introduction

There can be several reasons for performing a tooth extraction.

Everyone has a regular 28 teeth, with the wisdom teeth even 32. We get our first milk teeth in the 6th month, the first permanent tooth in the 6th year of life. These teeth perform many different tasks for us every day. They chop up our food, help us speak and give us a friendly smile. Thus, they faithfully perform their service for many years, but are also exposed to different influences, such as bacteria or solid food. Daily care is the feel-good program for our teeth so that we can keep them for as long as possible. But sometimes, due to different triggers, it can unfortunately happen that a tooth is attacked by caries and can no longer be saved. In this case it must be drawn. One speaks of the extraction of a tooth. But how exactly does it come about and what do you have to consider?

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causes

Everyone has had to experience many extractions of teeth. At first glance, this thought doesn't seem entirely believable, but each of us has once Milk teeth possessed, which were eventually replaced by the permanent teeth.

They either fell out by themselves, were pulled by the dentist or you played around with them until you had the tooth in your hand. This natural tooth loss is quite normal, whereas the Loss of permanent teeth often one Cause of illness has, namely Caries. Tooth decay occurs when the Plaque not being removed from your teeth yourself bacteria educate the Produce lactic acid and thus the Tooth structure attack. She works her way through the tooth until she has completely destroyed it. If there is no timely treatment and the tooth can no longer be saved, only this will help Extraction, for further consequential damage for the Chewing system to prevent.

Another cause can be a Periodontal disease be. This is one of the tooth supporting apparatus Tooth bones, the gingiva, the Periodontal disease (Root skin) and that Root cement. Different diseases of this holding apparatus (gingivitis, periodontitis, etc.) can loosen the tooth and in some cases it has to be extracted.

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Furthermore, fractures in the area of ​​the tooth root or external influences, such as an accident, can be indications for the extraction.

If the tooth nerve is affected by infections and can no longer carry out the function of the dental care, an extraction is also possible.

However, external factors do not always have to appear as reasons for the extraction of a tooth. Probably the best known and most widespread extraction is the Wisdom teeth removal This procedure is known to everyone and probably most of them have had to endure it. During this procedure, the rearmost teeth are removed. The wisdom teeth are remnants from bygone times, when humans were still hunters and gatherers and had a completely different diet.

Nowadays, however, we no longer need them, so that they remain in the jaw of one or are no longer genetically present in others. They can also break through, causing pain, so they are extracted. Usually this extraction is already happening precautionaryto such later complications Misaligned teeth or Inflammation to avoid. This also addresses another reason for extraction, namely misaligned teeth. In the course of a dental treatment you can come to the conclusion that certain teeth, due to their position, cause a lack of space and should be extracted as a precaution. Mostly this refers to the smaller posterior teeth or also the 2 in the anterior region.

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In the course of a prosthetic restoration, extraction may also be necessary to ensure the best possible restoration for the patient.
In terms of the indication, the extraction of a tooth must not only be limited to the oral cavity, but can also be considered useful if particularly serious diseases or tumors are to be combated. This includes people with lymphomas, leukemia, or tumors Transplant intentions. It may include chemotherapy or treatments that make the immune system very weak. This also includes people Cardiovascular diseases. Even if radiation has to be carried out that affects the head area, teeth extractions can be carried out as a preventive measure. In these cases, there is a risk that even a simple infection in the area of ​​the teeth can take a dire course of the disease, so that this risk is countered as a precautionary measure.

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treatment

The exact course of treatment for extracting a tooth can vary depending on the type of tooth affected.
A wisdom tooth removal, in which the wisdom teeth have not yet erupted, is a different initial situation than a tooth that is due to periodontal diseases must be pulled. Starting from a tooth that has already erupted, certain precautions should be taken before extraction. Discuss with the patient whether there are any illnesses, whether drugs such as antibiotics or anticoagulants are being taken, or other important information should be given.

Before the extraction begins, a local anesthesia initiated to prevent pain and to make the treatment as comfortable as possible for the patient. However, this is usually not necessary when extracting milk teeth. Once the tooth has been sufficiently anesthetized, pulling can begin. In dentistry there are certain instruments for this, such as a lever or a pair of pliers, with which the tooth can be removed Tooth socket is carefully removed. The term "pulling" is actually incorrect in this context, because you shouldn't just pull when removing. The whole is a Game of turning and tilting movements of the tooth that keeps him growing loosenuntil it can be removed at the end.

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If there is an empty tooth socket, it will thoroughly cleaned and the patient is asked to bite a swab of gauze. The next steps happen all by yourself in the tooth socket. It imagines Clot of bloodwho lies down in the empty tooth socket and fills it. In some cases it is necessary to cover the oral mucosa over the affected area sew up. The job of the formed blood clot is that to protect fresh wounds from bacteria, viruses and fungiuntil the mucous membrane has grown over the wound by itself. Complete healing takes place within the next few weeks. If there are complications during this phase, it is advisable to visit the dentist again to prevent inflammation.

After treatment

After a tooth has been extracted, a few rules should be followed so as not to endanger healing and to exclude complications. The first thing is after such an operation Quiet appropriate because the body has been stressed and the wound is still very fresh. In addition, you should not eat or drink immediately after the procedure. caffeine, alcohol and nicotine should not be used until the wound has completely healed, as they put unnecessary strain on the wound and that Increase risk of inflammation. Pain and swelling, as well as bruising and difficulty opening the mouth are not uncommon after such an operation and are part of the normal healing process. However, cooling the wound from the outside can make this more bearable. This discomfort should subside as the healing process progresses. If this is not the case, a visit to the doctor is advisable to find the cause.

Complications

Pain is a common side effect after tooth extraction

As with any procedure, it can also be particularly important when extracting a tooth during the healing phase, come to various complications. Bleeding that lasts longer after the tooth is removed can cause problems. The bleeding can, however, be stopped by suturing or by pressing on swabs and sponges.

The wound can also become infected and become infected. This is done with Antibiotics, which is put directly on the wound with some substance, fights. There is also the possibility that the blood clot does not form or that the wound does not close completely, so that bacteria can get to the wound. The failure to form blood clots is sometimes called alveolitis sicca. To treat this, under anesthesia, the Wound scratched out againto create a new wound surface that can heal again. Next, a disinfecting tamponade is inserted, which must be changed regularly by the dentist.

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In rare cases, neighboring teeth can be damaged during the procedure, which then have to be treated individually. Taste and sensation disorders can occur. In general, a Broken jaw appear as a complication. All of the above-mentioned complications must also be assessed prior to the procedure and reported to the patient.

prophylaxis

Among the many different causes that require extraction, there are some that are little or no control. So it is not at our discretion how and when teeth erupt and whether or not the wisdom teeth should be removed.

However, some causes can be good with Oral hygiene and regular visits to the dentist are counteracted. Good oral hygiene is very important to Caries to fight. At least twice a day teeth should be cleaned thoroughly. It is best to clean with a medium-hard toothbrush and little pressure from red (gums) to white (teeth). In addition, can Tongue scraper, Mouthwashes and Floss These are used to complete a thorough tooth cleaning and reduce the risk of tooth decay. It is also advisable to pay attention to your diet. This not only has a positive effect on the teeth, but also on the entire organism. If possible wlittle sugar and acid should be present in the food. You also have to pay attention to a balance and variety to the body and that too immune system to supply with all important nutrients. This strengthens the body in the fight against pathogens. The regular checkups at the dentist give you the certainty that the current state of health of the oral cavity is professionally checked and possible diseases are detected at an early stage, so that the extraction of a tooth is not necessary.


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