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How to survive tooth extraction?

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Preservation of teeth is the main task of dentists, this is necessary in order to not violate chewing and speech function.

Extraction of front teeth is a necessary measure. Extraction is carried out when saving a tooth does not seem possible, and further destruction can lead to various complications.

Indications for anterior tooth extraction in adults

Intervention is carried out in certain situations:

  • purulent periodontitisthat does not respond to a therapeutic treatment,
  • pulpitis,
  • crown fracturein which there was an exposure of the neurovascular bundle of the tooth,
  • cases when the incisors are source of inflammation with an abscess, osteomyelitis, maxillary sinusitis, phlegmon,
  • fully refined tooth,
  • mobility dental element 3 degrees with periodontitis,
  • perforation tooth root
  • supernumerary dentition provoking pain and frustration chewing function.

Contraindications

In some cases, the extraction of incisors cannot be carried out. Such prohibitions are usually divided into 2 groups.

  • Sharp infectious diseases (ARI, influenza, tonsillitis, hepatitis A).
  • Hematologic pathology (leukemia, hemophilia, coagulation disorders).
  • 1st and 3rd trimester gestation.
  • Decompensated endocrine diseases (diabetes mellitus, hyper- and hypothyroidism).
  • Severe Cardiovascular pathology (myocardial infarction, hypertensive crisis, arrhythmic disorders).
  • Neurological diseases (ONMK, meningitis, encephalitis, traumatic brain injury, epilepsy).
  • Mental disorders in the stage of decompensation (schizophrenia, psychosis).

Attention! Such violations prevent removal incisors for a short time. When the process is stabilized, the dentist will perform an intervention for health reasons.

  • Acute phase herpetic eruptions in the oral cavity and on the skin of the lips.
  • Ulcerative form gingivitis and stomatitis.
  • Localization of malignant or vascular neoplasms in the incisors.

Features of anesthesia

In modern dentistry 2 types pain relief: local and general.

At first In the method, the doctor injects the drug into the gums. The patient is conscious and can observe the actions of the surgeon. Most often this type of anesthesia is used.

With general anesthesia, the patient falling into a dream and at this time the doctor makes an extraction.

Such anesthesia is prescribed strictly according to indications, since it is accompanied by certain risks.

It is used in such cases:

  • elevated vomiting reflex at the patient
  • necessity extraction of several teeth at the same time,
  • irresistible fear on the part of the patient.

Usually, the extraction of incisors is not so painful. This is due to the fact that the front teeth are smaller and not fixed in the jaw as firmly as the back.

Is the extraction procedure of the upper incisor painful?

Surgeon holds phased actions during extraction of incisors.

Photo 1. Stages of the removal procedure: 1 - putting the tool on the tooth, 2 - grabbing, rotating or swinging, 3 - is removed, the hole remains.

The removal procedure on the example of extraction of the front upper tooth:

  1. Dentist uses straight forceps. The tool is applied to the palatine and labial surfaces of the tooth.
  2. Doctor rotates (rotation). The central upper incisor has a single cone-shaped root.
  3. If the tooth is not positioned correctly, the doctor produces swinging movements in the direction of the lip is the sky. When it becomes mobile, the surgeon performs a rotation.

Attention! If the procedure goes without complications, the removal of incisors takes no more than 15 - 20 minutes.

The consequences of those who survived the operation

Despite the fact that the extraction of central incisors is considered a fairly simple operation, in the process various complications. During the intervention, soft tissues of the jaw are injured. This can be accompanied by unpleasant consequences:

  • massive bleeding,
  • damage nerve
  • dislocation jaws
  • trauma adjacent teeth
  • damage gums
  • alveolitis.

Attention! Such complications are quite rare. According to the experience of patients, much more often aesthetic flaws. But here modern medicine has found a way out - the installation of a prosthesis.

Features of the butterfly prosthesis

Many patients do not want to remove the central incisors, since afraid to lose attractiveness. Such fears are groundless, since various types of prosthetics are practiced in dentistry, thanks to which you can quickly and qualitatively restore dentition.

Dentists offer several solutions. in the absence of 1 to 2 teeth:

Immediate prosthesis (“butterfly”). It is applied as intermediate stage prosthetics and is installed immediately after removal of the incisors.

It is equipped with fastening elements (plastic clasps) that cover adjacent healthy teeth. Design protects an unhealed hole from irritation when biting off food and from the penetration of pathogenic microorganisms. "Butterfly" imperceptible and does not cause any inconvenience.

  • Dental implant - artificial model of the root of the incisor. A titanium abutment is installed on the structure, which holds the crown. Implant impossible to distinguish from a natural tooth: externally and functionally it is identical to the “native” incisor.
  • Bridge. It consists of two crowns, between which there is an artificial tooth. The fixed structure is made of ceramic or cermets. The peculiarity of such prosthetics is grinding and depulping the dentist has adjacent teeth, even if they are healthy.
  • Each of the types of prosthetics has advantages and disadvantages. That's why the doctor recommends a method for each patient individually based on the clinical picture.

    Complications after surgery may occur.

    Extraction of front teeth - serious interference into the body. The doctor performs the extraction only in extreme cases, when the incisors can no longer be cured. Despite the apparent simplicity of the operation to remove these teeth, in some cases they may occur serious complications - alveolitis, nerve damage, bleeding. This is why the intervention must be performed by a qualified surgeon.

    Pain reduction

    The main way to reduce pain during tooth extraction is to local anesthesia (injections). On the upper jaw, a blockade of a specific tooth is made. On the lower jaw, this is not so fundamental: there the main thing is to anesthetize the desired nerve ending. If the tooth is inflamed, then anesthesia, of course, will help, but will not completely relieve pain (approximately 80 - 90%). The decision on the type of anesthesia is made on the basis of whether there is a simple tooth extraction or a complex one.

    Simple rules that must be observed after tooth extraction:

    • Do not rinse your mouth. Rinsing can damage the upper layer of the wound, which can lead to its opening and infection. (The natural “sore” that forms on the wound prevents the ingestion of food and, over time, fuses with new tissues.)
    • The first hours after tooth extraction can not be eaten and for several days then you can not smoke.
    • Avoid hot drinks (they can cause swelling and cause bleeding wounds) and, preferably, alcohol.
    • Relieve pain with analgesics. The first pill can be taken at the time when the action of anesthesia will take place.
    • Apply cold (but not ice).
    • If the wound hurts unbearably, the temperature rises, a tumor appears or other problems arise, you need to see a doctor.

    Wisdom tooth extraction

    Eights are often removed. They can have an "unhealthy" effect on the "sevens" (press on them), do not clean very well and, therefore, holes and other defects are often formed in them. Eights, moreover, often grow at a crooked angle or grow only partially, or they may not cut through at all. The removal of a wisdom tooth is carried out, as in other teeth, with local anesthesia, and, if necessary, with the use of sedative drugs. At Canadian Medical Care, we offer Markain (10 ml), which provides long-lasting pain relief: for 10 to 12 hours from the time of use. After the removal of the “eights”, unlike other teeth, the wound is sutured, and the sutures are removed after 5 to 7 days. If no complications arise, then, after about a week, the patient will already forget that he had a tooth removed.

    Our dentist will tell you more about the process of removing wisdom teeth.

    Tropina Natalya Vladimirovna

    Psychotherapist. Specialist from the site b17.ru

    It doesn’t hurt under anesthesia. There are tools there, you don’t have to look at them. The injection is a little painful. And then you don’t feel anything. It lasts differently, but it happens that immediately. Good luck!

    My chewing generally rotted, only the roots remained. I didn’t feel anything, only 2 injections of painkillers. Do not worry now they are well anesthetizing.

    Modern anesthesia, an experienced dentist-surgeon, a few seconds, a homeostatic collagen sponge in a hole, a control turnout after a few days, do not touch the hole at home and do not rinse (!), Anesthetize (Tempalgin 500), if desired, from psychosis and sleep.

    Modern anesthesia, an experienced dentist-surgeon, a few seconds, a homeostatic collagen sponge in a hole, a control turnout after a few days, do not touch the hole at home and do not rinse (!), Anesthetize (Tempalgin 500), if desired, from psychosis and sleep.

    I removed 2 wisdom teeth, I didn’t feel anything AT ALL !! The removal process itself took 2-3 seconds no more, then it didn’t even hurt at all. I am very sorry that I was afraid, I wasted up all my nerves. The main thing, of course, go to a good clinic, not to a clinic! Nothing to fear.

    I removed 2 wisdom teeth, I didn’t feel anything AT ALL !! The removal process itself took 2-3 seconds no more, then it didn’t even hurt at all. I am very sorry that I was afraid, I wasted up all my nerves. The main thing, of course, go to a good clinic, not to a clinic! Nothing to fear.

    Related topics

    the injection only hurts, then I didn’t even realize that I had been torn. It’s better to go to the state, there is experience and only 200 r for anesthesia

    Yes, it is true that they wrote above - this is the most painful injection, since the tissues there are denser and tougher than, for example, on the buttocks, the needle goes in somehow tightly and every millimeter of it is directly felt. But this is only 10 seconds, then comes numbness. You even after two to three hours after removal will not feel that part of the cheek. The main thing - in advance (before removal!) Find out all the details: whether it is necessary to rinse, when you can eat, what to drink in case of pain, maybe take a doctor’s phone. And you need to find out before, because after you most likely due to numbness from an injection you will not be able to say a few words. Saliva can also flow, but do not be alarmed - it's all from the same numbness.
    But the removal itself does not hurt at all! Good luck!

    say that you have a strong sensitivity to pain and ask for good pain relief. modern anesthesia allows this. sometimes the gums are lubricated with something before the injection so that the injection feels less

    I have the most unpleasant memory - this otodnyak after anesthesia, was dizzy and sore head was sick, it was very bad in general. Even the pain can be dampened with pills, but the condition after anesthesia was tough. with the power not ***, so pressed with forceps and pulled then washed. the process itself is a few minutes.

    say that you have a strong sensitivity to pain and ask for good pain relief. modern anesthesia allows this. sometimes the gums are lubricated with something before the injection so that the injection feels less

    Yes, girls, I won’t shock you as it happens. I removed a tooth on the lower jaw in winter. It lasted almost 10 minutes. I won’t write any details. An experienced, strong doctor, he already removed. When I told my husband about the torment later, she was beating in the brain alone the thought "I was tortured, and everything related to violence and mockery of a living person. But before that, the tooth was sore, sore and generally painful to remove the lower jaw. I’ll write. To make it clear, I’m very patient, restrained by many women. So, God forbid.

    Yes, girls, I won’t shock you as it happens. I removed a tooth on the lower jaw in winter. It lasted almost 10 minutes. I won’t write any details. An experienced, strong doctor, he already removed. When I told my husband about the torment later, she was beating in the brain alone the thought "I was tortured, and everything related to violence and mockery of a living person. But before that, the tooth was sore, sore and generally painful to remove the lower jaw. I’ll write. To make it clear, I’m very patient, restrained by many women. So, God forbid.

    Do not be afraid! If the tooth is without a cyst, this is not for long. Well, the doctor will feel it with his fingers in the hole, insert a tampon and that’s it. So that the hole drains faster, and indeed without any problems so that it is in the hole then do not stick your tongue, do not rinse there with anything. The clot should remain in the hole.

    But what else. There are ideal days for tooth extraction according to the lunar calendar. Verified - this is true. In June 2018 - the 29th.

    But what else. There are ideal days for tooth extraction according to the lunar calendar. Verified - this is true. In June 2018 - the 29th.

    I’ll talk, I’ll ask Do - to lubricate or drip “so that the nervous patient does not twitch and does not interfere with the doctor's proper administration of anesthesia”. It’s necessary. finished the tooth.
    There are no cysts.

    I’ll talk, I’ll ask Do - to lubricate or drip “so that the nervous patient does not twitch and does not interfere with the doctor's proper administration of anesthesia”. It’s necessary. finished the tooth. There are no cysts.

    Go and boldly delete! I removed a tooth a week ago and the dentist twisted an affair :-) He is so awesome! Go, maybe you're lucky :-)

    I am married, I am forty. Nothing needed. Only to lie on the stove. And - if only nothing hurt. Comforted a little with the answers.

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    Forum: Health

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