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Vakkas may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned. We would like to show you a description here but the site won’t allow us. Free download email extractor pro download link http://specialdownload.ir/?p=552.
You and may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired.
Other teeth may need removal because they are poorly positioned in the mouth (such as ), or in preparation for orthodontic treatment. The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health. To avoid these complications, in most cases, Dr. Vakkas will discuss alternatives to extractions as well as replacement of the extracted tooth. The Tooth Extraction Process At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic. During the extraction process you will feel a lot of pressure.
This is from the process of firmly rocking the tooth in order to widen the socket for removal. You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected. If you do feel pain at any time during the extraction please let us know right away. Sectioning a Tooth Some teeth require sectioning.
This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time. After Tooth Extraction For details on, see the page under “Surgical Instructions”. My older son needed a tooth extraction a few years ago and we were very pleased then with the staff and procedure.
This time, my younger son needed two teeth extracted and he is an anxious child. So even though the doctor discussed the procedure with us ahead of time, the day of the extraction, my son was nervous, teary, asking a lot of questions and wanted me by his side (not normally done). Vakkas and his staff worked it out so that I could be right outside the room and talk to my son while he had the procedure to help calm him and get him through it. The procedure was quick and efficient, (the anticipation is what was stressful for my son) and the staff was patient, kind, understanding and accommodating. I would recommend this office to anyone who needs oral surgery; they go above and beyond to make it the best experience possible for the patient. Professional and excellent in every way!
- Christine A.
The treatment plan is set up according to the following examinations and findings: Local findings condition of tooth (degree of decay and/or loosening) Extended local findings condition of dentures (crowding, chronic periodontitis, existing dentures) General findings Patient's health condition With regard to the patient. patient's own wishes (aesthetics, phonetics). motivation/Compliance. financial context Alongside the radiological examination with regard to root anomalies, the prerequisite for successful tooth extraction is a pre-operative inspection of the tooth to be extracted. Omission of this inspection may easily result in crown fracture (Gaisbauer 1997).
Consideration of alternative treatment options. If at all possible, every effort should be made to preserve a tooth - as opposed to extraction. Teeth should be extracted if they cannot be preserved by conservative, periodontal, prosthetic, orthodontic or surgical measures, or if their preservation makes no sense with regard to general findings, extended local findings and the particular local circumstances (Gaisbauer 1997). The patient information about diagnosis, treatment and risks is legally relevant. Preservation extent of peri-apical inflammation and root configuration → is root canal treatment possible and promising? Surgery extent of deterioration and success of root canal treatment → is apicectomy promising? → might hemi-section or root amputation be a sensible option?
Prosthetically type and extent of deterioration of the clinical crown → Is it possible to replace the tooth with a crown, whether pin-retained or not? Periodontological status of the periodontium → Is it advisable to try and preserve the tooth? A preservation-based approach to treatment is clearly indicated where periodontal disease is concerned as systematic periodontal treatment has made substantial progress in the last few years and often leads to a general improvement of the patient's health. Systematic periodontal treatment is also not to be omitted if the patient reports pain in loosened incisor teeth at the beginning of treatment. However, this is only advisable if what is known as progressive periodontal disease has been diagnosed (Gaisbauer 1997). Orthodontic condition of root and retained denture → extrusion of root and (pin-retained) crown, mesialization/distalization of teeth, dental arch extension Prosthetic and orthodontic aspects may justify the extraction of a healthy tooth; this is another orthodontic treatment option.
Tooth extraction may be a viable alternative within the context of orthodontic or prosthetic treatment (Gaisbauer 1997). As a general rule: Any time surgery is considered there has to be a relevant indication, i.e. Whenever a tooth is to be extracted. Extracting a tooth without the relevant indication is unsound (Gaisbauer 1997). For the following findings there is no sensible alternative treatment option:. teeth severely damaged by caries, retained roots. teeth severely damaged by periodontal disease.
teeth with peri-apical infections that can neither be preserved endodontically nor by surgery and have caused an extensive inflammation (e.g. Of the maxillary sinus or the soft tissue) or a cyst #pic#. teeth damaged by trauma (multiple fractures, longitudinal fracture, extensive bony defect in the periodontal region) #pic#. In case of crowding or impeded eruption, milk teeth and permanent teeth should be extracted for orthodontic reasons.
#pic#. during prosthodontic treatment in order to maintain normal occlusion (elongated or heavily tilted teeth, particularly with previous contacts). during tumor surgery, teeth located within the area of the tumor.
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Important! Caution is advised when considering extractions in the course of focal restoration (in cases of neuralgia, extraction is often performed without clinical and radiological findings). The extraction of (often vital) teeth due to trigeminal neuralgia (prosopalgia) (which is often incorrectly diagnosed) without sufficient evidence that the tooth is the cause is not indicated (Gaisbauer 1997). If a focal infection is suspected, the decision for or against extraction very much depends on the underlying disease. For example in cases of endocarditis, acute rheumatic fever or acute glomerulonephritis, removal of suspect teeth should be carried out without hesitation. Prophylactic extraction of teeth that may cause infectious complications or bodily harm constituting an unnecessary risk to therapy if the teeth are not extracted. General medical indications #pic#.
tooth restoration prior to organ transplantation (protective measure to prevent transplant rejection by odontogenous germs during immunosuppression). tooth restoration prior to radiation or chemotherapy (e.g. As a protective measure to prevent chronically infected osteoradionecrosis). tooth restoration prior to heart-valve surgery (endocarditis prophylaxis) Strategy for tooth restoration prior to radiation therapy.
extraction of impacted and dislocated teeth. extraction of teeth not worth preserving:. e.g. Periodontally damaged teeth. teeth with apical changes. teeth with apical changes after root treatment.
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teeth not worth being preserved from a prosthetic point of view. reduction of sharp bone edges during extraction. liberal indication approach regarding extraction of the molars, particularly those in the mandible.
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however, extraction is not indicated for each and every tooth after root treatment: Teeth without apical changes with sufficient root canal filling material may remain unextracted. Odontonecrotic teeth should be treated with an adequate root canal filling. tooth-preserving treatment (filling therapy).
periodontal treatment. preservation of caries-free and periodontally healthy canine teeth and pre-molars. individual extraction scheme. inter-disciplinary co-operation Local indications.
tooth in fracture cleft/tooth in the region of an osteotomy line, e.g. Contra-indications for an extraction are usually temporary and concern the general medical suitability of the patient for surgery (bleeding tendency, immunosuppression, condition following myocardial infarction. Planned and prepared tooth extraction is preferable for all those involved. In order to eliminate acute pain, or to treat an initial or spreading inflammation, it will be necessary to perform the surgical procedure during an acute or sub-acute stage. Immediate.
acute tooth pain. initial and severe inflammatory complications of general disease(s). within context of orthodontic treatment (crowding, impeded eruption) postpone.
acute infection (abscess). general health is poor (immunosuppression, chemotherapy) - antibiotic treatment/thrombocyte concentrates prior to extraction, if necessary. Extract wisdom teeth before completion of orthodontic therapy. Electronic principles malvino bates. To keep in mind regarding milk teeth.