The removal of wisdom teeth in the lower jaw of the consequences, complications
The wisdom tooth on the lower jaw, creating problems from the eruption. Especially hard, he cut in women aged 20 years. Teething is very often perikoronit – inflammation of the gingival hood. In addition, during the eruption due to the fact that missing distal tooth, he had no support from the other side. So it will erupt in the wrong position, putting pressure on the tooth in front or standing on its roots. This is all the reason for removing the bottom of the eighth tooth. According to their structure they can be unpredictable. It depends of what nobody knows. They may be from two to eight roots, not to mention the structure of the crown. These roots precisely in the lower jaw are often bent so that there is no way to treat the channels in the inflammatory process in the tooth cavity or periapical tissues. It is therefore considered expedient to remove it. Moreover, it is believed that he no useful. The bottom of the eighth is not involved in masticatory functions.
How is surgery to remove lower wisdom teeth
Any surgical intervention for removal begins to calm the patient if he is afraid. After this is carried out anesthesia. Most often it is local, if there are no contraindications. Given that you need to obezbolit not only the tooth but also the surrounding tissue, it is advisable to spend trusolino anesthesia. After came the pain, proceed to the operation itself. First, the tooth on all sides free from tangles gums. Often this is done using a weatherstrip tool. Then take special forceps for lower molars or stykovanii Elevator, depending on how destroyed the crown. Motion traction you want to start at the lingual side, because there is a bone plate is thinner and erode the tooth better. To pull a wisdom tooth on the bottom is easier because the bone is denser and no worries about breaking it. You can also cut the tooth into several parts, and one to remove. Then you need to clean the wound with antiseptics, if the wound is large, sutures, give advice.
Complicated removal of the eighth tooth in the lower jaw
This surgery, when in addition to the standard manipulations produce some of the incision, suturing the edges, cutting teeth. This happens in cases when the tooth reinerova, that is cannot be cut or he was lying horizontally, resting on the adjacent seven. Often in such cases, you have to cut the bone above the tooth that had access to it and the possibility of its retrieval.
Technique the removal of the complex:
- The incision and detachment of gingival flap;
- Dissection of bone over the tooth;
- Cutting eights on a few parts;
- Removing them out of the alveoli
- Lavage of the wound;
- Stitching of the wound edges.
After removal, the doctor places gauze with heparin for fifteen or twenty minutes. Then he removed the recommendations. Prescribe anti-inflammatory and antipyretics, if the temperature rises. A repeat visit is necessary to appoint in a few days, no later than three. If will bother, it is necessary to immediately seek expert assistance to avoid complications.
Complications that can occur during the removal
Very often, when a patient presents at a public hospital for help, it turns out that the procedure is painful despite the anesthesia. This is due to the fact that doctors are given a certain time to take the patient regardless of the complexity of future manipulation. Therefore, a doctor may conduct a substandard anesthesia or will be forced to start the operation to remove before will come fully analgesic effect. In this regard, the patient, having pain, will have to be afraid to go once again to the dentist. But if you go to a private clinic, the doctor himself can manage your time. And the whole procedure is painless.
It is a gross error is damage of the adjacent hard and soft tissues. The surgeon during the removal, or rather loosening may damage standing beside the tooth forceps or other tool, if will be hard to push. The patient may not notice it, because the spent anesthesia stops the pain half of the jaw. After she passes he will feel pain in adjacent teeth. Also, in that case, if the clinical crown is too small, the specialist does not succeed the first time to grab her by the cheeks of the forceps, they are slipping. Because of this damaged soft tissue surrounding the tooth. When a dentist cannot pull a wisdom tooth, it can greatly pulling the tool to hit into the teeth-antagonists and damage them. To avoid this the dentist must be extremely careful.
The consequences of the removal of a wisdom tooth in the lower jaw there are also more serious. For example, it may be a fracture of the alveolar process of the mandible. When a surgeon is overly captures the jaw and apply more force it can break the bone in the place where the tooth. This fracture can be minor, and can be extended to the whole body. Another common situation is the dislocation of the lower jaw. The reason is the same – excessive application of effort, when eight poorly.
The consequences that may arise after the removal of eights
Complications after removal of wisdom teeth in the lower jaw may be different from minor to serious. Much depends on the degree of difficulty surgery. After anesthesia, the patient appears pain symptoms. This is normal, considering what it does wound and trauma. This pain should fade in a few days. The same applies to the swelling of the soft tissues. Most often it occurs when excessive injury to the gums during removal.
As indicated above, most of the complications after removal of wisdom tooth manifest pain. She needs to go through a couple of days at the most. And every time the intensity should decrease. If pain not gone in a few days and they instead of fading, increase, the urgent need to go to the dentist. Have pain can have several causes:
- The tearing of the soft tissues;
- The fracture, which was not immediately found.
The most common result of wisdom tooth is bleeding from the wound. This is normal in the first few hours. Moreover, a blood clot should begin to form not later than thirty minutes after manipulation. Surgeon the edges of the wound makes that happen faster. But if the blood still does not stop, suture. Otherwise, the bleeding, which stops may lead to a decrease in blood pressure, the appearance of weakness and even loss of consciousness. Not to provoke once again a consequence of the removal of wisdom teeth is not the first day to take a hot hard food, hot baths, go in a sauna and engage in physical activity.
Removal of the third molar is a very complex operation. Effects after removal of wisdom teeth may be accompanied by fever. Is a protective reaction of the body to conducted interference. If reaches up to 37 degrees is considered normal. But when she rises to 38 and more, you should worry, because it may spread infection in the body. You must immediately go to the clinic to determine the cause of this condition and to provide appropriate assistance.
As mentioned above the appearance of a slight swelling in the region of an extracted tooth is fine. It should subside by the next day. Edema is due to rupture of soft tissues during removal. So this is normal. But if it grows, then probably evolving inflammatory process, which later may go into festering. To prevent this designate to apply cold for 10-15 minutes, every two hours. This should be done only on the day of removal. With this you can also and blood to stop. If the swelling increases, it is necessary to seek help that the inflammation has not spread to other tissues.
Is inflammation of the extraction, when there is the infection because of the doctor or the patient. This often occurs due to the removal of a blood clot, which protects the bacteria from getting into the wound. Also infection can be introduced when you remove a diseased tooth, when small particles get into the wound. To avoid this, rinse the hole after removal and give recommendations to the patient. You need to explain to him how important it is for them to perform, and that can be otherwise. Alveolitis is characterized by pain in the hole, unpleasant rotten smell from the mouth. Possible purulent discharge from the alveoli. Soft tissue can be hyperemic and edematous. If time does not address to the surgeon he could develop into a periostitis or osteomyelitis.
Perforation of the maxillary sinus floor
Unfortunately, the body of all built differently. The same goes for teeth, especially third molars. The consequences of the removal of wisdom teeth in the upper jaw are characterised by puncture of the maxillary sinus or infection. This is due to the fact that the roots of the upper third molar can be placed in it. When deleting, it is likely to pierce or leave a piece of root or tool. To remove the foreign body have to drill the bone. Actually, this is a very complex operation. Therefore, the technician must carefully study the pictures of this tooth, the location of its roots, their length. It is possible to avoid these unpleasant consequences.
This loss of sensitivity. Occurs because of damage to the mandibular nerve. Can affected areas such as cheek, lip, chin, tongue. This is either from the unusual location of roots of lower molars either due to the inexperience of the doctor. The mandibular nerve passes under the roots of molars. Their roots can be very close, and removing them can damage the nerve. In order to avoid these effects the removal of mandibular wisdom tooth, the surgeon before you proceed with the surgery, should carefully study the location of roots of eight on x-ray. Paresthesia can last for several weeks, then passes. It is very rare that she stays forever. To ease the situation prescribed physiotherapy.
Hematoma on the face
Another consequence when the removal of wisdom teeth may be the formation of hematoma, i.e. bleeding. It can develop during anesthesia, when the needle falls into a large vessel, for removal, is damaged again when a large branch due to high blood pressure due to breakage of capillaries – small blood vessels. In fact, such a hematoma is no threat, except to its appearance. It dissipates relatively quickly. To speed up the process you can use any ointments or creams.
What action to take after the removal of wisdom teeth.
In the case of painful feelings, which arise after the expiration of the anesthetic, you can:
- To drink pain pills.
- In any case not warm cheek. It may worsen the condition.
- In the case of rising temperature take antipyretic and anti-inflammatory medications. They can drink right away without waiting for a rise in temperature.
- To swelling sleep, you need to apply ice for ten, maximum fifteen minutes every two hours, not more. The next day can be replaced with dry outdoor heat.
In cases where these symptoms do not subside the next day, be sure to consult a specialist. The dentist should not be perceived as the enemy that will harm or hurt you. Worth to trust him.
When you develop alveolitis, you need to go to the surgeon. It will remove all discharge from the wound. This is usually done kuretani spoon. The doctor then washes the alveolus with an antiseptic solution. After that, he puts a cotton ball with a special drug. He is in the hole be in a few days. Then delete it and wait for the formation of a new blood clot. Unfortunately, there is a complication, as dry hole. In such cases, the clot is not produced at all, leaving the wound susceptible to environmental factors. In such cases, it is better to sew the gingival margin of the wound, so there aren’t infected.
Unfortunately, many of the consequences occur after a complicated tooth extraction wisdom. It is in such situations and remove completely healthy, but at the same time he deals damage to the surrounding tissues. In other cases, you should try to save him, even if it performs no meaningful function. If it appeared at least a small black spot, run to the dentist to treat and not wait until it breaks down to remove it. Because this process can be much more difficult and may cause complications. Should learn to trust the dentist, then dental problems will be much less. And don’t forget about the doctor’s recommendations, he gives them, and in order to alleviate the condition.