in the tooth extraction hole causing pain complaints and result in delayed healing. This condition can occur in 3-5 days after the action of tooth extraction.

Injury to the trigeminal nerve. This injury causes numbness of the tongue, lips, chin, gums and teeth. This condition can happen for several weeks or months, it can even become permanent if the injury is categorized as severe.

Infection characterized by high fever, pus out of the hole where the tooth is removed, as well as pain and swelling that lasts for a long time.



References

References

Najjar, T. Medscape (2015). Tooth Extraction. NHS Choices UK (2015). Health A-Z. Wisdom Tooth Removal.

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