Tooth extraction

What is tooth extraction?

Thanks to the development of science and technology in dentistry, the priority is to treat and protect the tooth in its natural state. Tooth extraction is the removal of a tooth from its socket, called a socket. Tooth extraction is usually used when treatment is not possible. Tooth extraction is the name given to the surgical removal of a tooth from the bone socket performed by a dentist or oral surgeon as a relatively quick outpatient procedure under local, general, intravenous anesthesia or a combination of these. Simple tooth extraction is a technique used to extract visible teeth in the mouth while the patient is under local anesthesia.

In some cases, teeth may need to be extracted in adults. Although it is ideal to use adult teeth instead of milk teeth in childhood, tooth extraction may be required for various reasons. The most common of these causes is that the teeth are damaged beyond repair by trauma or cavities. In addition, dentists may consider it appropriate to remove the teeth from the mouth as an initial preparation, especially if there are many teeth that do not fit properly in the jaw and require orthodontic treatment. In similar situations, the affected tooth can be extracted for teeth that do not protrude above the gums or wisdom teeth. When tooth decay or tooth damage spreads to the pulp core, intradental nerves and blood vessels, bacteria in the mouth can enter and cause infection. This condition can usually be corrected with root canal treatment, but if the infection is very severe and antibiotics or root canal treatment are not sufficient, the tooth may need to be extracted to prevent the infection from spreading. In a similar situation, when the immune system is compromised by chemotherapy or drugs used for organ transplants, even the risk of tooth infection, due to certain other medical complications, may be a sufficient reason to extract a tooth.

Periodontal (gum) disease: If teeth are wobbly due to periodontitis, inflammation of the tissues and bones that surround and support the teeth, called periodontal disease, one or more teeth may need to be extracted.

What is an embedded tooth extraction?

Wisdom tooth extraction is usually done in your 20s because of a problem with the teeth. Early humans needed back teeth as their nutritional conditions were different, but over time, when food became softer and easier to eat, their jaws shrank and there was no need for wisdom teeth. Wisdom teeth find it difficult to find a place and do not come out like other teeth. The 20-year-old teeth that cannot find a place are compressed by pushing the front tooth. This pressure also creates confusion. Being behind the other teeth prevents the surrounding gums from having a normal anatomical structure and is easily inflamed. Wisdom teeth, also known as wisdom teeth, are the last adult teeth to erupt. Wisdom teeth, which are molars at the back of the jaw, usually do not fit the structure of the jaw and cause pain, abscess formation and discomfort in most people. Because, many wisdom teeth need to be removed by tooth extraction or dental surgery. These problems are caused by the lack of space in the jaw for wisdom teeth. In addition to the severe pain it gives, it can weaken the jaw structure and harm the health of other neighboring teeth. For this reason, it is useful to be examined by dentists when 20-year-old teeth come out. People with a smooth jaw structure do not need to have wisdom teeth extracted. In some cases, wisdom teeth may remain in the gums and may not be visible from the outside because they come out at the wrong angle due to the wrong jaw structure. These teeth, called impacted wisdom teeth, often cause pain on their own. In order not to adversely affect the jaw and tooth structure and to prevent unwanted problems such as abscesses, dental checks should be done regularly.

How does tooth extraction take place?

Although most of us are afraid of tooth extraction, it is actually a very simple procedure performed under local anesthesia. The dentist first checks the general condition of the patient and the health of the teeth. It examines the shape, length, position and condition of the soft tissues of the tooth and the surrounding bone with x-ray film and makes a definitive diagnosis according to the situation. After the area is anesthetized under local anesthesia with a simple surgical procedure, the tooth is released with an elevator and extracted at the request of the dentist. Depending on the case, bone shaping may be required. Tooth extractions can be performed by oral surgeons specially trained to perform surgery alongside dentists. Before the tooth is extracted, the dentist injects the patient with a local anesthetic to numb the area where the tooth was extracted. In some cases, To remove a particularly damaged wisdom tooth, the dentist may use a stronger general anesthetic. This general anesthetic relieves pain and puts you to sleep during the procedure. The dentist cuts the gums and bone tissue covering the tooth. He then grasps the tooth with forceps and gently moves it back and forth from the jawbone to remove it from the ligaments that normally hold the tooth in place. In some cases, a tooth that is difficult to remove may be removed in several pieces. Bleeding after tooth extraction is natural and necessary. A clot usually forms in the space left by the tooth. The dentist places a gauze pad in the dental cavity and tells the patient to bite it to stop the bleeding. In some cases, the dentist may place self-melting stitches to close the edges of the gum at the extraction site. Sometimes the clot in the socket is released and falls off exposing the bone in the socket. This is a painful and risky condition. This situation, called a septic (bacterial) nest, is also called a dry nest. Because a clot must form for healing to begin, the dentist may apply an antiseptic or antibiotic pain-relieving paste to the socket for a few days.

Frequently Asked Questions

Is tooth extraction a painful procedure?

Tooth extraction is performed under anesthesia and pain is not felt during the procedure, but pain may occur after the treatment. The resulting pain is at a level that can be controlled with painkillers.

Does swelling occur after extraction?

The development of swelling in the cheek, in other words edema, varies according to the position of the tooth and from person to person. To prevent swelling, a cold compress should be applied to the cheek area for the first 24 hours. Some swelling in the area is normal and necessary for healing.

What is the difference between impacted tooth extraction and tooth extraction?

Impacted extraction is the surgical removal of a 20-year-old tooth. Tooth extraction, on the other hand, is the removal of clearly damaged and incurable teeth.