Tooth loss prevention is the basic starting point of modern dentistry. However, sometimes tooth extraction is necessary. Tooth extraction or extraction is an oral surgical procedure by which a tooth or its remnants are removed from the tooth socket (alveolus). The tooth is extracted when, even after various methods of tooth treatment, the tooth is still in very poor condition or when the tooth is so damaged that it cannot be saved by any other therapy.
Tooth extraction procedure
The procedure of tooth extraction is applied with local anesthesia that numbs the surrounding tissue and the tooth, and is completely painless for patients. The tooth is connected to the jawbone by numerous fibers, arranged in various directions. These fibers rupture during tooth extraction, therefore local anesthesia must be applied so that the patient does not feel any pain. After the tooth is extracted, the wound is examined, cleaned, and covered with a sterile gauze. After tooth extraction, a wound remains in the mouth that heals like all wounds on other parts of the body.
Good care after tooth extraction helps reduce possible complications associated with oral surgery. It is also very important to follow the dentist's instructions after oral surgical procedures to avoid possible complications and discomfort such as clot loss, pain, infection, or heavier bleeding.
Instructions for patients after tooth extraction are:
• Do not touch the wound
• If necessary, take a painkiller that is NOT based on aspirin
• Do not rinse the wound 24 hours after extraction, so as not to rinse out the blood clot
• Avoid brushing the area around the wound
• Do not consume hard food, alcohol, hot and carbonated drinks, cigarettes
• Apply cold compresses to the cheek
• Drink plenty of fluids
To prevent the consequences of tooth loss, it is necessary to replace it as soon as possible in order to establish optimal conditions for the chewing function. The healing period for a wound where a tooth has been extracted lasts on average 4 to 8 weeks, and after the wound has completely healed, it is possible to start prosthetic work.
Teeth can be replaced in several ways. The possibilities are various and can be solved by a combination of prosthetic replacements.
Surgical tooth extraction
Alveotomy represents the surgical extraction of teeth that are impacted, most often wisdom teeth. An impacted wisdom tooth means that the tooth is simply trapped in the bone, growing in the wrong direction, and putting pressure on neighboring teeth. Such a tooth has not yet fully erupted, or has partially erupted. There are several reasons why the wisdom tooth cannot erupt. It is very possible that the patient had previously been treated orthodontically and the wisdom teeth were not preventively extracted, which leads to a series of problems if such wisdom teeth later in life start to grow.
Another reason is that the lower wisdom teeth are more often impacted than the upper ones, due to the more compact and stronger structure of the lower jaw. In these situations, the only therapeutic solution is alveotomy, i.e., surgical tooth extraction. This intervention does not hurt. Today all dental interventions can be completely painless, especially surgical ones. This one is also performed under local anesthesia, so the patient does not feel any pain.
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