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Surgical Extractions
Relevant information about Surgical Extractions .
- What does the surgery consist on
A surgical extraction consists on the removal of teeth from the mouth. There are many types of extractions, including: simple extractions and surgical extractions. Simple extractions are done on teeth that are visible from the mouth; this procedure is done using local anesthesia and also using special dental tools such as forceps. Surgical extraction implies a more complicated procedure, where the teeth that need to be removed have not an easy access, probably because they are located under the gum. This type of operation always requires an incision; generally the dentist has to split the tooth into many pieces in order to facilitate its removal.
- Which problem does the surgery solve
There are many problems that this surgery can solve. One of the most common is having an injury or an infection in the mouth; this is due to the fact of having caries. Other problem that can be solved is when there is one tooth that complicates (by blocking it) the coming in of other teeth. Other examples and problems solved by Surgical Extractions are: troubles and injuries caused by gum disease, fractured teeth, insufficient space for wisdom teeth (impacted third molars), being a patient who has treatments that imply the use of radiation implies the extraction of teeth.
- How is the surgery performed
The first step is to have a visit with your dentist, in order to discover what is the problem and how it can be solved. If the patient needs to have a surgical extraction, the dentist will probably set a date, to make the extraction. The doctor will inject local or general anesthesia (depending on the severity of each case); after this has been done, and the affected area has been numbed, the doctor will start working. First of all he/she will make a small incision in order to have access to the root or bone of the teeth. It is probable that the tooth will be removed in small pieces, so it will be previously split into tiny pieces. If sutures are required, they dissolve and came out over the following week.
- Surgery length: It is always different in each case, but the estimated time can be from two to five hours of duration. Depending on the gravity of the situation, the dentist will decide if he/she will use local or general anesthesia. The patient has no need to stay in the hospital, this is a benefit for him/her because it offers the possibility of resting and recovering in his/her own home.
- How is the post surgery process
As the patient goes under a surgical procedure, it is common to take into account some important rules that must be followed in order to avoid any possibility of infection. Cleanness and hygiene rules are recommended to be followed and prescript medication is sometimes given by doctors in order to avoid extreme sensibility or insupportable pain. After the first hour of the operation, it is common that the body presents a blood clot formation, bleeding is normal during the first hour; it will be decrease as soon as the time passes, if this do not occur it is important to visit the doctor or a medic guard, in order to treat the problem and give an adequate solution. The wound takes approximately one week to be closed; the soft gum will heal the wound in a process that takes, one or two months. The final closure can takes at least six months. Normal activities can be resumed by the patient after two days from the operation. Physical activity is not contraindicated, however each dentist will decide if it is proper for the patient to resume all activities, taking into account the severity of the case. It is of great importance to follow all the indications given by doctors in order to achieve a complete recover and perfect results.
One of the possible complications is prolonged bleeding, it is significant to know that it is common for patients to notice the apparition of blood with saliva, but is has to be a controlled amount, if this complicates, it is important to visit the dentist. Swelling is normal after the operation, it occurs in minor to moderate size, and it decreases after five days from the operation. Nerve injury happens mainly when the patient goes under a third molar extraction, these injuries are not very common and in the majority of the cases they are not prolonged. The last complication can be the displacement of part of the tooth into the maxillary sinus, when this happen it is important to retrieve the missing part.
Surgical Extractions are not an expensive procedure, and this is another reason for choosing it. The dentist may decide that the patient needs surgical extraction, if the tooth is not reparable or it could be impractical to repair because it is too damaged. In some cases, where the situation is critical, there is a need of removing teeth, because if not, it could bring serious trouble like infection or dangerous swelling. The last reason is because the teeth are crowded and its removal could benefit the reparation of other teeth in its absence. After going under a surgical extraction the dentist will recommend to use a dental implant in order not to leave the empty space. The surgical extraction may be followed by a posterior aesthetic procedure in order to benefit the appearance of the patient’s teeth.
- What does the surgery not do
The surgery does not imply putting an implant into the patient´s mouth. This procedure assures the complete extraction of the teeth, avoiding any infection or future complication. If the patient is in need of improving his/her aesthetic appearance, it will be suitable to go under another type of procedures that focus only in this aspect. Surgical extraction procedure is oriented to the improvement of the dental health of the patient.
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