Let’s see when it is really impossible to do without deletion. There are not so many reasons:
- Advanced dental caries, which led to an almost complete loss of hard tissues of the tooth, when it is impossible to treat the root canals of the tooth and replace the loss of tissues with filling material or a crown.
- Perforations (cavities, holes) in the root canal of the tooth, not amenable to treatment.
- Crack in the root of the tooth as a result of trauma to the tooth, caries, excessive load on the tooth.
- Tooth trauma (root fracture, invagination (pressing, driving) of the tooth into the deep tissues of the jaw.
- Periodontitis is the “silent killer” of teeth – perhaps the most common reason for extraction. When tooth mobility is high and there are purulent foci in the periodontal region, the delay is fraught with abscess and suppuration of the maxillofacial region.
Extraction of healthy teeth
Unfortunately, sometimes it is necessary to remove an intact (healthy) tooth for the purpose of orthodontic treatment.
In adolescents, this happens often: the milk tooth has not fallen out or has not even begun to stagger, and the root is already growing from under it. In orthodontics, the planned removal of the first premolars, as well as wisdom teeth, is often practiced: this is sometimes necessary to correct the pathology of the bite.
And the removal of the eighth teeth (wisdom teeth) is necessary in the presence of deep carious lesions, frequent inflammation of the mucogingival hood and a small tooth size. Sometimes a crooked or incompletely erupted wisdom tooth injures the cheeks and oral mucosa – this can lead to inflammation and suppuration. Quite often, wisdom teeth are the cause of damage to the adjacent tooth, then they also have to be removed.
How teeth are removed
The decision to remove is made based on the results of the examination and additional examinations: x-rays and computed tomography of the teeth. Do not be afraid of this manipulation, as it is one of the most simple in dentistry.
In the usual case, when removing a diseased tooth, you will have to:
- anesthesia (freezing);
- tooth extraction using special tools;
- sometimes – suturing;
- a follow-up visit a few days later for examination and removal of sutures.
You will decide on prosthetics and implantation later, and this is a completely different topic.
The removal of a wisdom tooth (this is the eighth tooth in the jaw, counting from the center, from the first incisors) is a surgical operation. “Eights” usually erupt with complications and often do not respond to treatment.
If the wisdom tooth is difficult to access, sits firmly in the jaw, erupts in the wrong direction, then a complex removal is required: with incisions, the use of a drill and the obligatory suturing of the wound.
First, the patient is anesthetized, but somewhat stronger than with conventional removal – her actions wait ten minutes. Then, depending on how the tooth erupted, various manipulations are performed: gum incisions, bone tissue drilling, tooth extraction and wound closure. Such an operation can take a long time, depending on the complexity of the case.
Seams for difficult removal are made of non-absorbable material. The dentist removes them only when he is clearly sure that the edges of the wound have grown together well.
Sometimes it is necessary to remove even unerupted wisdom teeth. An unerupted or impacted tooth is a tooth that remains under the mucous membrane, and sometimes in the bone tissue. Often, uncut eights do not cause problems, but sometimes inflammatory processes begin in them. Their first signs are pain in the ear on the side of the impacted tooth, as well as fever. In this case, the impacted tooth will have to be removed. When removed, the gum is first cut to expose the tooth and then sutured to heal. If the tooth was removed against the background of an already existing purulent process, then suturing is not performed: it is necessary that the purulent contents flow as freely as possible.
The more often you go to the dentist, the less fear you will have to endure. And, of course, the cheaper the treatment will be.