Why are teeth pulled?
Today, thanks to the contributions of scientific and technological progress to the science of dentistry, it is primarily aimed to treat the tooth and keep it in the mouth, but in some cases, tooth extraction is used to protect the patient’s health or for treatment planning. We can summarize these situations as follows:
• Teeth that cannot be saved with treatment due to severe caries and material loss.
• Teeth that are irreversibly broken as a result of impact.
• Abscessed teeth that could not be saved despite root canal treatment.
• Rocking teeth due to severe gingivitis.
• Deciduous teeth that do not fall out on time.
• Troubled teeth due to excessive position change (rotation, tipping, etc.)
• Teeth within a cyst or tumor.
• Incomplete (impacted) and problematic teeth.
• Due to the lack of space, some teeth may be extracted to assist orthodontic treatment, even though they are uneventful.
Does tooth extraction require force? In this regard, is there a difference between male and female dentists?
Of course, a force is applied during shooting. However, since the extraction tools are already designed to double the force applied by the physician, excessive force can even have negative consequences. Therefore, tooth extraction is rather an attempt that requires technical knowledge and skill. It should be noted that many maxillofacial surgeons are female.
Why does the tooth break during extraction?
• Especially in molars, ie multi-rooted teeth, when the roots are very split or curved.
• In elderly people where the bone has lost its elasticity.
• People who have very thick jawbones that do not stretch
• Teeth that have reduced grip and become brittle due to excessive loss of material may break during extraction.
This is not something to be afraid of. If anesthesia, that is, numbness, has been achieved successfully, the dentist removes the remaining pieces painlessly with the instruments produced for this task.
What can be done to overcome the fear of tooth extraction?
In special cases where it is understood that this fear cannot be eliminated in any way, shooting can be performed under general anesthesia. However, the dialogue and approach between the patient and the physician shows that such an attempt is not necessary. First of all, it should be remembered that it is necessary to get rid of it, taking into account the damage and pain caused by the tooth that needs to be extracted. After a good fit is achieved, only a feeling of pressure and small crackles can be heard during the extraction, as the tooth rises. There should be no pain or suffering. Generally, people like to frighten those around them and exaggerate these pressures and crackles. Such false suggestions should not be influenced by them, and all questions should be directed to the physician.
What are the things to do before shooting?
If there is a drug (for example, antibiotics) recommended by your doctor, you should use it regularly by following the hours. If you have a disease or allergy, and you also have medications that you use constantly for this reason, you should definitely tell your doctor. Aspirin-type drugs that delay clotting should not be used before shooting. If possible, the teeth should be brushed well and rinsed with water with an antiseptic. Thus, it is good to reduce bacteria in the mouth and reduce the risk of infection.
What should be considered after tooth extraction?
• The tampon placed on the extraction wound should be kept for half an hour.
• After this buffer is thrown away, buffer should not be put back if it is not needed, care should be taken not to spoil the clot formed.
• Mouth should not be rinsed with water.
• After the shooting, nothing should be eaten for two hours, after this period, warm things should be preferred and very hot or cold foods should be avoided.
• No smoking for 24 hours. Smoking can cause the clot to break down and the wound to become inflamed. 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, the wound area should not be sucked or spit out.
• The injured area should not be used for 24 hours.
• If there is pain, a medicine other than aspirin should be preferred, if possible, the doctor should be consulted for this.
• The shooting area must be kept clean. Food residue filling into the wound should be prevented. 24 hours after extraction, the area should be brushed gently with a soft toothbrush. You can also use a warm salt water gargle at this time.
• It is considered normal for bleeding to last 6-24 hours in case of a slight leakage. However, if there is excessive bleeding or if this period has been exceeded, a dentist must be consulted.
• Likewise, in cases of prolonged pain and swelling, the physician should be informed.
• In case of ongoing bleeding, a soaked tea bag can be wrapped in gauze and placed on the wound. Buffering in this way for a while may be beneficial because of the blood-stopping properties of some of the ingredients in the tea.
What can be done after the wound has healed?
Depending on the situation, a bridge, prosthesis or implant should be applied to the location of the extraction cavity. Tooth deficiency can cause digestive disorders, as well as position disorders (bending, overturning, etc.) in the teeth adjacent to the extracted tooth, and chewing problems may occur accordingly.
What is an impacted tooth, is extraction necessary?
In cases where the jawbone around the tooth is too dense or the gingiva is too thick, if the tooth cannot find a place to erupt 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 gingiva are called impacted teeth. If these teeth cause abscesses, cause pain, if the size and position of the tooth cause thinning of the bone enough to carry the risk of jaw fracture, if they are associated with a tumor or cyst and cause decay of the adjacent tooth, they should be extracted.
