TOOTH EXTRACTION
What Is Meant By Tooth Extractions ?
It refers to the dental procedure of removing severely damaged or infected teeth from the mouth that cannot be saved by any measures. During teeth extractions or Dental oral surgery ,the tooth root is removed from the bone along with the crown.
Does Tooth Extractions Hurt?
During a tooth extraction procedure, local anaesthetic is administered to the patient to make them feel relaxed and comfortable. You will only feel the tooth popping out from the alveolar bone without any pain.
Is There Any Specialized Doctors For Doing Extraction/Impactions?
Yes! Facio-maxillary surgeon are specialized and experienced to do extraction and impaction surgeries. We proudly say Dr Ramkumar Ceyar, Director of ADC is a chief Oral & maxillofacial surgeon who is specialised in impaction and maxillo-facial surgeries.
Need For Tooth Extractions ?
- Irreparable tooth damage due to severe decay.
- Severe periodontal disease that results in loosening of teeth.
- To eliminate overcrowding of teeth- the extraction of one or several teeth may be necessary to eliminate the overcrowding in the mouth. This is recommended when the patient has to undergo an orthodontic treatment and there is no space for the teeth to move and realign.
- After a traumatic event- when an accident, like a car collision, happens and the patient requires dental treatment, the first option is always to preserve the teeth. Tooth extraction may be required.
What Happens After Tooth Extractions?
After tooth extractions a blood clot will be formed at the site. This blood clot promotes healing of extracted site. If the blood clot dislodges or breaks, it can expose the gum causing dry socket. Not only it affects the healing process, but the socket can also cause bad breath and pain.
It is normal to feel slight discomfort after the anaesthesia wears off. Furthermore, you will have swelling and residual bleeding 24 hours after the extraction. The bleeding will clear up on its own, however, if it doesn’t stop for hours, after the procedure, call our dentist immediately for further follow up. We also say we are equipped with most advanced equipment’s at Azhagumathi dental care.
Steps To Be Taken Prior To Extraction?
Before scheduling the procedure, your dentist will take an x-ray of your tooth. Many people fear of traditional x-ray machines but, we at AZHAGUMATHI DENTAL CARE have the most advanced radiovisiography (rvg) imaging system.
Be sure to tell your dentist about any medications that you take regularly on daily basis.
Also, tell your dentist about any of the following systemic conditions if you have,
- A congenital heart defect
- Diabetes
- Liver disease
- Thyroid disease
- Renal disease
- Hypertension
- An artificial joint
- Damaged heart valves
- Adrenal disease
- An impaired immune system
- Previous history of bacterial endocarditis or rheumatic fever.
Your dentist will make sure to stabilize your systemic condition before undergoing extractions and if needed a course of antibiotic therapy will be prescribed prior to extraction procedure. The period of antibiotic therapy varies depending upon the severity of the systemic disease. It may range from 3-5 days or sometimes even a week.
AFTER CARE & POST – OPERATIVE INSTRUCTIONS FOR PATIENTS
- Once the extraction or Oral surgery treatment is completed, the dentist will place a gauze pad over the affected area, and will ask you to bite thte gauze to reduce bleeding and to aid in clot formation. Leave the gauze on for 10-20 minutes or until the pad is soaked with blood.
- Apply an ice pack to your cheek directly after the procedure to reduce swelling.
- Take medications as prescribed by your dentist.
- Avoid immediate strenuous activities following extraction
- Avoid smoking and alcohol till the socket heals out completely.
- Don’t rinse for 24 hours after the tooth extraction, and avoid vigorous spiting or mouth opening.
- Use pillows to prop your head up when you lie down.
- Brush and floss your teeth like normal, but avoid the extraction site.
- Follow soft diet and avoid spicy and hot food stuffs.
How Long Does It Take For The Extracted Socket To Get Healed?
The healing process solely depends on the patient’s immunity and the systemic conditions of the patient. For a young healthy patient if may take upto 3-5 days ,whereas for an middle aged or older age group with underlying deliberate systemic conditions it can vary from a week to two weeks.
Should I Need To Replace The Extracted Site With Artificial Ones?
It is very important to replace the missing tooth with crowns, bridges or implants, after complete healing. Teeth has the tendency to drift into the available spaces. This kind of tooth drifting is pathological because ultimately it will weaken the tooth and hinders it functions. So it is really necessary to keep the tooth intact in its original position.
ORAL SURGERIES
Biopsy
Oral Biopsy is a surgical procedure to obtain tissue from the patient’s oral cavity, for microscopic examination, usually to perform a diagnosis.
Apicectomy
An apicectomy is the removal of the tip of the root of the tooth, known as the apex. What is involved? The surgeon will numb the tooth and the surrounding area. A flap of gum is lifted and the tip of the root and a small amount of surrounding bone and infected tissue are removed.
Surgical Correction of Maxillofacial Skeletal Deformities
Surgical correction of maxillofacial skeletal deformities includes the reconstructive procedures that correct deformities of the jaws, facial skeleton, and associated soft tissues. These abnormalities may be caused by genetic, environmental, developmental, functional, and/or pathologic aberrations apparent at birth or manifested in subsequent growth and development or acquired through trauma, neoplastic processes, and degenerative diseases. Musculoskeletal deformities of the facial bones can occur in all three planes of space (anteroposterior, vertical, and transverse) or any combination of the three, unilaterally or bilaterally, and in either one or both jaws. The surgical procedures involve repositioning and recontouring the facial bones to correct functional and/or pathologic problems. The principal goal of surgical correction of these skeletal deformities is restoration and/or improvement in function and prevention of potential sequelae.
Orthognathic Surgery
Orthognathic surgery is performed to correct developmental growth abnormalities of the jaws and facial bones. Patients with these abnormalities usually present with a malocclusion. These problems can effect not only chewing but speech and the overall health of the individual as well as the esthetic appearance of the face. Surgical treatment is usually conducted in combination with orthodontics. The surgery is performed under general anesthesia. During the surgery, the jaws are moved to the correct position, not only to improve the patient’s occlusion, but to restore normal facial appearance as well.
Cleft and Craniofacial Surgery
OMSs surgically correct congenital and acquired defects of the maxillofacial region including cleft lip and palate. The majority of cleft and craniofacial surgery occurs in children. The optimal management of patients with cleft and craniofacial deformities traditionally involves a multidisciplinary team which is necessary to correct all adjunctive procedures.
Maxillofacial Trauma
OMSs repair routine and complex facial injuries, set fractured jaw and facial bones, reconnect severed nerves and ducts, and treat other injuries of the face and neck region.
Temporomandibular Joint
OMS training includes the diagnosis and surgical and non-surgical management of temporomandibular joint (TMJ) disorders. It also includes the differential diagnosis of head, neck, and facial pain. This comprehensive knowledge affords the patient the ability to regain normal function while eliminating pain.
Pathologic Conditions
OMSs diagnose and manage patients with diseases of the oral and maxillofacial region, including cysts, benign and malignant tumors, soft tissue, and severe infections of the oral cavity and salivary glands. The reconstruction of the mouth and face following the removal of tumors represents the ability of the oral and maxillofacial surgeon to return patients to optimum levels of appearance and function.
Reconstructive and Cosmetic Surgery
OMSs correct jaw, facial bone and facial soft tissue problems left as the result of previous trauma or removal of pathology. This surgery which restores form and function often includes moving skin, bone, nerves, and other tissues from other parts of the body to reconstruct the jaws and face. These same skills are also used when oral and maxillofacial surgeons perform cosmetic procedures for improvement of problems due to unwanted facial features or aging.