Painless extractions/tooth removal
A dental extraction is the removal of a tooth from the
mouth. Extractions are performed for a wide variety of reasons, including extensive
tooth decay & impactions (problematic wisdom teeth).
Tooth extraction can be a painless procedure. Your dentist will give you a local
anesthetic with the help of an injection.
TYPES OF EXTRACTIONS:-
Extractions are often categorized as simple or surgical.
-These are performed
on teeth that are visible in the mouth, usually under local anesthesia and require
only the use of instruments to elevate and/or grasp the visible portion of the tooth.
Typically the tooth is lifted using an elevator and a dental forceps which help
in making the tooth loose in its socket and then subsequent removal.
SURGICAL EXTRACTION (REMOVAL OF IMPACTED TOOTH):-This involves
the removal of the tooth that cannot be easily accessed, usually because they are
badly broken, incompletely erupted or impacted. The surrounding bone is then removed
with a drill so as to facilitate tooth removal. Removal of wisdom tooth usually
comes under this category.
1) INFECTION - The dentist may prescribe antibiotics pre- and/or
post-operatively, if they determine the patient to be at risk.
2) PROLONGED BLEEDING- The dentist has a variety of means at their
disposal to address bleeding, however it is important to note that small amounts
of blood mixed in the saliva after extractions are normal even up to 72 hours after
3) SWELLING- Often dictated by the amount of surgery performed to
extract a tooth, minor to moderate swelling will occur. The swelling usually subsides
in 7 days time.
4) SINUS EXPOSURE AND ORO-ANTRAL COMMUNICATION- This can rarely
occur during upper molar extractions and a minor surgical procedure might be required
to correct it.
5) NERVE INJURY:-This is primarily an issue with the third molars,
but can occur with the extraction of any tooth should the nerve be close to the
surgical site. Such injuries are rare and usually temporary but depending on the
type of injury can be prolonged or even permanent.
6) DRY SOCKET:-It is a painful phenomenon that occurs, a few days
following removal of a tooth(usually molars).This occurs because the blood clot
within the healing tooth extraction site is disrupted. A dry socket typically causes
a sharp and sudden increase in pain commencing 2-5 days after the extraction. A
dry socket is not an infection and the only symptom is pain. The dentist has special
medicaments for the treatment of dry socket.
7) TRISMUS/LIMITED MOUTH OPENING:-Jaw joints, chewing muscles can
become sore after tooth extraction and it may be difficult for the patient to open
his/her mouth. This condition subsides within a week of tooth removal.