The main reason for which the removal of the nerve of the tooth is necessary (depulpation) is a carious lesion in neglected condition. The holes in the enamel formed as a result of the vital activity of carious microorganisms expose the nerve, and every influence on it from the outside is felt by the patient as unbearable pain. Removal of the nerve (pulp) can not be avoided and if the patient wants to save the tooth, without resorting to implantation. Resection can be complete or partial.
In which cases the removal is necessary
- traumatizing a tooth with pulp exposure and crown destruction;
- correction of errors made in previously conducted treatment;
- elimination of deep carious tissue damage;
- the need for further prosthetics;
- the presence of chronic (and even asymptomatic) pulpitis;
- low arrangement of crowns;
- extensive pulp area;
- the transition of pulpitis to periodontitis;
- the spread of bactericidal infection through the root apex;
- unbearable pain.
What is a dental nerve?
If a medical error was made during the removal of the pulp (poor-quality disinfection), the process of suppuration may begin, which without treatment will turn into a periodontal abscess. With this complication will have to remove the tooth.
In which case the removal is contraindicated
Dental nerve cannot be removed with:
- ARVI, flu, sore throat;
- infectious hepatitis;
- stomatitis in any form;
- cardiovascular diseases in the acute stage;
- psycho-emotional disorders;
- acute leukemia;
- hemorrhagic diathesis;
- inflammatory or purulent processes in the oral cavity;
- early and late gestation.
Why did the tooth after depulping change color?
Now the overwhelming majority of private clinics have moved to international depulpation protocols, but budget institutions have not yet abandoned the obviously obsolete practice. In addition to the fact that the tooth cavity can be improperly prepared for the installation of the filling or poorly performed instrumental processing of the canals, the materials that were used for filling can be the cause of the change in the tooth color.
If the teeth, after depulping are colored, then resorcin-formalin paste was used as a filling material. This can often be observed after the treatment of milk teeth.
Removing a nerve from a wisdom tooth (problem eights) is very rare. In view of the location, short lifespan - the Eight are affected by caries in the first place, as it is difficult to clean them from plaque and stone, they are simply removed. Common indications for removal: improper eruption with a slope to the cheek or tongue, tooth retention, carious lesion (often observed before the tooth is completely out), pulpitis, change of bite, displacement of the dentition.
- the first two hours after the operation you should not do any physical labor;
- three hours after removal, you can not eat, so as not to infect and injure your teeth, you can drink through a straw and only warm water;
- five days do not eat coarse, solid food;
- in order not to irritate the oral mucosa, to refrain from smoking, drinking alcohol, spicy, cold and hot food for the same period;
- during the day after depulping, rinse your mouth with antiseptics appointed by the dentist.
Folk means to remove the nerve does not exist. It is worth remembering that even if, having applied the methods for the destruction of the nerve, everything was successful, the pulp must be removed, and this cannot be done without special medical tools.
Therefore, the sooner a visit to the dentist takes place, the less time and money it will need to spend on removal. Moreover, no doctor will recommend such an intervention without serious reasons and it is possible that the tooth can be kept “alive” only by curing it.
This is a rather unpleasant process: a tooth is pulled out, what to do now? First, it is worth noting what you can not do after tooth extraction You can not eat two or three hours after the operation. Within two days it is not advisable to take alcohol, you can not even smoke. It is not recommended to engage in heavy physical exercise. It is contraindicated to take too hot a shower, especially to visit the sauna, as well as be in the sun for a long time. All these actions can lead to all sorts of complications.
If a tooth is pulled out, what should I do?
After the removal of the tooth, the doctor leaves a gauze pad in his place, which must be removed after thirty minutes.
If the wound after tooth removal is long bleeding and hurts, you must take certain measures: moisten a gauze pad with three percent hydrogen peroxide and apply to the wound. The bleeding should stop, the wound heal. If this does not help, be sure to consult a doctor.
After the anesthesia is over, the person may feel pain for some time, for example, a tooth is pulled out, and the gum is sore. In these cases, you can take a tablet of ketonal, ibufen, ketanov or nurofen.
When you come home after removing the tooth, apply ice to your cheek where the tooth was. Pre-wrap the ice in plastic and a towel. Keep a compress for about ten to fifteen minutes, you can not allow hypothermia.
In the first days after tooth extraction, you need to follow a certain diet. You can not eat very hard dishes, pickles, spicy and smoked food. Such food may cause inflammation in the wound. Better to eat soups or porridge.
Do not drink too hot drinks. Rinse the wound can only be a day. But you can take a bath for a tooth. Hold decoctions of chamomile, calendula or yarrow in the mouth, but do not make any sloping movements so as not to disturb the thin coating of the wound.
It is impossible to injure a blood clot at the wound site after tooth extraction, it can lead to inflammation of the tooth hole.
During the week while the tooth is healing, it is necessary to observe thorough oral hygiene.
When brushing your teeth in the wound site, do not press on the brush.
If a tooth is pulled out, how can you rinse a wound?
For rinsing, you can use different types of decoctions and solutions. Only it should be remembered that rinsing is carried out only a day after tooth extraction. On the first day you can only do baths for the teeth.
You can rinse your teeth with a solution of one teaspoon of salt in a glass of boiled cool water. Repeat the procedure every half hour.
Rinsing with a weak pink solution of potassium permanganate is also suitable. It can be applied every fifteen to twenty minutes. It accelerates healing.
Any herbs with antiseptic properties are also suitable. The same method is suitable when a child.
You can use baking soda solution. Also, one cup is enough one teaspoon of soda.
Do not use alcohol solutions.
In the solutions you can add essential oils of tea tree, which will protect the wound from inflammation.
Ability to restore the extracted tooth
If you just, you can increase it. But if it is removed, you will have to use other means. This is mainly implantation and other various types of prosthetics.
Specialists offer dental implants, nylon prostheses, prostheses with metal-ceramic or ceramics, bridge-like crowns, plastic prostheses, a classic bridge, a bridge on seals or an adhesive bridge, and other tooth restoration options.
When you were six years old, tooth loss was a transitional rite, which may have been achieved by loosening a tooth, biting an apple or tying a string around a tooth and pulling it. In adulthood, tooth loss can hardly be a reason for celebration, although sometimes it is necessary to pull a tooth out.
Causes of tooth extraction
Although permanent teeth should in theory serve for life, there are a number of reasons why tooth extraction may be necessary. The most common cause involves replacing a tooth damaged by trauma or rotting. Other reasons include:
Teeth crowding. Sometimes dentists remove their teeth to prepare the mouth for orthodontics. The goal of orthodontics is to carefully align your teeth, which may not be possible if your teeth are too big for your mouth. Similarly, if a tooth cannot cut through the gum, since there is no room for it in the mouth, your dentist may advise you to pull it out.
Infection. If tooth decay or damage reaches the pulp - the center of the tooth contains nerves and blood vessels - the bacteria in the mouth can reach the pulp, which leads to infection. This can often be corrected with root canal therapy, but if the infection is so severe that antibiotics do not cure it, removal may be necessary to prevent the spread of the infection.
Risk of infection. If your immune system is at risk, even the risk of infection in a particular tooth may be sufficient reason to remove the tooth.
Paradontosis. If periodontal disease — an infection of the tissues and bones that surround and support the teeth — has caused the teeth to loosen, you may need to remove the tooth.
What to expect from a tooth extraction?
Tooth extraction is carried out by dentists and maxillofacial surgeons. Before removal, the dentist will give you a local anesthetic injection to relieve the area from which the tooth will be removed. If you have more than one tooth removed or if the tooth is impacted, your dentist may use a strong primary anesthetic. This will prevent the appearance of pain in the body and lull you during the procedure.
If the tooth is impacted, the dentist will cut off the gum and bone tissue that covers the tooth, and then, with the help of forceps, grab the tooth and gently loosen it to loosen the connection with the jaw bone and ligaments that hold it in place. Sometimes a tooth that is hard to pull out must be removed in parts.
When a tooth is removed, a blood clot forms in the hole. The dentist will place the gauze tab in the hole and force you to bite it to stop the blood. Sometimes the dentist makes several stitches to stitch the edges of the gums over the place of removal.
Sometimes a blood clot in the hole is pulled out, falling on the bone in the hole. This painful condition is called dry alveolar postextractional alveolitis or dry well after tooth extraction. If this happens, your dentist will probably put a pain relief coating on the well for a few days to protect it, while a new clot forms.
What to say to the dentist before removing a tooth?
Although tooth extraction is usually very safe, the procedure may allow dangerous bacteria to enter the bloodstream. Gum tissue may also become infected. If you have a condition in which you are at great risk of making a serious infection, you may need to take antibiotics before and after removal. Before removing the tooth, let your dentist examine your medical history, medications and supplements you are taking, and let me know if you have one of the following conditions:
- damaged or artificial heart valves;
- congenital heart defect;
- impaired immune system;
- cirrhosis of the liver;
- an artificial joint, such as a replaced hip;
- bacterial endocarditis.
After tooth extraction
After removal, your dentist will send you home to recover. Recovery usually takes several days. Follow-up tips will help reduce discomfort, risk of infection and speed recovery.
- Take painkillers as prescribed by the dentist.
- Firmly but gently bite the gauze pad your dentist placed to reduce bleeding and let a blood clot form in the hole of the tooth. Replace gauze pads before they get soaked in blood. Otherwise, leave the pad in place for three or four hours after removal.
- Attach an ice bag to the operated area immediately after the procedure to stop the swelling. Apply ice for ten minutes at a time.
- Relax for at least 24 hours after removal. Limit activity to the next day or two.
- Avoid too much rinsing or spitting within 24 hours after removal to avoid decomposition of the clot that forms in the well.
- After 24 hours, rinse your mouth with a solution of half a teaspoon of salt and 250 ml of warm water.
- Do not drink from the straw for the first 24 hours.
- Do not smoke, it may delay treatment.
- Eat soft foods, soups, puddings, yogurt or applesauce a day after removal. Gradually add solid food to your diet when the place of removal heals.
- Lying, put a pillow under your head. Lying in a horizontal position can make the bleeding longer.
- Do not stop brushing and flossing your teeth, brush your tongue, but carefully avoid the place of removal. This will help prevent infection.
How to rinse after tooth extraction?
A solution of half a teaspoon of salt in 200-250 ml of warm water. It is better to start rinsing 24 hours after removal.
If the tooth hurts after removal
It is normal to feel pain after anesthesia has passed. Within 24 hours after tooth extraction, you should also expect swelling, inflammation and residual bleeding. Be that as it may, if the bleeding or pain is still strong after four hours from the time of tooth extraction, you need to call the dentist. You should also call your dentist if you experience one of the following conditions:
- signs of infection, including fever or chills;
- nausea and vomiting;
- redness, swelling, or heavy discharge from the site of removal;
- cough, shortness of breath, chest pain, or severe nausea and vomiting.
The initial healing period usually lasts from one to two weeks. New bone and gum tissue will grow into the gap. The long-term absence of a tooth can cause a shift in the remaining teeth, which will affect your bite and make it harder to chew. For this reason, your dentist may suggest replacing a missing tooth or teeth with an implant, dental bridge or prosthesis.
Unfortunately, it is not always possible to save and then it has to be deleted. Tooth extraction procedure should be taken seriously. By paying due attention to the care of your gums during the recovery period, you will avoid many problems associated with both wound healing and the likelihood of infection. if you tooth removed what to do?
What to do in the first days after removal?
After the operation, the main goal is to prevent a strong impact on the affected area, therefore rinsing the mouth, eating and drinking during the first hours after removal is strictly prohibited. But after a day you can make special mouth baths in order to speed up the healing process and remove unpleasant and painful sensations. For the procedure, you will need 1 teaspoon of sea salt and 1 cup of lightly warm water. Thoroughly dissolve the salt and hold the solution in the mouth. But do not forget that it is important to maintain a fresh hole in integrity and not damage it. So don't rinse your mouth - just hold the water and spit out after a few minutes. It is necessary to carry out the procedure after each meal (even a small snack) and before bedtime.
Further, your actions are directly dependent on the state of the hole or gum. As soon as you notice a whitish muddy plaque (this usually happens a few days after removal), swipe the mouth bath with any antiseptic solution. For these purposes, an excellent drug such as chlorophyllipt. Observe the proportion of 10 drops per 100 ml of warm water.
In addition, in the first days after the procedure, avoid the use of any blood-thinning drugs (such as aspirin), as they can slow down the healing process and cause bleeding from a fresh wound.
- Avoid hot foods, alcohol, cigarettes and carbonated drinks in the first days after surgery. All of the above may damage the blood clot formed at the site of the removal, which will greatly slow down the treatment process and increase the likelihood of infection.
- In the first days after the procedure, abandon sports and sudden movements. Remember that your body has recently suffered a lot of stress and deserves a little rest.
- Brushing your teeth is allowed as early as the first day after removal. But be careful! Use a toothbrush with the softest and most delicate bristles and do not affect the area where the tooth was removed.
- In the first 2 weeks after removal, do not go to the bath or sauna and do not sunbathe in the solarium. This increases blood circulation throughout the body and can cause bleeding.
- For quick relief of aching pain, use cold. Fill a regular glove with water and place it in the freezer. Then wrap it in a paper or cloth towel and press it to your cheek. Soon you will feel the pain gradually subside. But do not use the cold for more than 15 minutes, try alternating periods of cooling and rest. It is best to take care of the preparation of the ice in advance so that you have the opportunity to quickly perform anesthesia when you arrive home after the procedure.
- If the aching pain does not subside after a few days after removal, be sure to consult your dentist. Only he can determine what the problem is. You may experience complications known as "dry hole". This means that a blood clot at the site of removal was not formed or was seriously damaged, with the result that the wound does not heal.
- Use any healing means and herbal infusions is possible only after the wound is fully tightened. Your doctor will tell you about this during a follow-up visit.
Contraindications for tooth extraction.
Despite the fact that modern dentistry is quite developed and possesses high-tech equipment for dental treatment, sometimes experts from this field still resort to tooth extraction. This procedure is performed quite rarely and only in the case when using a conservative treatment the tooth cannot be saved. Consider the main indications for tooth extraction.
In the old days it was quite common. However, thanks to the development of modern dentistry at the moment the teeth are trying to save, if there is even the slightest opportunity. Because even with significant destruction, the tooth can be increased thanks to modern materials.
But at the same time there are several cases when there are indications for tooth extraction, namely:
- acute periodontitis, in which there is no possibility to create a withdrawal of products obtained as a result of the inflammatory process;
- breaking of the whole tooth part in the place of the crown;
- in this case, only the tooth that has become a provocateur of the development of this disease is removed.
Why do I need to remove a tooth?
It is worth noting that, in part, due to the removal of a diseased tooth, it is possible to create an outflow of exudate from the thickness of the jaw, which contributes to a better treatment when osteomyelitis appears.
Quite often, indications for tooth extraction are also available when a person has an autoimmune disease. The problem is that the impossibility of quickly ridding a person of chronic periodontitis is dangerous due to the development of intoxication of the body and the exacerbation of autoimmune pathology.
As a rule, removal is recommended by therapists and surgeons, thus trying to prevent the possible risk of developing more serious complications. But orthopedists, on the contrary, recommend to save the tooth, because they are confident that for the procedure of prosthetics as a basis, the most ideal will be your own tooth.
Important reasons for deletion
But at the same time the doctor makes the final decision on the removal or preservation of the tooth in a particular case. In general, the indications for tooth extraction may be as follows:
Often it is the indications for wisdom tooth extraction that cause much controversy. But doctors believe that they do not carry any practical value for a person. Therefore, they are removed.
In what cases is a tooth extraction for periodontitis necessary?
At the moment, the removal of a tooth for periodontitis is a rarity. Since modern dentistry is equipped with the latest technology with which you can save a tooth. But while there are several cases where the removal is inevitable. Indications for tooth extraction in case of periodontitis:
- in the case when the periodontal pocket is large enough and exceeds the size of 6 mm;
- if the teeth have inflammation and caries, then there is a complete loss;
- if there is complete obstruction of the root canal;
- if there is a particle of a foreign body in the channel;
- with tooth decay by more than 60%;
- in the case when there is a suspicion that the tooth can cause a permanent septic process;
- if after a month of treatment there is no result;
- if the inflammatory process spreads quickly enough throughout the jaw;
- a tooth that has a complete loss of stability.
These are all indications for tooth extraction. The standard is as follows: during a tooth extraction, apex and tissue gum are monitored simultaneously. And after surgical manipulation has been carried out, therapeutic treatment is prescribed. In general, the healing process lasts about a week, but most often the healing begins on the first day.
What preventive measures will help avoid the development of periodontitis?
Basically, so that a disease such as periodontitis does not disturb a person throughout his life, it is advisable to carry out preventive measures from early childhood, when the children have their first teeth. It is important to understand that the inflammatory process in the tissues is much easier to prevent than to treat it later. In addition, chronic periodontitis is now observed in many people. The indications for tooth extraction in chronic periodontitis are very serious.
Preventive measures
Almost all dentists give some effective advice on how to prevent this disease.
Oral care. Regular brushing your teeth twice a day will help reduce the risk of caries, which in turn will prevent the onset of periodontal inflammation.
The main condition is the use of high-quality therapeutic toothpaste. This is exactly the case when saving on such funds is not recommended. Since it is high-quality toothpaste can effectively prevent many diseases of the dental system.
A prerequisite is the use of a quality toothbrush. This kind of weapon against many diseases will help the dentist to choose, given the structure of the gums and the condition in which the teeth are located. In addition, the toothbrush must be replaced every three months, and immediately part with the old brush.
A person's diet from an early age should consist only of healthy food, but the consumption of sweets should be limited, especially chocolate and candy.
Do not ignore regular oral examinations in the dental office. A visit to this specialist should be mandatory, even if absolutely all teeth are healthy. Do not forget that with the timely detection of the disease, treatment is much easier and easier than in the advanced stage.
With the appearance of the enemy number 1 of all mankind, caries, treatment must be made in a timely manner. Since it is caries and is the main culprit, which provokes the onset of the disease periodontitis.
Treatment of pulpitis should be timely. This rule must be observed in the case when, after the first visit to the dentist, the pain subsides noticeably. It is important to understand that inflammation must be treated until it is completely eliminated.
Conclusion
In general, the following conclusions can be made. Today, modern dentistry successfully treats periodontitis, but only if certain conditions are met by the person himself. And one of the main conditions is the attentive attitude to its oral cavity.
Pain and fear are long-obsolete associations that some people may have. Modern dentistry has a huge number of different methods and technologies with which you can cure a tooth absolutely painlessly.
It is worth adding that it is unfounded fears that are the main culprits, which only aggravate the development of all inflammatory processes in which periodontitis can result in a rather serious complication. A modern person is simply obliged to have a beautiful smile with healthy teeth, since it is she who is the hallmark of a person.
Watch your mouth and give a smile with white teeth.