Extraction of teeth is necessary if all attempts at fixing a given dental problem have failed and the tooth has suffered irreversible damage. It could include, among others, the following cases:
- Fractures of the tooth (a bit of the tooth breaks) or a fracture of the jaw
- Damage from deep tooth decay
- Jaw damage
- Advanced stage periodontitis
Easing pain following tooth extraction
The main option for easing the pain following the procedure is local anesthesia (injection) – with top teeth, individual teeth are injected while bottom teeth are subjected to conductive anesthesia ensuring numbness of a certain area. If an existing inflammation is present, the anesthesia only works at eighty to ninety percent of its strength and the patient can feel pain during the procedure. Further steps are then chosen based on whether the extraction is simple or advanced in nature.
Rules for post-extraction care are relatively simple:
- Do not wash out the area following extraction. Washing out could remove the blood clot, uncovering the bone tissue and possible causing inflammation (the blood clot serves as a natural plug and prevents food residue – eventually transforming into bone)
- For the first couple of hours, no food should be eaten – for a couple of days, the patient should not smoke
- Avoid hot drinks (can negatively affect swelling and cause bleeding) and alcohol
- Ease the pain with stronger anesthetics. First analgesics should be used while local anesthesia is still in effect
- Cool (not icy) compresses are advised
- Should a patient suffer from increased pain, fevers, swelling or any other related proble, the dentist should be contacted immediately
Removal of wisdom teeth
The need to remove wisdom teeth is common. The reason for the extraction could be that the eighth tooth (wisdom tooth) affects the seventh (can inflict pressure on it), does not allow for proper cleaning (increased chance of tooth decay) and causes inflammation. Wisdom teeth, also referred to as third molars often grow at an incorrect angle, only cut through the gum partially (semi-retention) or sometimes never cut through at all (retention). The surgical removal of these teeth is usually carried out under local anesthetic (to limit pain), or sometimes with the assistance of analgosedation (calming). At Canadian Medical Care, we apply 10ml of Markain, which ensures long term pain relief – some 10 to 12 hours following the procedure. Following the extraction of wisdom teeth (as opposed to other teeth), the wound is stitched-up, with the stitches being removed 5-7 days later. Without any complications, a patient is well within one week.
Further information about the removal of wisdom teeth can be provided by your dentist.
Removal of wisdom teeth under full anesthesia
The removal of wisdom teeth can be carried out under full anesthetics. However, there must be a good reason to do so – for example when all four teeth are removed at once based on the patient’s request. Alternatively, this applies when two teeth are anatomically placed in risk structures (for example deeply rooted bottom wisdom teeth). This procedure is carried out at specialized practices.