I. What kind of teeth should be extracted?
Teeth that are diseased and can no longer be preserved should be extracted. For example: teeth that cannot be repaired due to excessive caries; teeth with acute septic inflammation or necrosis of the pulp, chronic infection of the root tip or pus leakage hole, which cannot be preserved by conservative treatment; teeth located on the fracture line after traumatic fracture of the jaw bone; retained milk teeth that affect the normal eruption of permanent teeth; teeth with periodontal disease that are extremely loose, should be considered for extraction to avoid loss of chewing function.
Second, why should not extract teeth during inflammatory period?
Do not extract teeth during the acute inflammatory period of dental disease, because the surgical trauma of tooth extraction will spread the inflammation. The tooth can be extracted after the inflammation is controlled or when the inflammation subsides. However, acute apical tooth infection is an indication for tooth extraction. Whether or not to extract a tooth depends on the patient’s general condition, and anti-inflammatory drugs can be applied appropriately while extracting a tooth. In case of chronic inflammation (e.g. periodontal disease), the tooth can be extracted.
Third, what about the broken root of tooth extraction?
The extracted broken roots should be taken cleanly because the extracted teeth are mostly diseased teeth with chronic inflammation. The residue of the broken root can make the fresh wound become the culture medium of bacteria, and it is very easy to have inflammation or secondary infection. However, if there is no inflammation in the buried teeth, non-carious multifocal teeth and misaligned teeth, the wound can still heal well even though there are small pieces of residual roots.
4. Can teeth be extracted for bleeding disorders?
Patients with blood disorders (aplastic anemia, leukemia, etc.) should be contraindicated from tooth extraction.
V. Can pregnant women have their teeth extracted?
Tooth extraction is generally contraindicated in the first trimester of pregnancy or in the first trimester of labor, as it may cause miscarriage. Of course, it is not absolute and should be handled at your discretion.
How many teeth should be extracted each time?
Generally, one or two teeth should be extracted each time, and the extraction should be continued after resting for one or two weeks. If you are in good health and recover quickly, you can also shorten the period or extract more teeth at a time. For elderly patients with periodontitis who need full mouth extraction and then dentures, it is best to have the teeth extracted in hospital. Inpatient tooth extraction is beneficial to wound healing and nutrition regulation.
7. Can people with heart disease have their teeth extracted?
Therefore, patients with congenital heart valve disease and rheumatic heart disease should be given antibiotic preparations for 3 days before and after tooth extraction to prevent the activity of Streptococcus haemolyticus in the oral cavity from inducing bacterial endocarditis. Patients with hypertensive heart disease are better off with needle marijuana, because acupuncture can also lower the blood pressure and adjust the general condition.
Does it hurt to remove the milk teeth of children during the replacement period by the quick extraction method?
No. 6-12 years old is the period of tooth replacement for children, during which the baby teeth fall out one after another and the permanent teeth erupt one after another. During the replacement period, the roots of the baby teeth resorb and disappear on their own. Therefore, when extracting baby teeth during this period, no anesthesia is needed and the direct fast extraction method can be used.
What are the indications for tooth extraction for people with high blood pressure?
If the diseased tooth causes pain frequently and can no longer be retained for treatment, it should be extracted. However, the tooth should be extracted only when the blood pressure is lowered or stabilized with systemic medication. Attention should be paid to rest before and after tooth extraction.
Do you extract the teeth on the tumor?
When a tumor is growing in the jawbone, the teeth on the tumor should not be extracted alone to prevent the tumor from spreading, malignant transformation, or the wound from healing for a long time. Therefore, it is better to remove them together with the tumor.
Should all wisdom teeth be extracted?
When wisdom teeth grow between the ages of 18 and 25, they often do not erupt, resulting in blockage or semi-blockage and causing peri-coronitis (especially in the lower jaw), so the blocked or semi-blocked wisdom teeth that are often inflamed should be extracted. The orthodontic wisdom teeth that are not frequently inflamed may not be extracted.
XII. What should I pay attention to before tooth extraction?
Rest well before tooth extraction. In order to avoid deficiency caused by tooth extraction on an empty stomach and inconvenience in eating after surgery, you can eat some food before surgery. To prevent infection and facilitate wound healing, brush your teeth and rinse your mouth before surgery to keep your mouth clean.
XIII. What should I pay attention to after tooth extraction?
After tooth extraction, you should bite the sterile cotton roll placed on the extraction socket to stop the bleeding. Usually you can spit out the cotton roll in about half an hour. Don’t shut up and suck the wound to prevent the blood clot from breaking up and causing bleeding again. You can eat soft food on the day after surgery and brush your teeth and rinse your mouth as usual on the next day. Do not touch the extraction sockets with your hands to prevent infection.
XIV. What is the interrelationship between tooth extraction and dental implant?
Before tooth extraction, you should consider the design of dentures in the future. Plan well before extracting teeth. Otherwise, it will cause difficulties in setting teeth and affect the recovery of chewing function.