Removal of impacted tooth — gistaminovogo
Called impacted tooth, completely or partially hidden under the gum tissue and the jaw, prorezalsya the deadline. A similar problem often occurs when early loss of baby milk teeth and erupting wisdom teeth. Removal of impacted tooth performed in a dental clinic. The operation takes about 2 hours and is performed under local anesthesia. A special kind of retention are distopian teeth. If in the first case, a tooth, even with the delay, growing in the right direction, in the case of dystopia violated its location in the oral cavity. The body may grow at the wrong angle to be rotated around its axis. Often these dental units are embedded in the jaw or protrude outside.
Why there is a retention and dystopia
Cause abnormalities of the jaw apparatus can include the following factors:
- Early growth of pathological tooth. While he has no «rails», so its growth is in an arbitrary direction;
- Additional teeth. Are a throwback, not have their own locations, so growing on plots located next to the total dentition;
- Improper formation of the rudiments of dental tissue;
- A jaw injury at the stage of growth of teeth;
Retention and dystopia are often exposed to canine and wisdom teeth. The removal of impacted and gistaminovogo tooth can be accompanied by certain technical difficulties.
The pathological process has certain predisposing factors, among which include:
- The lack of calcium;
- The dental SAC is large in size;
- A General weakening and exhaustion;
- Genetic predisposition;
- Loose gums.
It is worth noting that predisposing factors may include virtually any influence on the human body, is able to reduce the level of immune protection and Deplete energy reserves. In some cases, even difficult extraction of the impacted existing and gistaminovogo tooth, accompanied by postoperative complications, can cause improper growth of the other elements of the jaw.
Diagnosis is made on the basis of the data of objective examination, and also in accordance with x-ray picture. Typically, the retention and dystopia result in the following local signs:
- Hyperemia (redness);
- Local temperature rise;
- Noticeable bulging problematic one, the bump on the jaw;
- The increase in the gap between collegewise healthy teeth.
As a rule, palpation of the nidus causes a negative reaction of the patient, as it appears to be quite painful. The final diagnosis is based on radiological examination. After that, the doctor decides on the need to remove impacted teeth. In childhood is often possible to do without operation, correcting the defect with the use of orthodontic techniques.
In most cases, the pathology does not lead to the appearance of pronounced pain syndrome. Pain occurs only with pressure on the affected area, during delivery, or in the tight grip of the jaws. Sharp constant pain is often a symptom of developed complications impacted young teeth (periodontitis, abscess, destruction of nerve fibers). Germinate root in the cranial sinus may cause odontogenic maxillary sinusitis. The fact of germination is also set according to the x-ray image.
Surgical removal of impacted tooth gistaminovogo is made in the following cases:
- Severe clinical symptoms;
- Destruction of the neck;
- Purulent-necrotic complications;
- The lack of space in the dental arch;
In most cases, the procedure of extraction was carried out in a clinic. However, the most severe cases associated with the presence of purulent process of germination or root in sinus himaruya require hospitalization in the Department of oral and maxillofacial surgery.
Preparing for surgery
The evening before surgery the patient is advised to sleep well. In the morning a light Breakfast is allowed with no frills. The mental condition of the patient should be stable. Mental stimulation and expressed concern relieved with the use of tranquilizers.
Just before to start removal of impacted teeth, the patient’s oral cavity is treated with a solution nesperova antiseptic (chlorhexidine, potassium permanganate, eludril). Tartar needs to be removed in advance.
Anesthesia is provided prior to surgery. Anesthetic drug is selected depending on the intended treatment time and individual characteristics of the patient. Usually used lidocaine mixed with vasoconstrictors (epinephrine, naphazoline). General anesthesia is rarely used, only at the request of the patient or if absolutely indicated. Operations under IT shall be held exclusively in a hospital environment.
The progress of the operation
After the onset of anesthesia, the doctor makes an incision over the apex of the tooth. The hole should be sufficient to remove large bone fragments. Impacted tooth is not removed entirely, but is destroyed in the hole with a drill. After that, the hole is freed from the wreckage. For this purpose, dental forceps suitable shape. The operation is complete revision of the wound, its sanation by processing aspertame preservatives and overlay ketotofin absorbable sutures.
In some cases, removed not impacted or distopian, and healthy tooth. In this case, the operation is performed in accordance with the General technique of extraction. Under local block anesthesia the tooth is seized with forceps, shake, destroying the periodontal ligament, and pull. The hole for 30 minutes are treated with a piece of sterile bandage. The seams not superimposed.
The recovery period
Recovery after operative removal gistaminovogo tooth, takes about 1-2 weeks. In the first 3 hours after surgery, not allowed eat, drink, or Smoking. Until the end of the first day is not recommended to take hot food, and the rest of the week — solid products. Also in the early days it is not recommended to use a rinse for the mouth. Antiseptic solutions are able to wash off the formed protective blood clot that will lead to the formation of dry socket.
Important! If there are signs of inflammation the patient is prescribed rinse, regardless of the degree of safety of the bunch. In addition, the mandatory use of General and local antibacterial agents, regenerative medicines, drugs, improves microcirculation of blood in tissues.
Within 2-3 days after the operation is not allowed by the local application of heat. This extends blood vessels, which may cause postoperative bleeding. It is better if the area of operation will be moderately cooled (ice wrapped in a cloth and applied to the cheek for 15-20 minutes). Local exposure to cold helps to reduce swelling, decrease bleeding, reduce pain.
Pain syndrome that develops after the termination of the anesthetic, relieved by nonsteroidal anti-inflammatory drugs. The patient can take analgin, ketorol, MiG in General therapeutic dosages. The use of application of local anesthetics, usually does not achieve the expected result.
What happens if you don’t take any action
Sometimes patients prefer to ignore the problem if the impacted tooth does not cause them significant inconvenience. It is fraught with many delayed health problems:
- Violation of the process of chewing food;
- Possible loss of other healthy teeth;
- Problems with diction;
- Microtrauma of the oral mucosa;
- Inflammation of the gums, the jaw, the submandibular structures.
The most severe complication of impacted teeth is a phlegmon of the soft tissues of the gums.
When this occurs, the permeation of the tissues with pus, the transition of inflammation on collegesa areas of the body, including the respiratory tract. Developing swelling covers the Airways, making it impossible to adequately breath. There is a direct threat of life of the patient.