The main purpose of the dentist is to preserve teeth in the oral cavity and their restoration with therapeutic or prosthetic method
But when clinically or radio graphically, diagnosed that the chewing efficiency is impossible to remain in the oral cavity or it is responsible for causing different disturbances, then is better to make tooth extraction
Indications of extraction of the teeth :
1. Extensive cervical caries
2. Acute dentoalveolar abscess in teeth that is not possible to remain(e.g. widom teeth)
3. Periodontitis in advanced stage
4. Acute or chronic pathological conditions of the pulp in teeth that other possible treatments are not possible (e.g. Apicoectomy))
5. Fracture in the middle of the root (after an injury)
6. Over erupted teeth
7. Fracture of the tooth, in the point which is the tooth that not allows the immobilization
8. Supernumerary teeth that not allows normal tooth eruption
9. Cases where there is no alternative treatment
10.Aesthetic needs
11. Root retained after extraction, in the jaw
Indications of extraction of the wisdom teeth:
1. In cases of teeth ectopic, semi impacted or impacted, that causes pain
2. Pericoronitis
3. Dental or periodontal abscess
4. Injury on the cheek or the gum, during mastication
5. Orthodontic therapy, which requires extraction one or more teeth
6. When the teeth is pushing the root of the adjacent teeth
The general diseases of interest to remove a teeth and the preventive measures after surgery, that the patient should be informed before the surgery by the dentist- specialist are:
1. Heart diseases :
• Patients with angina
• Patients with hypertension
• Patients with heart attack
• Patients with aortic stenosis
• Patients with valve heart problems
• Patients with artificial valves
• Patients with artificial pacemaker
2. Patients with anemia
3. Patients with diabetes
4. Patients with diseases of thyroid gland(hyperthyroidism, hypothyroidism, Addison disease)
5. Patients with liver diseases (hepatitis type Β, hepatitis type Α, hepatic cirrhosis, Australian antigen carrier)
6. Patients with kidney disease (renal transplantation, dialysis)
7. Patients with bronchial asthma
8. Patients with allergies
9. Patients with neurological diseases (epilepsy)
Possible complications after the extraction of the wisdom teeth:
1. Dry socket or alveolar osteitis: is an infection with bacteria of the trauma. It happens often after extraction of the wisdom teeth in the lower jaw, specially smokers
2. Damage to adjacent teeth: danger of accident because of not handling correct the extraction tools.
3. Fracture of the lower jaw: because of great the forces
4. Ankylosis of the lower jaw: because the patient remains with open mouth too much hour.
5. Difficulty opening mouth(Trismus)
6. Sinus perforation: for the extraction of teeth of the upper jaw which have direct connection with sinus
7. Dental paresthesia is one possible postoperative complication of wisdom tooth removal in the lower jaw, temporary or permanent : when the roots are in the mental nerve
Procedure:
• Obtain medical history
• Clinical oral examination
• X- Ray examination
• Local anesthesia
• Extraction of the tooth gently and quick with the right tools
• Post operative patient instruction
Video process
