Tooth root removal is considered to be one of the most unpleasant dental procedures. This is true if the patient is at the dentist every few years, while choosing municipal clinics. For a long time, dentistry has advanced far ahead, and if you treat your teeth in a clinic that has modern equipment, there is no reason to be afraid of pain and consequences.
A root damaged by improper treatment or due to injury may disturb patient the occurrence of discomfort or pain. For a long time, the patient feels discomfort if the root remains after the tooth was removed. It seems that something is interfering. There are rare cases where the remaining root does not make itself felt for a long time. It can only be detected after the patient has taken an x-ray.
Most people neglect the current problem and refuse to go to the dentist categorically. Often this leads to complications.
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What complications may arise
- May develop inflammatory process gums and ligamentous apparatus due to a chronic focus of infection, which occurs if the cause of tooth decay was caries. Gum disease can be the cause of periodontal disease and then the inflamed and infected well will heal for a long time.
- If tooth decay has occurred due to injurythen infection of the wound surface may occur. Therefore, the remainder of the root must be urgently removed, and the damaged well and gum sanitized.
- Often develops pathological process surrounding tissue due to the presence of part of the root in the thickness of the bone.
How to remove tooth roots
Removal of a tooth may be of different complexity. Sometimes this is a fairly simple process, but it can be complicated:
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as a result of trauma or manipulation of the dentist occurs fracture the middle part of the root or its apex; - the root and bone tissues that surround it were exposed pathological changes;
- not easy to remove roots that are located deep in the alveolus.
Therefore, the removal method is selected individually, depending on the situation.
Removal with forceps
Above the edge of the hole, the part of the tooth protrudes from the outside and inside, which the dentist should grab with forceps. For this, he carefully separates the gum from the root.
Sometimes the dentist has to peel off the mucous and periosteum from the edge of the hole in order to properly grab the tooth.
But if as a result of pathological changes there was a bone resorption, the cheeks of the forceps can be pushed deep enough and firmly grip the root.
Removal of the root of the upper jaw
Depending on which of the teeth must be removed, the doctor uses special tongs for removing. For example, bayonet tongs are used for large molars. Their cheeks can move deep under the gum. The incisors and canines are removed with an S-shaped tool.
Mostly deletion occurs with rotational movements. In the event that the roots are sitting deep in the alveoli or are large, the dentist adds another rotational motion.
If it is not possible to remove the root with forceps due to its deflection or the thick walls of the holes, the doctor separates them with boron.
When the root deviates, the bottom of the tooth cavity is sawn where the cheek roots are connected to the palatine. First, with the aid of a spherical boron, a hole is made in the intergranchial commissure, and then, using a fusor bur, the bottom of the tooth is sawn in the longitudinal direction. An elevator is inserted into the cavity and the palatal root is dislocated. After that, it is removed with bayonet tongs.
Removing the mandible root
It is much easier to remove the roots of the teeth of the lower jaw, as they are shorter and have thinner walls of the holes.
Dentists generally use forceps curved along the edge with thin and narrow cheeks to remove the root of the lower jaw.
Not very easy to remove fang. To remove it use tongs with wider cheeks. Sometimes it is difficult to extract the lower large molars. Often it is impossible to deeply enter the cheeks of the forceps due to the fact that they slide off. Since at the edges of the hole the alveoli process has a considerable thickness, it is not possible to apply the cheeks of the forceps. Therefore, when removing lower molars, dentists often use an elevator.
Tooth extraction by elevator
If using forceps fails to remove the roots of the teeth, an elevator is used. This situation can occur if they are deep in the hole. Using forceps, you can damage the adjacent bone tissue and mucous membrane. Elevator application less traumatic.
Removal by direct elevator
It is used to remove the upper teeth and roots of the teeth, which are located outside the dentition, and sometimes when removing the lower third molar.
An elevator is inserted between the wall of the well and the root to be removed. To do this, the convex part of the cheek is located against the wall of the hole, and the concave part should be facing the root. The dentist presses on the handle and rotates it around the longitudinal axis in both directions. Periodontal fibers are broken and shifted to the opposite wall of the hole. After the elevator cheek enters about four millimeters, the tool rests on the edge of the hole and acts as a lever. The doctor's effort is transmitted to the end of the elevator, and the root is squeezed out of the alveoli.
It is very dangerous to use neighboring teeth as a support, as they can be easily dislocated. This can especially happen if they are mobile or have adentia. And if the tooth, which is selected as a support, is damaged by a carious process, then it can break.
Removing the roots of the molars, which are soldered to each other, it is necessary first to separate them with the help of the fissure bur and then remove them one by one with bayonet tongs or an elevator.
To remove the lower third molar, a straight elevator is inserted into the interdental gap on the side of the buccal side. The concave side of the instrument should be directed towards the tooth to be removed. Be sure to hold the dislocated tooth, so that it does not accidentally slip into the throat.
Corner Elevator Removal
Angled-curved elevators are used to extract the roots of the lower teethmostly molars. Removing them, hold the tool with the whole hand. At the same time, the tool handle should be on the cheek side.
The corner elevator cheek is inserted into the tooth to be removed with a concave part into the gap between the wall of the well and the root or between the adjacent tooth and the root. To move the cheek more deeply, use the thumb of the left hand to press the intermediate part of the tool at the place of its transition to the working one. At the same time, the elevator handle is shifted alternately back and forth by twenty degrees. After inserting approximately 0.6 centimeters into the periodontal gap, the handle makes rotational movements and pulls a tooth out of the hole.
Tooth hole treatment
If the removal took place against the background of purulent inflammation, then treatment of the tooth hole is necessary. The well is necessarily washed with an antiseptic solution, and then Alvogel (anti-inflammatory medicine) is put into it.Alvozel should be put in the hole in the case, even if there is no inflammation. This is done prophylactically so that after the wound is removed, the wounds are healed without inflammatory processes.
Suturing
To bring the wound edges together, they are stitched with a special suture material.
After detaching with the ironing device, the gums loose a little and the blood clot can fall out of the hole. To prevent this from happening, the wound is sutured. In addition, it will allow her to heal faster.
Thanks to the seams, the size of the wound is reduced, and this reduces the development of inflammation of the hole.
Also, stitches are applied when bleeding to stop it. They help to prevent bleeding that may occur some time after tooth extraction.
The stitches are removed in about five to ten days. If catgut was used as a suture material, then it will not be necessary to remove the sutures, since the catgut is absorbed.
After removal, the dentist finishes his appointment with care tips and, if necessary, prescribing medications.
In essence, the process of tooth root removal and its methodology will help to understand the video that can be viewed on the site. Perhaps, having studied the issue in more detail, taking into account all the nuances, people who are afraid of dentists will not worry, sitting at the dentist's office, and will begin to promptly seek dental care.
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