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Tooth extraction

The extraction of a tooth can be necessary in the following cases: infection of the tooth, which leads to a chronic inflammation (e.g. a sinus infection can develop with upper teeth) aching, moveable, carious tooth tooth extraction because of a dental brace by a canine or a wisdom tooth caused complaints extraction of wrongly grown teeth with the aim of a prosthesis

Tasks before the operation

Before the intervention a thorough dental examination and an x-ray (a visiograph and panoramic one) are accomplished in any case. The dentist decides due to the x-ray whether a simple tooth extraction is enough or an operation is needed. Both the specialist for dental surgery and the mouth-surgical operation room are available, because the interference is immediately feasible in both cases. It is important that the patient eats something before the intervention, because after the local anaesthesia you can not eat until the numbness is away (about 3-4 hours).

The simple tooth extraction

The intervention is accomplished under local anaesthesia. The dentist folds the gingival from the tooth with the help of an imprint instrument and removes the tooth with the pliers. If the tooth which must be pulled is inflamed, the inflamed tissue found in the wound cavity, must be removed as well. The dentist approximates the wound verges with pressure to one another. After the intervention the patient has to bite at a gauze swab for 15 minutes. If the wound doesn’t bleed any longer the patient can go home.

The operational tooth extraction

It occurs often that the tooth can’t be removed simply. To give an example: in the case of a trapped canine or a wisdom tooth. In such cases the dentist removes the tooth within an operation. The intervention is accomplished under local anaesthesia. The dentist makes a cut around the tooth, folds the gingival down, removes with a bit the roots around the bones, singles the tooth out and finishes the operation with a stitch. The patient has to bite for 30 minutes on a sterile gauze swab and can go home afterwards.

Side-effects and tasks after the tooth extraction

Generally we can say that the operational tooth extraction heals faster and safer than the simple tooth extraction. The possible occurring side effects, for example the loosening of the neighbour teeth and the destruction of the gingival are usual consequences of a simple tooth extraction. The bleeding is possible, but in such cases you have to bite on a sterile gauze swab. You mustn’t suck the wound, to wash out with water, to put a poultice on your face and to warmth it with a pillow. You are allowed to chill the swelling from the outside daily 5-6 times for 1-2 minutes. After brushing your teeth it is recommended to disinfect your oral cavity daily 2-3 times (f.ex. Chlorhexamed). You should avoid heavy physical activities for 6-8 days. If you need some painkillers, you can take one, but antibiotics only with the permission of your dentist. If you had an operative tooth extraction the stitches will be removed after 5-7 days.