REMOVAL OF TEETH

Removal of teeth is known as extraction. Nowadays extractions is a thing of the past however in certain cases extractions are warranted. These are

• When only root pieces of the tooth are left.

• In cases when tooth is badly decayed and infection has spread within the bone and Root Canal therapy cannot save the tooth even after coupling it with apisoectomy ( cleaning of bone region at the tip of the root directly by surgery ).

• When tooth is very much mobile and even a flap surgery cannot save the tooth.

• When the tooth is a wisdom molar and has no space for eruption.

Extraction may be

• Simple

• Surgical

A Simple extraction is where tooth removal is easily facilitated

A Surgical extraction is needed if there is no grip to hold the tooth structure while removal or if the tooth is submerged within the bone. A Surgical extraction is usually carried out by an oral surgeon under local anesthesia.

Contraindications for Extraction 

• Bleeding disorders

• Allergy to Local Anesthetics

• Hypertensions where bleeding may not be controlled

• Diabetes which is uncontrolled as it hampers wound healing

Pre Operative Care

• Start antibiotics if indicated by the dentist

• Check Blood Pressure

• Check Blood report for bleeding time, clotting time, ESR, blood sugar.

• If on aspirin stop taking it prior to dental extraction.

• Give proper medical history to the dentist before extraction is scheduled.

Post Operative Care

• Keep the pressure pack given by the dentist in place for 1/2 hr. after extraction.

• No gargling, rinsing, spitting for 24 hrs.

• Cold liquid diet 1 hr. after extraction.

• Eat cold and soft food for 3 - 4 days.

• Ice application externally

• Continue medication as prescribed.

In case of bleeding beyond 1 - 2 hrs. of extraction contact your dentist.