Tooth extraction is a very frightening thing for everyone, including myself, and it was only after thinking about it that I decided to remove the last useless tooth. Whether in textbooks or teachers, there are indications, contraindications and complications for tooth extraction. I am afraid that the most likely to have serious complications in the dental treatment process is tooth extraction. If you look at the method of tooth extraction, the hammer and chisel, even blood and flesh, which is like a cure, it is clearly a carpenter at work. So, it is understandable that the fear of tooth extraction. Especially for those elderly people suffering from heart disease and hypertension, not only are they afraid to go to the hospital to have their teeth extracted, but doctors are also rarely willing to provide them with tooth extraction treatment because, as the textbook says, these patients should be cautious in having their teeth extracted, and the word “cautious” makes many people suffer from dental pain for a long time without effective treatment. You can often see this kind of patients, specializing in getting up early to register a specialist number, the requirements are not high, you can eat on the line, you look after. Looking at the mouth full of unpreserved roots and loose teeth, the only advice from the doctor is to extract the teeth that cannot be preserved and to set the remaining ones after treatment. It’s good to imagine a beautiful and complete set of teeth after systematic treatment, but what about extractions? Can heart disease and hypertension be extracted? So this conversation emerged. Patient: “Doctor, I have heart disease and high blood pressure, can I have my teeth extracted?” Doctor: “As long as you are not nervous and can bear the pain of the needle going in during the anesthetic, you can have your tooth pulled.” “I once pulled out 20 teeth at once for an old man in his 70s.” Whenever you hear this, the reaction of almost everyone is a cry of shock. There are those who admire, thinking that they have finally found the right person. There are also those who doubt, is it true? Is it a “thief bold” or bragging? When I encountered such a situation, I would always chat with the patient to make him accept me and accept the extraction, usually the most common phrase is: “Let’s see, you can experience my extraction technique first, you can pull one tooth today and the rest later.” The patient is convinced and unaware that the tooth has left his mouth. I remember one such patient who had nine teeth in his mouth that could not be kept and needed to be extracted because of heart disease, diabetes and other systemic diseases, and not only was he afraid of the extraction, but even the doctor felt scared. The consequences of not extracting the teeth were repeated inflammation and inability to set the teeth, not to mention normal chewing. After reading the report and coming here, I couldn’t let go of my fear. Although I understood what I said, I repeatedly asked, “Can I pull it today? Is it nine plucked together?” I said, “You can pull them today, as long as you are ready. You can also pull all these roots at once, but it’s better to pull one today so you can feel it first.” Once the patient accepted this advice, the extraction was started and instructions were given for post-extraction precautions. After packing up the instruments and taking the next patient, I felt in the afterglow that the patient didn’t leave, as if he was going to say something, and when I asked if there were any more questions, the patient said, “Why don’t you pull my other tooth today as well?” Since there was really no time left, I made an appointment for the patient to have the tooth extracted. A week later, the patient easily accepted the reality of having 8 teeth extracted at once, and after all the teeth were extracted, you could see the look of relief on her face. Yes, the pain that had been bothering her for years was finally solved. I also met a patient from out of town who asked to have her remaining teeth extracted a week after she came here, because she was afraid that she wouldn’t be able to find a doctor who could extract her teeth. I am not a miracle worker or a magician. The reason why I was able to perform safe extractions for those high-risk patients depends entirely on the accumulation of experience, the advancement of technology and the in-depth analysis of theories, and most memorable is the support of my father. I remember that it was in the second year after I had just graduated, when I came home on leave. My father had already suffered a stroke and hemiplegia, and there was a tooth root in his mouth that was often inflamed and wanted me to extract it for him. It is reasonable to say that a patient who had a stroke due to hypertension is a relative contraindication to tooth extraction, but looking at my father’s trusting gaze, I didn’t think more about it and borrowed the equipment of a nearby dentistry and pulled out the tooth very smoothly, and my father complimented me on how well I pulled it out, it didn’t hurt at all. My father praised me for pulling the tooth well and it didn’t hurt at all. So I thought, “So the so-called high-risk patients are not contraindicated for tooth extraction. After I came back, I started to think about this matter. At the beginning, I hospitalized the patients, put on a continuous ECG monitor, and started extracting one or two teeth, and all of them went through the extraction successfully. In the future, the teeth were extracted directly under outpatient conditions without the monitoring device, which was also successful. Look for the theoretical basis. The authoritative book says that heart disease and hypertension are psychosomatic diseases, and changes in human emotions can aggravate or trigger the occurrence or development of such diseases. The key to why I was able to give my father a safe extraction stems from the fact that I am his son and he is my father. In this special doctor-patient relationship, kinship plays an important role, and under the maintenance of kinship, mutual trust makes the patient’s mood always in a relaxed state, and at this time the doctor’s mind will be focused on how to let the loved ones complete the The tooth extraction process. If the doctor is completely anesthetized and does not use “violence” and uses minimally invasive extraction techniques such as no knocking, no chiseling, etc., then there is really no difference between an extraction and a filling, it is just the same as having a big mouth and letting the doctor pound it in. If you are still afraid, there is only one possibility, that is, you are scaring yourself. Therefore, if the doctor and the patient can maintain a kindred spirit and build a relationship of mutual trust. Then the patient will relax the tension, fear and other unfavorable feelings because they found a doctor they can trust, and they can effectively avoid complications of heart disease and hypertension. And the doctor, under the influence of this kindred relationship, will also think about how to alleviate the patient’s pain and fear from the beginning to the end, and safe tooth extraction is thus accomplished. As you can imagine, in an atmosphere similar to that of a family member, under thorough anesthesia and without violence, one extraction is the same as 20 teeth at a time, and the only difference is the length of time. If there is a lesson to be learned, then I would tell you: try to be a dentist whose patients are not afraid.