Tooth extraction is the process of dislocation of the teeth, called a medical name "exodontias" There are various reasons that necessitate the conduct of take off, such as dental caries and the penetration of the weevils are no longer useful with re odontolyticus year to their natural state or restored. It may also remove wisdom teeth are damaged or unsound, and finally the doctor may be forced to take off some of the permanent teeth to develop formulations Orthodontics.
wn human history of tooth extraction for the treatment of a variety of diseases, tooth extraction was also used as a method of torture to force detainees to confess. Before the discovery of antibiotics, the infections and diseases of the teeth associated with a range of chronic health problems, and then take off the dental patient treatment is common for a number of diverse medical conditions. And date back to the use of the tools used to remove teeth to many centuries ago. In the fourteenth century, Guy de Holjk invented a tool to remove the teeth resemble swans are called dental pelican, which has become a common way to remove the teeth until the late eighteenth century. Has replaced this tool key dental dental key, which in turn replaced by modern forceps Bmlaqt teeth in the twentieth century. Due to the large variation in the extent and size of the difficulty of tooth extraction due to variation between patients and the nature of the teeth, there is a wide variety of tools that fit each particular process take off.
[the reasons for tooth extraction
Is the most common causes of tooth decay is the result of damage to teeth or broken tooth decay. There are additional reasons require a tooth extraction, including:
Caries or severe inflammation of the teeth. Despite the decline in the number of dental caries in the world, but the decay remains the most common reasons for take off all the teeth other than third tooth, where decay and stands alone behind two thirds of the dislocation processes
The emergence of supernumerary teeth impede the growth of other teeth.
And severe gum disease that may affect the tissue and bony structures supporting the teeth.
In preparation for the installation of orthodontic appliances.
Teeth within the fracture line.
Broken teeth.
The absence of expanding sufficient for the growth of wisdom teeth (tooth the third is buried). Although many dentists offer to take off their third molars buried that do not show any but the bodies of the American Medical and British recommends doctors not to perform this operation is There was no evidence of the presence of disease in the year or near the buried Has adopted the American Society for Public Health Policy (opposition dislocation preventive fierce "wisdom tooth") because of the huge number of injuries that result from dislocation processes is necessary for wisdom teeth [5].
Receiving radiation therapy in head and neck regions may require tooth extraction in the area of influence of the rays.
Deliberate dislocation of the teeth without the need for medical necessary as a form of horrific forms of physical torture.
It was common to take off the old front teeth for patients detained in psychiatric hospitals, mental health and who are known for their frequent biting [6]
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[] Types of divorce
Take off for the third wisdom tooth that has suffered a horizontally.
Tooth extraction processes can be either "simple" or "surgical". The simple, are made on the teeth in the mouth phenomenon, and it is usually under local anesthesia, and requires only the use of tools to raise and / or capture the visible part of the year. And is used in dental crane lifting elevator, and tweezers (or hooks) teeth, then to Khalkhh year back and forth until torn ligaments surrounding the capacity of the Year and the bone supporting the Sunni year to make the free movement relatively enough to remove. When Balmlaqt extractions, doctor resorted to systematic pressure on the year. And resort to surgical dislocation of the teeth when they are not easily accessible, either because of Anksarha the bottom of the gum line, or the lack of full growth. Here, you need always to dislocation processes of surgical incision. In the surgical dislocation, the doctor lift the soft tissue covering the teeth and bones, were also baptized to be separated from the jaw bone tissue around it by using the tool to drill or osteotome osteotome. Often the year is divided into several parts during surgery to facilitate the process takes them off. These operations are usually conducted under general anesthesia.
Dharsan Makhluat for a child 14 years old compared with a coin in diameter 22.5 mm ()
[ recovery process after dislocation
Extractions followed by a blood clot that formed in place of these teeth (alveolar) in about an hour, and bleeding occurs during the first hour but less rapidly with the passage of time, and disappears completely after about 24 hours. It takes an open wound healing, which covers the subject of the year about a week. This is followed by that this place is filled with soft gum tissue over a period of between one and two. The final closing to take place year as a result of natural bone rebuilding period of six months or more.
Example of the swelling following the third wisdom tooth removed.
An example of inflammation of the bony Tglati after wisdom tooth to remove the third (after six days on the process).
Infection: The doctor prescribes antibiotics to patients before and / or after the operation if the patient's susceptibility to infection.
Bleeding for a long time: There are many ways by the doctor can control the bleeding, but should be aware that it is natural that some blood mixed with saliva after operations, and for a period of up to 72 hours. But what happens normally is that the bleeding stopped completely within eight hours after surgery, and left him very little of the wound and is mixed with saliva. The bleeding can be reduced significantly by using gauze bandage from the bite by the patient for a few hours.
Swelling: The swelling depends on the amount of surgical intervention, which was to take off the year (such as the size of the surgical victimization of hard and soft tissues surrounding the year). In cases that require lifting a piece of surgical (and thus become the connective tissue membrane that covers the bone), swelling occurs between the measuring range of the average small. And often more than this if the swelling process of cutting tissue has been poorly, when it is tearing the connective tissue instead of bone lifted from the bottom. And increases the swelling also de-bone if necessary use a tool drilling.
Exposure of tooth pocket and the emergence of a connection between the mouth and pocket: This may occur when you take off the upper molars (or premolar maxillary anterior upper premolars of some disease). And is located maxillary sinus maxillary sinus above the roots of the upper premolar and the molars. There is a bony floor of the pocket separate socket for Pocket same year, and varies the thickness of the bone between thick and thin to a patient to another. In some cases the absence of such greatness and no root in reality in the pocket. At other times, you may be take off this year with greatness, or may be perforated during surgical dislocation. Usually the doctor to his patient little risk in it, based on the assessment of the X-rays that show a relationship year enclave. It must be noted that the cavity lined with a membrane pocket called Sniderian membrane, may or may not have has holes. If this membrane is exposed and remained intact after the divorce, then we say that the pocket has become exposed sinus exposed. If the exposure of the membrane hole, occurs here a connection between mouth and sinus sinus communication. And for each case of the two treatment different from the other. In the case of sinus communication, the doctor may decide to leave it heal on its own or may intervene surgically to close initially - based on the size of the exposure and the potential to heal the patient. In both cases, the sponge material is placed to re-absorption can be called "gelfoam" divorce on the site to speed up the clotting and to be a framework that allows the accumulation of granulation tissue. The patient is given antibiotics to eliminate many types of bacteria, and removers of congestion, and special instructions to follow during the period of hospitalization.
5. Nerve injuries: He spoke frequently at the third molars removed, but may also occur when you take off any year if they are close to the surgical site. We are interested here in particular nerves are passing by a double (one left and one right): 1 - inferior alveolar nerve inferior alveolar nerve, which enters the mandible at the mandibular hole and out of the jaw on both sides of the chin of the hole mentalis mental foramen. The granting of this nerve, the ability to sense the teeth on the lower left or right half of the dental arch dental arch, in addition to the sense of touch for the half right or left side of the chin and lower lip. 2 - nerve lingual lingual nerve (one right and left), which is divided from the branches of maxillary nerve trigeminal trigeminal nerve and extends to within the jaw bone, and enters the tongue and gives the sense of touch and taste for the half right and left half of a two-thirds the front of the tongue in addition to the lingual gingiva (ie the gums on the the inner surface of the Sunni arc). These injuries may occur during the lifting teeth (alveolar lower in particular), but the most common causes of unintentional injury is caused by the use of surgical drilling tool. Such injuries are rare and usually temporary, but may become a long-lasting or even based on the type of injury (according to the classification, "Seddon": temporary paralysis of the nerve neuropraxia and rupture of axon axonotmesis and cut facial nerve neurotmesis).
Shift or part of the year to the maxillary sinus maxillary sinus (with the upper teeth only). In such cases, you should always restore the year, or a fragment of the year. In some cases, the sinus cavity can be sprayed with a saline solution (washing sinus antral lavage) and the fragment can be returned to the site of Conquest Age, which came into the enclave from which it may be capable of being restored. At other times, you should crack a window to the pocket in the canine fossa canine fossa - as part of a surgery called the "Caldwell luc".
Inflammation of dry socket (dry socket or alveolar osteitis) is a painful phenomenon occurs more commonly after a few days off from the wisdom tooth (lower) jaw. It is believed that the reason for the occurrence of a blood clot cuts within the site to swear off the year. It is likely that inflammation of the alveolar dry painful inflammation occurs within the year, the empty socket out of the question due to poor blood to the area of the jaw (which explains the lack of this inflammation in other parts of the jaw). The accumulated food debris and dirt on the greatness alveolar inflammatory result of exposure and lack of protection after the deposition of the year, and causes alveolar dry sharp and sudden pain begins after 2-5 days of dislocated tooth jaw, especially tooth III, a cause is excessively tight and the patient, and the only offer for this inflammation is a pain, which often spreads to areas above and below the head and neck. Dry socket and is not infected, is not linked directly to Baltorm it occurs entirely within bone - it is an inflammation occurs within the lining of the bony alveolus Sunni empty. As the dry socket is not infected, it is not to antibiotics have no effect on the rate of occurrence. And increase the risk of this infection is very significantly when the patient's smoking after the operation.
Fragments of bone: sometimes occurs after a tooth off of internecine path that turns bones that were assigned to the tooth and in some cases out of the gums, and becomes the form of sharp edges protruding tongue leads to provoke and disturb the patient. This is similar to another phenomenon that protrude from the gums where the broken fragments of bones, or the year caused by the divorce process. In the latter, these fragments may grow alone. In the first case, either the doctor cut the bumps or the bone exposed and eroded alone.
