How to remove teeth: basic methods of tooth extraction

• Main indications and contraindications
• Complex tooth extraction: features of the procedure
• Tools used
• Healing process after surgery
• Complex tooth extraction in Moscow: reviews of treatment at A-Medic

There are two main types of tooth extraction in dentistry - simple and complex.
The first is used when it is necessary to remove teeth with one root, and the second when the root has a complex structure and several branches. During complex surgical interventions, special instruments are used. Tooth extraction in Moscow is performed by the reliable dental clinic “A-Medic”. The company's employees have high professionalism and extensive experience, which allows surgical intervention with minimal risk of complications. The clinic is equipped with modernized equipment, thanks to which all stages of the procedure are controlled. The cost of a complex tooth extraction in the clinic is only 3,500 rubles.

Main indications and contraindications

Complex removal is required in a number of complex clinical cases when it is not possible to perform surgical intervention using standard techniques and instruments. Very often it is carried out in relation to the last painters (“eights”). As a rule, they do not have enough space, against which they begin to grow incorrectly (for example, erupt towards the cheek, injuring the mucous membrane), slowly erupt, accompanied by painful sensations. The last molars do not participate in the chewing process, so most often the dental surgeon decides to remove them in such situations.

Complex surgical procedures are resorted to in the presence of a chronic inflammatory process, against the background of which the bone tissue and the molar or premolar itself have fused. A complex operation cannot be avoided if the molar has several roots or its area is severely curved. Benign neoplasms (for example, granulomas or cysts) are often an indication for removal if the tooth is destroyed and there is no point in trying to restore it. Sometimes a complex extraction of a previously treated tooth is performed several times. This is due to the fact that it is not durable, its density is weakened, and it is capable of cracking.

As with any surgical intervention, there are a number of absolute and temporary contraindications to complex removal of molars or premolars. Among them:

• diseases of viral etiology;
• serious deviations from the cardiovascular system;
• pregnancy and lactation;
• blood diseases (anemia, poor clotting, leukemia);
• chronic pathologies during exacerbation;
• recent strokes and heart attacks;
• serious mental disorders (schizophrenia);
• long-term use of medications that affect blood clotting.

In what cases should teeth not be removed?

Contraindications to the operation are:

• acute infectious diseases;
• menstruation in women;
• hypertensive crisis, severe arrhythmia and other cardiac disorders;
• I and III trimesters of pregnancy;
• taking medications that reduce blood clotting;
• hemophilia and other blood diseases;
• epileptic seizures;
• schizophrenia and other mental illnesses.

If the listed pathologies and conditions are identified, the issue of tooth extraction is considered on an individual basis.

Complex tooth extraction: features of the procedure

Before performing a surgical intervention, the specialist prescribes the necessary diagnostic examination (instrumental and laboratory) to the patient. First, he is sent for an X-ray examination. Using this technique, it is possible to assess the general condition of the root system and clearly see the location of the tooth in the jaw. For a more detailed analysis, obtaining images of various dental structures layer by layer, computed tomography is prescribed. It makes it possible to detect in advance the factors complicating the surgical intervention, to establish the approximate time and complexity of the procedure.

Removal of a molar or premolar is always performed under the influence of an anesthetic. To avoid negative consequences, it is recommended to first visit an anesthesiologist to identify a possible allergic reaction to a particular substance. To determine contraindications (for example, exacerbation of a chronic disease), it is recommended to undergo laboratory diagnostics - a general blood test. In the absence of contraindications, they proceed to surgical intervention. The procedure and technique for implementing the removal technique are as follows:

1. Conducting anesthesia. Depending on the age, neglect of the clinical case and the general physical condition of the patient, local or general anesthesia with a potent drug may be used.
2. Incision of soft tissues and separation of gums.
3. Sawing out a small area of ​​bone tissue and the coronal part, sawing the septum (only if necessary).
4. Gently rocking the tooth using special tools and removing it completely.
5. Applying sutures to the gum area.

If the wisdom tooth is located next to the mandibular nerve, the procedure becomes a little more complicated. This is because its roots are able to surround the area of ​​the nerve. In such a situation, the roots are divided and removed with extreme caution so as not to touch the nerve. To carry out high-quality surgical intervention, a qualified dental surgeon is required.

Reasons for visiting a dental surgeon

Timely surgery helps stop the spread of infection and inflammation. Relieves the patient from pain and discomfort. Therefore, do not hesitate to contact a specialist if:

• the gum is swollen and inflamed, pus is released from the place where it joins the tooth;
• Most of the crown is destroyed, destructive processes have also spread under the gum;
• third molars, which are called wisdom teeth, are cut with difficulty and pain;
• the child has a shortened frenulum of the tongue, and this prevents him from swallowing, eating and speaking;
• the teeth do not sit securely in the sockets, there are symptoms of inflammation of periodontal tissues.
• Modern surgical dentistry has a whole arsenal of traditional and progressive techniques. To use them, our clinics in Moscow have all the necessary equipment and tools.

Tools used

If a simple elimination requires only two main tools - forceps and an elevator, then in the case of a complex elimination everything is a little different and much more auxiliary devices are required. The instruments are specially developed for dental surgery, which allows all manipulations to be performed without causing severe harm (the level of mechanical damage is minimized).

To extract a molar or premolar, forceps, a bur, an excavator or an elevator are used, and during surgery a scalpel, hammer, scissors, and chisel are used. Let's take a closer look at what the role is and in what situations each of the tools is used.

• forceps. They are used in situations where the coronal part has been preserved and the roots are located in such a way that they can be grasped with an instrument. The specialist sets the axis of the crown to align with the axis of the forceps. For each group of teeth, forceps of a certain shape are designed, having a working part - cheeks, handles, lock;
• elevator. It is used in relation to molars (particularly the eighth) and premolars in the upper jaw. If necessary, using this instrument, the dental surgeon loosens the tooth (or its remains) along with the root, after which it is dislocated with forceps and removed from the gums;
• excavator. According to the principle of operation, it is similar to an elevator; it is used for deep fractures of a molar or premolar. It has an angular working surface, making it easy to penetrate into the hole;
• bit. It is used to eliminate the outer wall of the alveolar process. It is often necessary in a situation where a tooth breaks off and it is not possible to get it out using an elevator or excavator;
• hammer. Its help is resorted to in cases where a tooth is removed using a chisel. The dentist places the instrument in the area between the root and the hole, and at this time his assistant, using a hammer, makes several blows to this area;
• scalpel. Often, complex removal requires making a small incision with minimal trauma. For this purpose, a scalpel is used;
• drill. A drill is usually used during separation, removal of multi-rooted teeth, or removal of bone tissue surrounding a molar or premolar. In such situations, the dental tissue is sawed and removed piece by piece. This is not a simple procedure; it requires sufficient qualifications of a specialist. It is more advisable to resort to it if the root canals have already been previously filled or when the last molar is growing incorrectly (in a horizontal position).

A-Medic dentistry practices complex tooth extraction in Moscow. Qualified specialists work here. For high-quality removal during surgical intervention, the above-described instruments are used. Additionally, the clinic provides all necessary manipulations and services: hemostatic sponge, anesthesia (conduction, infiltration, application), preparation, dressing (using Trichopolum or Alvogil), removal and application of sutures. To make an appointment, just call the numbers provided or fill out an application on the clinic’s official website, after which the administrator will contact you.

What is the difference between complex removal and simple removal?

• The first difference is that complex removal takes much longer. A dentist can simply remove a tooth in 5–10, or maximum 20 minutes. But complex removal sometimes lasts for half an hour or even an hour.
• The second significant difference is the use of special tools. For simple removal, forceps are usually sufficient; for complex removal, elevators and other tools are used. Sometimes they look threatening, but in fact they are designed to cause as little discomfort to the patient as possible and minimal trauma to the tissue.
• The third difference is the need to cut the gum. With a simple extraction, it is usually enough just to pull out the tooth, but with a complex extraction, parts of it are hidden deep under the gums - in the bone, so you have to make incisions and then apply sutures. This, in turn, leads to a more difficult and longer recovery period.
• The last important difference is that after a complex extraction, the gums hurt more, and the risk of complications is higher. Therefore, it is important to take all medications prescribed by your doctor and maintain good hygiene.

Healing process after surgery

After surgery, the recovery period begins. The duration of its continuation is individual, as a rule, 1-2 days. In particularly advanced clinical situations, negative symptoms may persist for about 5-7 days. After a few hours, the effect of the anesthetic wears off, causing the patient to experience severe discomfort. If the pain is pronounced and does not go away on its own, experts prescribe non-steroidal anti-inflammatory drugs and analgesics.

The day after the operation, redness and slight swelling may occur in the area affected by surgical instruments. It gradually goes away on its own when the blood supply to the area is normalized. Sometimes the patient needs to take antibacterial agents (as prescribed by the attending physician).

Immediately after tooth extraction, bleeding may occur. This is due to the fact that a small bloody clot appears in the formed hole. Most often, it can be stopped in the dental chair, but for some, the hemorrhage continues for another 1-2 days. Prolonged bleeding may be due to a number of factors, such as high blood pressure or a bleeding disorder.

To avoid the appearance of hemorrhagic syndrome, it is important to strictly follow all the instructions of the surgeon. People suffering from hypertension are advised to drink motherwort tincture before tooth extraction. With its help, the functioning of the nervous system is normalized and there will be no surges in blood pressure. To monitor the healing process after surgery, you need to see a dental surgeon on days 5-7. There is usually no need to remove sutures as they dissolve on their own. To avoid complications during the recovery period, the following measures are required:

• During the first days, it is recommended to brush your teeth with a soft brush and be especially careful so as not to touch the soft tissues. This will avoid bleeding;
• You should not eat food for the first 2-4 hours. Throughout the entire recovery period, only soft foods and drinks at room temperature are recommended. Chewing on the operated side is prohibited;
• do not rinse your mouth or take baths for the first 24 hours;
• do not undergo strenuous physical activity. Such actions cause an increase in blood pressure, which can lead to hemorrhage.

Prices for services

Simple permanent tooth extraction from RUB 2,000.

Complex permanent tooth extraction from RUB 3,000.

Tooth extraction with detachment of the mucoperiosteal flap from RUB 3,500.

Inspection after removal 0

Removal of 1st supernumerary tooth from RUB 3,000.

Removal of a dystopic tooth from RUB 4,500.

Removal of impacted and dystopic teeth from RUB 5,000.

Removal of a tooth fragment from RUB 1,000.

Removal of a baby tooth from 700 rubles.

Initial doctor's appointment 0 rub.

Complex tooth extraction in Moscow: reviews of treatment at A-Medic

Olga, 41 years old. Last month I had an operation to remove a tooth at A-Medic dentistry. I made an appointment with Ziyad Ganiev without any problems. He is a true professional in his field. The procedure was successful, the doctor gave recommendations, followed them completely, and there were no complications.

Pavel, 27 years old. For several years now I have been receiving treatment only at the A-Medic clinic. Recently my wisdom teeth started to erupt and hurt a lot. The doctor advised to remove it. Removal took place quickly and without any discomfort. I recommend A-Medic dentistry to everyone.

Natalya, 32 years old. "A-Medic" is my favorite dentistry. The atmosphere in the room is pleasant, the doctors are experienced, making an appointment is not difficult. The other day I needed to remove the eight. My friends told me that this would be a difficult and painful operation. I signed up for removal with the Blazhentseva Rada. The operation took place in just a few minutes, and the recovery period took only two days.

Types of interventions

Our dental surgery provides services such as:

• tooth extraction (removal), simple and complex;
• treatment of root cysts by cystectomy and cystotomy;
• therapy of inflammatory processes in the oral cavity, such as periostitis, abscesses, phlegmon;
• installation of implants in the jaw to replace missing teeth;
• performing sinus lifting and other osteoplastic operations;
• treatment of benign oral tumors and granulomas;
• surgical correction of lip and tongue frenulum;
• plastic surgery on soft tissues of the oral cavity;
• partial or complete root removal and other operations aimed at preserving the tooth.

All surgical procedures are performed using high-quality anesthesia, modern medical equipment and effective medications.