Dentalclinic- Medical CANNABIS s.r.o.

TOOTH EXTRACTION

DearMadam, dear Sir, dear parent:

Your dentist came to the conclusion that one or more of your teeth (of your child’s teeth)needs to be extracted. Prior to the extraction this informed consent containing basic information about the planned operation, about its possible risks, instructions for upcoming post-extraction days and possibilities of potential substitution of the missing tooth (teeth) is submitted to you. This information should help you decide on the consent with the planned operation as well as prevent eventual complications afterwards. Details of the operation and of your health conditions will be consulted with you by the dentist personally prior to the operation.

REASONS FOR TOOTH EXTRACTION

  • Dental crown is damaged by cavity or injury so that it cannot be repaired orrestored.
  • Tooth (especially a multiple-root one) was the cause of extensive face tissue inflammation and it is dangerous to leave it in the jaw.
  • Periodontic reasons (extensive damage of tooth suspension system and the surrounding bone, significant loosenessof the tooth etc.)
  • Orthodontic reasons - tooth extraction is necessary to align the entire dental arch.
  • Prosthetic reasons- the tooth blocks making suitable denture (fixed or removable one)
  • The tooth did not come through for some reason and it is the cause of various problems.
  • There is a bone fracture going through the dental socket.
  • The tooth root is broken and it cannot be used for prosthetics.
  • The tooth is the source of strong pains that cannot besolved medically.
  • The tooth is situated at the point of planned surgical removal of an extensive cyst or other pathologic deposit in the jaw, and has to be removed.
  • The tooth with an infected root canal is the cause of inflammatory bone deposit at the root apex that endangers the patient’s health or life when he/she suffers from a serious systemic disease such as impaired immunity etc.
  • Other reasons:

METHOD OF EXTRACTION EXECUTION

Tooth extraction is the most common surgery operation in dental medicine. It means to remove the entire tooth including all its roots under local anesthesia. If required by circumstances the wound may be stitched. The stitches are then removed after ca. 7 days; some stitching materials are absorbed.

Non-complicatedsimple extractions do not mostly limit a healthy patient in his/her normal life, in execution of his/her job and there is no need to prescribe any antibiotics or other drugs. The wound after tooth extraction healsfor quite a long time – soft tissues for some weeks, the bone is re-built after some months.

INCIDENCE OF COMPLICATIONS

As with each surgery various complications may occur during the extraction or afterwards. Some of them are more common, while others not. Most of them are affected by unsuitable anatomicconditions of the tooth root or jaw bones.

Most common complications incurred during the operation:

-Injuries of tongue or soft tissues around the tooth socket caused by extraction tools heal on their own, or they may be stitched by the dentist. Eventual minor injuries of socket bones are treated in the same way.

-Bleeding during the operation occurred from various reasons is treated by a stitch and special agents applied to the wound.

-The most often complication is tooth root break off. The remaining part of the root will be removed by the dentist with special tools. If it fails the root has to be pulled surgically by lifting off the gum and oral mucosa and by drilling off a part of dental socket bone. The wound is stitched after this treatment.

-Invasion into maxillary asinus during the extraction of side teeth of the upper jaw where its bottom may be very thin or weakened by inflammation. The wound occurred mostly in the place of the weakened asinus bottom (sometimes even by long-term inflammation) is usually covered by surrounding mucosa and secured by a stitch. If root invasion occurs it is necessary to handle the situation at a specialized surgical clinic.

-During surgical tooth extraction injury of lower jaw nerve or tongue with following long-term numbness or tingling of a part of tongue or lower lip may occur.

-Lower jaw fracture during the extraction is quite rare however it requires treatment at a specialized clinic.

-Aspiration of the tooth or a part thereof is extremely rare however it also requires specialized treatment. Swallowing of a tooth leaves consequences.

COMPLICATIONS OCCURRED AFTER TOOTH EXTRACTION:

Wound bleeding which might occur in short hours or days after the extraction mostly relates to general disease or to some drugs you take such as Warfarin, Pelentan, Pelentanettae, Anopyrin,Acylpyrin, Ibustrin, Ticlid etc.

Dental socket inflammation “dry socket” occurs on average after ca. 5% extractions, more often in thelower jaw, and manifestswithstrong pain in the wound. Its treatment takes usually some days. Sporadically inflammation of periosteumand soft tissues around the jaw bones may occur.

WHAT TO CONSIDER PRIOR TO EXTRACTION

If you regularly take any drugs keep taking the prescribed quantity also at the day of the extraction or eventually follow other recommendation of your doctor.

A week prior to the extraction do not take any analgesics containing the acetylsalicylic acid and similar substances such as Acylpyrin, Aspirin, Aspro, ASS-C, Thomapyrin, Superpyrin, Upsarin, Alnagonapod. Do not forget to have breakfast before the extraction – you might prevent fainting.

WHAT TO DO AFTER EXTRACTION?

In the days following the extraction the wound may be painful (you may reduce pain by applying ice packs and taking prescribed or recommended drugs). If the pain persists for more days or is more intensive visit your dentist. At the day of extraction do not rinse your mouth, of course you may eat and drink (however try to eat softer food and bite on the healthy side). Smoking and drinking alcohol is not recommended. In the first hours after the extraction your lower lip, face or a part of your tongue may be insensitive. Please, be careful while eating. Especially children may bite their insensitive tongue, lip or face mucous membrane. It is important to brush your teeth normally after the extraction, just be more careful around the extraction wound. Rinse your mouth carefully; intensive rinse might release the blood clot which serves as extraction wound’sbandage. Take drugs prescribed by your dentist as well your regular drugs if not decided by the dentist otherwise. The second day you may start rinsing your mouth with chamomile or agrimony solution. Pain and swelling must not lead to limitation of fluids intake. If the tooth was extracted in a surgical way it is necessary to cool your face by putting ice packs above the operated area (ca. 15 to 20 minutes with 20 to 30 minute-break). Ice packs in later phase are not suitable any more. If the pain is stronger, the swelling bigger or in case of raised body temperature, heavier wound bleeding or other problems, please contact your dentist or dental emergency.

WHAT ARE POSSIBLE DENTAL SUBSTITUTIONS?

After a tooth extraction a space between teeth occurs or the whole arch may be shortened. There are more possibilities how to fill in the space and it depends on the condition of the surrounding teeth, the whole dentition, and the jaws. Permanent solution is possible when the wound is fully healed, that means in 2 to 3 months at earliest. In between this period a provisional fixed or removable denture may be chosen, most often from esthetic reasons.