Dentists know what to remove. wisdom tooth - occupation is not easy, because in most cases it has roots that have complex bends and an atypical position inside the jaw. Surgeons consider removing it as a complex process. That is what makes doctors ask: is it painful to remove and remove whether wisdom teeth at all?
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Does wisdom tooth hurt
The use of local anesthesia allows you to completely get rid of pain during removal. The only thing - a slight pain may occur with the introduction of anesthetic. After the anesthesia ends, more intense painful sensations appear. Moreover, the more difficult the operation was, the stronger the pain will be.
In addition, it will be painful to remove a tooth if the patient endured the pain for a long time and drank painkillers, as well as if there was an abscess. All other cases are carried out. with full anesthesia. Sometimes a tooth must be removed under general anesthesia.
Upper wisdom teeth are easier to remove than lower ones. This is explained by the fact that the roots of the lower "eight" are more powerful and much more tortuous than those of the upper, and this makes the process of its removal more difficult. In addition, the lower jaw bone tissue is denser than the upper jaw; therefore, it is more difficult to extract the lower wisdom tooth.
Before surgery to remove the doctor sends the patient to do X-ray, to properly adjust the removal process. Wisdom tooth extraction happens:
- Simple.
- Difficult
Simple removal of the "eight"
The simple removal of a wisdom tooth involves several steps:
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First, the patient finds out which drugs can provoke the occurrence of allergic reactions, the presence of disease, measure blood pressure. All this information is necessary for patient safety during anesthesia and during removal. - Anesthesia is then performed. To numb the upper jaw, four minutes is enough. The lower jaw is anesthetized for longer, about 10 minutes. This is due to the fact that the lower jaw is more massive than the upper jaw, and has many more openings for the exit of blood vessels and nerves. The upper “eight” is enough to be chipped from all sides, while anesthesia practically does not cause discomfort. But after the introduction of anesthesia for the lower tooth often half the face goes numb, including the ear and half of the throat. Can I use general anesthesia? Yes, some clinics practice this type of anesthesia.
- To remove the wisdom tooth, use tongs and elevators. With a simple removal, the gum is not cut, and the tooth is not drilled. Removal on average lasts from one to fifteen minutes.
- If the removal operation was performed on the background of the inflammatory process, the wound is washed with antiseptics and anti-inflammatory medicine is applied. Then the doctor sucks in the wound, bringing her edges as close as possible. It promotes rapid healing and reduces the risk of opening bleeding.
Complicated wisdom tooth extraction
If patients have already removed a wisdom tooth once, then later they begin to doubt whether to remove such teeth afterwards, especially if they are complex. There are explanations for this: pain during the removal operation, its duration, heavy bleeding and long healing of the hole.
Difficult to remove the "eight" will be considered in the event that its roots have multiple branching and it is strongly twisted, besides the crown is destroyed so strongly that it is impossible to cling to it with forceps.
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First, the doctor needs X-rays to understand how difficult the case is. Also collected patient history about his health. - After that, anesthesia is performed, which should last for a very long time, because difficult removal can last up to three hours.
- An incision is made in the gum, its edges are divorced and the tooth is exposed. The roots are separated by a drill and removed from the hole. The wound is washed with antiseptics. To prevent contamination of the wound, put a special medication in the hole. Then the wound is sutured.
Means used for pain relief
To make the removal of wisdom teeth completely painless, modern types of anesthetics are used. In the recent past, novocaine was considered a very popular drug. It was low toxic, but caused serious complications, from allergies to anaphylactic shock.
Low cost dental offices so far use lidocaine. It is stronger than Novocain several times. Very rarely an allergy occurs to it, but for the duration of the action it is administered in large quantities. At the same time, the doctor adds a drop of adrenaline to it “by eye”, which delays the anesthetic in the injection area.
The dentist can make a mistake and add more adrenaline, then the patient may experience dizziness, palpitations and other unpleasant symptoms. If done correctly, the wisdom tooth removed without pain. However, after the end of the anesthetic, the gums may hurt for a very long time.
Currently, dentists prefer to use articaina preparations as an anesthetic. These include ultrakain, septanest, ubystezin and other species. Such an injection is injected almost painlessly with a carpool syringe. The anesthetic in this case is diluted with adrenaline in the correct dosage. If the patient is at risk, use an anesthetic without adrenaline.
What to expect after wisdom tooth removal
Many patients after surgery to remove a tooth begin to experience pain. It arises from the injured hole and surrounding tissue. Pain can occur when swallowing, ear, throat, and even headache can hurt. These discomfort should pass after a few days with strict adherence to the recommendations of the doctor, but can last a week.
If painful sensations make you constantly take painkillers, you should seek medical attention immediatelyto prevent the development of complications, some of which can be life-threatening.
Recommendations after the removal of the wisdom tooth
If, after removal, a gauze pad was applied, after 5-10 minutes it should be spat. The blood with which the tampon is soaked contributes to the multiplication of the infection, so it is undesirable to keep it in the mouth for a long time.
To take hot food in the first 2-3 hours is impossible. Also Not recommended smoke, drink alcohol, open his mouth wide, to avoid seam divergence.
If the pressure has increased, it is necessary to take drugs that reduce it. With diabetes need measure sugar, because stress can provoke its increase and contribute to poor health.
The first day after the removal is impossible rinse your mouth, so as not to wash out medicine from a well, as prescribed by a doctor.
If you experience severe pain, you can use painkillers. If tooth extraction occurred against the background of inflammation, the surgeon may prescribe antibiotics.
Thus, whether it is painful to remove a tooth depends on the anesthetic used and the patient's pain threshold. Modern drugs completely exclude discomfort during surgery.The pain occurs after the anesthetic action ends, but if you strictly follow all the doctor's recommendations, it passes very quickly.
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