The man lost his wisdom tooth and died two weeks later

A day later, he died from suffocation and extensive purulent inflammation of the throat and face.

Igor’s uncle came to the editorial office of “Nasha”. The strong man could hardly hold back his tears: talking about how, as a result of a banal tooth extraction, his family lost a loved one was incredibly difficult.

There are, on average, fifty such extractions a day in the city dental clinic, but this tooth turned out to be truly fatal for everyone.

“I don't care about anyone being punished. “You can’t bring Igor back,” Nikolai said, trying to hide his pain. “I just want our grief to serve as a good lesson to other people.” So that they can demand, defending their rights.”

Indications for removal of eighth teeth

wisdom teeth

• A pronounced tilt of the figure eight towards the seventh tooth or cheek.
• Hypercementosis (excessive deposition of secondary cement, in which the tooth root thickens and becomes deformed).
• Incomplete eruption of the tooth or its location in the bone (retention).
• Destruction of the crown or roots of the figure eight, as well as neighboring teeth (after injury or caries).
• Granuloma (granulation in the form of cystic sacs with pus located in the periodontium).
• Rotation of the tooth around its axis or horizontal position (dystopia).
• Deformation of the roots (they can bend in every possible way, even twist into a spiral or form an angle of 90°).
• The close location of the roots of the upper eights to the nasal maxillary sinuses.
• In the presence of pericoronitis (an acute inflammatory process in the area of ​​the eruption of the figure eight, accompanied by pain and an increase in ESR in blood tests).

Occurrence of complications

• difficult access;
• frequent retention;
• unpredictable structure;
• features of the location of the mandibular alveolar nerve.

Are common

Painful sensations

Swelling of the tissues of the face and neck

• swelling of the lymph nodes;
• discomfort when swallowing;
• painful sensations during mouth movements, radiating to the ear.

Hematomas

Alveolitis

complications after wisdom teeth removal

• the gums swell and turn red;
• local pain and headache are observed;
• sore throat;
• the temperature rises, muscle aches appear;
• lymph nodes become inflamed, most often the submandibular ones.

• increased persistent temperature;
• poor general health;
• severe migraine-like pain;
• nausea;
• other signs of intoxication of the body.

Increased body temperature

A slight increase in body temperature to 37.5-38 °C also often occurs in the postoperative period. This complication occurs due to a reaction to inflammation. The temperature should completely return to normal within the first day, and if it continues to rise and rise, it means that more serious pathologies have arisen and you need to go to the hospital again.

Bleeding

• rupture of large vessels;
• capillary fragility;
• hypertension.

Damage to the roots of adjacent teeth

Flux

• redness, suppuration and swelling of the gums;
• severe shooting pain;
• temperature increase;
• weakness.

Others

• displacement of the seventh tooth (2 molars);
• mouth rupture; cut gums or cheeks;
• jaw injuries.

What to look for

The most serious consequences that can occur after wisdom tooth removal:

• Alveolitis. This is an acute inflammatory process. It begins in the tooth socket and gradually spreads to other gum tissues. The most common reason for the development of alveolitis is improper care after removal.
• Paresthesia. Develops when the root of the jaw nerve is damaged or irritated. Manifested by a feeling of tingling, burning, numbness.

To avoid developing serious problems, monitor your oral health. The first symptoms are not difficult to replace:

• Bleeding from the socket. This is not always a sign of complications. Immediately after removal this is a normal reaction of the body. In the first minutes after tooth extraction, bleeding will be slightly heavier. The dentist treats the wound with antiseptics and packs it. After some time, the bleeding stops. Slight bleeding persists for 2-3 hours. This is also normal. You should pay attention to bleeding if it is profuse and begins several hours after removal. In this case, contact a specialist immediately.
• Swelling and pain. This is also a natural reaction. Pain occurs as the anesthetic wears off. Normally it lasts 2-3 days. At the same time, the gums swell slightly. You should sound the alarm if the swelling transfers to the cheek. In complex cases, the tumor can be very large. Severe swelling is one of the symptoms of alveolitis.
• Fever. On the first day after removal, the temperature rises to 37 degrees. Such an increase is within normal limits, especially if the operation was complicated. When the temperature lasts more than a day or rises strongly, this is a symptom of inflammation. To prevent the inflammatory process from spreading to neighboring tissues, visit a dental clinic.
• Suppuration. The inflammatory process, accompanied by suppuration, has pronounced symptoms. Suppuration is indicated by a putrid odor from the mouth and an unpleasant taste. When examining the tooth socket, you may notice gray plaque or white purulent contents. In this case, you need to go to the dentist immediately.
• Headache. Immediately after wisdom tooth removal, headache is normal. It is caused by stress and anesthetic drugs. If the headache is severe and is accompanied by fever, swollen lymph nodes, and weakness, we recommend visiting a doctor.

In Orenburg, a schoolgirl died after dental surgery

In Orenburg, a nine-year-old schoolgirl died after a routine dental operation. This was reported by the Investigative Committee of Russia for the Orenburg Region.

According to the Orenday.ru portal, the child was bothered by painful sensations in the mouth due to the fact that the supernumerary tooth interfered with the growth of the molar. The girl needed surgery, but it was postponed for a long time due to the coronavirus pandemic.

As a result, the doctors still asked to bring the schoolgirl to the clinic. On September 23, a family friend brought her there because her parents could not take time off from work. On September 24, the operation began - as the dentists said, the procedure was ordinary and absolutely safe.

The patient had an extra tooth removed, but then problems began - doctors could not bring the schoolgirl out of anesthesia. Their efforts were unsuccessful - the girl died.

“After the operation, due to hyperthermia, she was urgently transferred to intensive care. Doctors tried to save the girl, carried out the necessary measures, but at 13:10 the death of the minor was recorded,” said the investigative department of the Investigative Committee of Russia for the Orenburg region.

The child's parents immediately contacted the police and prosecutor's office. Investigative Committee staff conducted a survey at the hospital. An autopsy of the girl's body was performed in the presence of a prosecutor. The results of the examination are now awaited. At the same time, law enforcement officers do not rule out that the schoolgirl died due to the intervention of doctors.

In addition, investigators opened a criminal case under Part 2 of Article 109 of the Criminal Code of the Russian Federation - causing death by negligence due to improper performance by a person of his professional duties. They are currently working with the staff and management of the clinic, and documentation that may be related to the incident has been seized.

“To objectively establish the circumstances of the incident, the prosecutor’s office will have to draw conclusions about the hospital’s compliance with all necessary standards and requirements, including information interaction with certain services,” the prosecutor’s office noted.

Earlier, on March 6, 2021, in Penza, a traumatologist, due to whose mistake a six-year-old boy died, was sentenced to one and a half years of restriction of freedom with further deprivation of the right to practice medicine for two years. This was reported to the RF IC.

A six-year-old boy was admitted to the Penza emergency room on October 6, 2018 with complaints of pain in his right hand. The doctor, who was acting as the head at that time, diagnosed the child with a “fracture of the right arm,” but did not pay attention to the temperature and swelling that appeared in the patient.

According to the Investigative Committee, he underestimated the severity of the injury and did not admit the boy to the hospital to conduct a detailed diagnosis to clarify the diagnosis. Instead, the traumatologist put him in a cast and sent him home.

The boy’s father told the Our City Online portal that by the evening his son’s temperature reached 40 degrees. The fever subsided only after the injection, which was given by emergency doctors. On the morning of October 8, the parents went with the boy to another doctor. “He said that the child’s arm had been put in a splint, and he re-wrapped it,” the father reported.

According to him, by the evening the hand swelled even more, after which the parents again called an ambulance. However, this time they were completely dissuaded from hospitalization.

“At one o’clock in the morning the convulsions began. The son was taken by ambulance to the regional children's hospital. The doctors fought for his life for three hours, but it was too late,”

- said the father.

The boy died at night in the Penza regional hospital named after. Filatova. In the report of the Investigative Committee of the Investigative Committee, the cause of death was named acute liver and heart failure, which developed due to the syndrome of prolonged compression of the soft tissues of the hand.

The godfather of the deceased child clarified that calling an ambulance for the boy was problematic. “Four ambulances didn’t take him, only the fifth took him,” he explained to the Our City Online portal.

The man believes that the director of the emergency room is to blame for what happened. “There was a fracture of his arm, they put him in a plaster cast, tightened it, because of this, tissue necrosis began and intoxication went to the brain,” the godfather wrote in the Penza Live community on the Vkontakte social network.

On March 6, 2021, the Leninsky District Court of Penza sentenced the head of the trauma center under the article “Causing death by negligence due to improper performance of professional duties.”

Why complications arise

Removal of a wisdom tooth performed by an experienced surgeon in a healthy person rarely leads to complications. There may be some discomfort, but it goes away quickly. Serious consequences can occur for various reasons. The most common is improper care. Provoking factors may be:

• Dental diseases. Caries on neighboring teeth, inflammation of the mucous membrane and other diseases can lead to the transfer of pathogenic microflora into the socket. As a result, the wound becomes inflamed.
• Reduced immunity. Removing a wisdom tooth is a surgical procedure. When immunity decreases, recovery takes longer.
• Systemic diseases. Hypertension, blood clotting problems and other cardiovascular diseases can lead to various problems, such as bleeding from the socket.

Medical errors can also lead to complications after wisdom tooth removal:

• Violation of operation regulations.
• Violation of antiseptic rules.
• Not completely removed root, etc.

Removing a wisdom tooth is a complex operation, so you should not trust your health to an inexperienced dentist. Our clinic employs highly qualified surgeons. Therefore, you do not have to worry that serious pathologies will develop due to medical errors.

Differences between figure eight removal on the lower and upper jaws

Removing a third molar in the lower jaw is considered a more complex procedure than removing a wisdom tooth in the upper jaw for a number of reasons.

1. Access to the lower molars is more difficult than to the upper ones.
2. The lower jaw bone is more massive and dense, it holds the tooth more firmly.
3. The pressure on the teeth of the lower jaw is greater than on the upper teeth, so the roots of the lower molars are more developed. In addition, due to improper growth, they can be curved or misaligned.
4. It is easier to perform local anesthesia from above, and anesthesia from the bottom often involves the muscles of the face, tongue, throat and ears.

All this makes the procedure for removing the 8th tooth from below a difficult task. If the upper molars in most cases can be easily rocked and pulled out with special forceps, then the lower molars often have to be removed in parts, cutting with a drill.

How to care for a hole

Immediately after the procedure, you can apply ice to your cheek to relieve pain and swelling. For severe pain, you can take an analgesic. During the healing period, follow these simple rules:

• Do not rinse your mouth with any solutions unless prescribed by your dentist.
• The tooth socket should not be touched with hands or a toothbrush.
• Avoid physical activity and do not go to the sauna until the wound is completely healed.
• Take medications prescribed by a specialist.
• Do not drink alcohol, as it can cause bleeding.

The surgeon will give you detailed recommendations after the operation. If you notice symptoms of complications, contact your dentist immediately. At our clinic, please contact the doctor on duty for help.

Complications after wisdom tooth removal can occur almost immediately after the operation. Some of them are natural, since removal is a complex surgical procedure, “eights” are located in hard-to-reach places, and they have large roots. But sometimes complications can make themselves felt within six months, and they provoke diseases of the gums, adjacent teeth, bones and even joints. To prevent such problems, you need to know the first signs of pathology and urgently contact an experienced dentist.

Fact

“Nasha” contacted the Health Inspectorate regarding the incident. Here they explained to us that Igor Dubovsky’s relatives must write a statement, which they can submit to the Latgale branch of this inspection. But it’s better to send him to Riga right away.

“I have already warned my colleagues about this case, and we are waiting for their statement,” the Health Inspectorate employee told us at the end of the conversation.

We remind you that you should send your complaints to the Health Inspectorate at the following address: Klijānu iela 7, Riga, LV-1012, Veselības inspekcija. Contact phone: 67819671; fax: 67819672. Email address; website www.vi.gov.lv.

Main consequences after wisdom tooth removal

1. Dry socket is a consequence that occurs due to the doctor using anesthetics and vasoconstrictor drugs at the same time. As a result, the arteries become spasmed, and a blood “sac” (clot), which is required for natural wound healing, does not form in the socket. .
2. Pain in the socket area is a common condition that can last up to five days. If the pain does not go away, and after five days it becomes more active, you should urgently consult a doctor.
3. alveolitis - inflammation that occurs due to the presence of infection in the oral cavity, tooth fragments;
4. pointed edges of the alveoli are a consequence of unprofessional removal of the “eight”;
5. osteomyelitis of the socket is a consequence of poor wound treatment in the first hours and days after surgery;
6. exposure of the alveolar zone - an injury against which part of the bone is exposed;
7. neuropathy of the alveolar nerve - when, during the elimination of the “8”, the nerves of the lower jaw were affected.
8. The formation of abscesses and phlegmon is a common phenomenon that develops as a result of infection during surgery or wound treatment. An acute inflammatory process develops in the tissues, and a sac with purulent contents forms. The patient feels severe pain, the tissues in the surgical area become denser, the pain becomes throbbing and acute, the body temperature rises, the head feels dizzy, and the cheek puffs out.

Frequent complications after removal of a wisdom tooth in the upper jaw: alveolitis (inflammation of the socket), hematomas (when the doctor damages a vessel), bleeding (this area is abundantly supplied with blood), damage to the bottom of the sinus. jaws, swelling and inflammation of tissues.

Common complications after removal of a wisdom tooth in the lower jaw: gumboil, damage to adjacent nerve endings, bleeding, stomatitis, cysts, etc.

Signs of complications after wisdom tooth removal:

• the wisdom tooth socket becomes brown, sometimes acquiring a bluish tint;
• increased pain;
• swelling;
• increased body temperature;
• heavy bleeding;
• dry socket;
• weakness;
• weak appetite;
• pain when swallowing food and drinks;
• difficulties opening and closing the mouth, etc.

In case of all the complications listed above, you must definitely contact an experienced, trusted dentist. The doctor will conduct an examination, determine the problem and prescribe adequate treatment.

How not to die from a bad tooth

Cellulitis is a diffuse purulent inflammation, which, in the absence of adequate treatment, leads to death. Quite often, the cause of the formation of phlegmon is a diseased tooth. Igor Panin, head of the department, told the Sibmeda portal how to avoid becoming a victim of a deadly disease. Department of Maxillofacial Surgery of the Novosibirsk Regional Hospital.

– Igor Anatolyevich, is phlegmon a common disease?

– Phlegmons of various localizations, including those of odontogenic etiology, that is, from teeth, are quite common. Patients with phlegmon make up a significant part of the patients in our department.

- What is the reason?

– Despite the rapid development of dentistry, patients with a healthy oral cavity are not as common as we would like.

Diseased teeth are, most often, the cause of the development of severe phlegmons of the face and neck, which regularly lead to death in this group of patients - due to neglect and the development of associated complications.

Such complications include the development of chest inflammation, various types of breathing problems, sepsis, as well as some other conditions that can lead to the death of the patient.

It happens that the development of phlegmon is associated with the removal of teeth, and with the fact that the inflammatory process from the tooth, despite its removal, spreads to the surrounding tissues.

In most cases, the reason for the development of phlegmon is the lack of visits to dentists and late treatment when complications develop.

– Can phlegmon develop from pulpitis?

– It is incorrect to say that phlegmon develops as a result of pulpitis. This is not typical for pulpitis. Still, phlegmon often develops when the pulp is no longer present, and when there is an inflammatory process in the area of ​​​​the roots of the teeth.

– Does the development of phlegmon often end in death for the patient?

– Unfortunately, every year people die from phlegmon of odontogenic etymology in the Novosibirsk region. I won’t say that such cases are registered every month, but every year.

Fortunately, most patients can still be cured if treated in a timely manner.

But if we talk about advanced cases, when the patient needs to be treated for complications that have already developed, then we have such patients all the time. As a rule, they are in the intensive care unit. Their recovery is a long process; the state has to invest large sums of money for such patients. The process of treating a patient with severe phlegmon can take more than a month.

– It turns out that such dangerous consequences arise simply because of a tooth that is not treated in time?

- More often. There are, of course, other causes of phlegmon - consequences of injuries, various inflammatory diseases of the tonsils, but the most serious problem is precisely those phlegmons that develop as a result of dental disease.

Cellulitis that develops from tonsils or injuries is still of a milder nature than phlegmon from teeth.

The largest group of patients are patients who sought medical help late. When a person has a toothache, he self-medicates: he rinses with soda, takes pills, but the tooth continues to ache, and the inflammatory process extends beyond the boundaries of this tooth into the surrounding tissues, with the development of severe complications.

Less often, situations arise when a patient consults a doctor to remove a diseased tooth or treat it, but despite the fact that the doctor carries out therapeutic measures, the inflammatory process progresses and the patient, as a rule, comes to us.

– How quickly does phlegmon form? This is not an instant process, is it?

– In fact, the microflora in teeth is aggressive, and the development of phlegmon can occur within hours. The speed of development depends on the general condition of the body, age, use of antibiotics and some other factors that can stop this process. But these processes are very serious, and the development of complications cannot always be predicted.

Therefore, if there is a suspicion of phlegmon of the oral cavity and neck, first of all, an urgent visit to the hospital is necessary, where a decision on further treatment tactics will be made.

– By what symptoms can one suspect phlegmon?

– As a rule, the process begins with swelling on the face or neck. The mouth may have difficulty opening, and there may be pain when swallowing. The development of phlegmon is always accompanied by fever, weakness, and sweating.

The presence of swelling on the face and high temperature is a reason to contact a dental surgeon at the clinic as quickly as possible.

In our city, you can get dental care around the clock. And the clinic doctor, even if he cannot provide assistance himself, will assess the patient’s condition and refer him to the hospital if necessary.

– How long does it take for a patient to seek medical help?

– Let’s just say that time in this case does not work for the patient. The faster the better. With timely treatment, you can get by with a smaller amount of surgical intervention. When the situation has not reached the point of phlegmon, and the inflammation is localized in the area of ​​the tooth, it does not spread to the surrounding tissues.

Still, more often it happens like this: the tooth was removed, antibiotics were prescribed, if necessary, and the purulent process stopped there. Most of these patients are treated on an outpatient basis.

But in this group there are patients when the inflammation spreads to neighboring areas, and then the person must be hospitalized in a hospital.

– Is it possible to confuse phlegmon with another acute disease?

– There is confusion with some diseases that are also accompanied by swelling in the neck. If in doubt, it is important to contact the appropriate specialist - a dental surgeon at the clinic, first of all. He will make a decision and, if necessary, send you to the hospital.

– Which medical institutions in Novosibirsk provide assistance to such patients?

– In our city, inpatient care for patients with phlegmon is provided in three hospitals. For the adult urban population - in the department of maxillofacial surgery of the 34th hospital, for the regional population - in the Novosibirsk Regional Hospital and for the children's population - in the 3rd emergency hospital.

– How is the diagnosis of “phlegmon” made or specified?

– As a rule, the diagnosis is made primarily on the basis of clinical data. This does not require any special examination. Tomography can be performed to clarify which areas are affected by phlegmon in a given patient.

– What treatment methods are used for phlegmon?

– The only possible method of treating patients with phlegmon is surgery: wide incisions are required to eliminate the purulent process. No other has been invented yet. No pills or injections will help without surgery.

It is important to know: patients with phlegmon are not treated with antibiotics. Antibiotics are used after surgical treatment, and not instead.

Everything must be combined - surgery, antibiotics, infusion therapy, and many other procedures.

– Igor Anatolyevich, how can you protect yourself from such a dangerous disease as phlegmon?

– It is important to remember that the presence of rotten teeth in the mouth is a time bomb that can explode at any time. There is, of course, an element of luck, but I don’t recommend relying on it in this matter.

Therefore, the main preventive measure is, of course, regular visits to the dentist in order to treat carious teeth, sanitize foci of chronic odontogenic infection, so as not to lead to the development of phlegmon. After all, the strategic task is not to consult a doctor at the right time, when phlegmon has already developed, and not to allow its development, in principle.

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When is the wound guaranteed to heal after removal of the “8” (wisdom tooth)

The resulting hole “heals” and heals within two to three weeks. The healing process begins with the formation of a blood clot, and epithelium forms on the surface of the wound. After complete healing, weight bearing on the operated area is allowed.

If the wisdom tooth was removed by a surgeon without complications, the wound will heal in about 15-18 days.

If certain problems arose (for example, the tooth had several roots), this period may increase to 25 days.

Only a dentist can evaluate the process of healthy or pathological wound healing. Ideally, it is recommended to visit a specialist’s office 5-7 days after removal of the “eight” to avoid complications.

How to remove a tooth

There are two extraction methods used in dentistry: simple and complex. Their choice depends on which teeth are being removed - premolars and molars with tangled branched roots are removed using a complex method. It is very difficult to pull out such elements entirely due to the fact that the tooth socket is penetrated by retaining ligaments and alveolar processes. Errors during the procedure or insufficient experience of the specialist lead to serious complications. Therefore, even despite the acute condition, always find out in advance where you can have a tooth removed from a good doctor with positive recommendations.

Factors complicating the operation:

• complete destruction of the coronal part;
• high fragility;
• acute inflammatory diseases;
• Unerupted or misaligned wisdom teeth.

The technology of the procedure depends on which teeth are removed. In some cases, tissue incision and suturing are performed.

“They don’t die from this!..”

In dentistry, Igor had an appointment with Dmitry Shingarev, a certified doctor with extensive professional experience and an excellent reputation, a truly excellent specialist. As the doctor himself now says, he did not notice any tumor. And Igor was again embarrassed to say that he felt very bad, believing that the doctor knew better. To be honest, he was afraid of dentists since childhood.

The tooth was safely removed, and the patient was told to rinse the wound with chamomile infusion. All. The freezing worked, the pain began to subside, and Igor, sighing with relief, went home.

However, at home, the tumor not only did not subside, but began to increase. Igor suffered all night, but endured until the last, because the doctors seemed to have done everything that was necessary. Chamomile didn't help. During the day the swelling spread from the face to the neck. Igor could not stand it and again went to the clinic, which that day worked according to the weekend schedule - the doctor on duty was on duty until 15:00.

Now no one can say for sure which particular employee or visitor to the dental clinic told Igor that they wouldn’t be able to see him anyway - goodbye. Only one thing is known: he gave in again and patiently went home.

In the evening, Dubovsky began to experience severe suffocation. The ambulance that was called could not help him and was forced to call the resuscitation team. But the latter were also powerless...

The epicrisis (doctor's report) indicates the cause of Igor's death: asphyxia (suffocation), extensive purulent phlegmon (inflammation) of the throat and face.

As the pathologist told Igor’s relatives, they don’t die from this.” Apparently, the doctor meant that such problems are easily solved by modern medicine, and such cases should not end in death. If only... it weren’t for a series of examples of banal medical negligence, sometimes reaching the point of basic disregard.

Don't they die from this? Maybe somewhere they don’t die... But in Daugavpils they do! Healthy, full of energy men...

Wisdom tooth removal

Wisdom teeth are considered full-fledged elements of the oral cavity. They are involved in chewing food (if they are located above each other and have contact), and can act as a support for bridges and removable dentures in the future. There are specific indications for extraction in their case. For this reason, the decision about whether wisdom teeth need to be removed is made only by the attending physician.

The most common problem with eighth teeth is their growth. Only some teeth form and grow completely without complications, but often these processes are accompanied by a number of difficulties:

• semi-retinated or impacted elements that have formed in the bone tissue, but have not erupted or only partially erupted. Their position can be vertical, horizontal, or with their roots outward. Because of this, neighboring elements suffer, constant pain appears;
• violation of position (dystopia). Since wisdom teeth erupt without predecessors (baby teeth), and the jaw bone is already formed and does not develop, the position of the elements is often incorrect. They injure the mucous membrane, overlap other crowns, and put pressure on neighbors. This leads to inflammation. The doctor will determine whether the position can be restored with orthodontic treatment or whether it is better to remove the wisdom tooth;
• appearance of a gingival hood. When slowly cutting through the mucosa, an area is formed in which bacteria and food debris accumulate, which are difficult to clean. This leads to acute inflammation, which can provoke the appearance of pus;
• destruction, caries. Elements may appear immediately underdeveloped with carious lesions.

The doctor determines whether wisdom teeth should be removed or not based on complaints and the clinical picture. Problems with even one or two teeth interfere with the normal functioning of the entire dental system. Pain appears when opening the mouth and chewing. The bite and position of the incisors may even change.

How a wisdom tooth is removed depends, as in the case of permanent elements, on the condition of the dental system. In the absence of contraindications, manipulation is carried out with ordinary forceps.

Easy removal

If the wisdom tooth has erupted correctly, grows evenly and has straight, untwisted roots, then there is every chance of getting by with a simple operation, which is carried out in 4 stages.

1. Diagnostics
   , including examination and x-ray, allows the doctor to get a more accurate idea of ​​the upcoming operation.
2. Anesthesia.
   Generally, local anesthesia is used for simple wisdom teeth removal.
3. Tooth extraction.
   The doctor applies forceps, gently rocks the tooth and removes it using a special tool - an elevator. If fragments of roots remain in the hole, they are also carefully removed.
4. Treatment of the hole and suturing of the gums.
   Antiseptic and anti-inflammatory solutions are used. In some cases, stitches are placed to protect the wound from bacteria, and the patient is sent back for rehabilitation. As reviews show, in the case of simple removal it takes very little time.

Root removal

How is the root of a tooth removed if the tooth is completely destroyed? Despite this situation, extraction is not always recommended. If, after diagnosis, the doctor determines that the root can be used for an inlay, then the tooth is restored with a crown. But if there is pain, an unpleasant smell and taste, or swelling has developed, then dental care is required urgently. In this case, the question of whether to remove the roots of the teeth is decided in favor of the operation, since the neglected condition can also lead to the loss of neighboring elements.

Regardless of the chosen technique, pain relief and X-ray control are required after removal. This allows you to make sure that there are no root fragments in the cavity, since it is often loose and can crumble under slight pressure from the forceps.

But it was necessary not to endure, but to insist!

Holding back tears, the relatives reconstruct in order the story of the last two days of Igor Dubovsky’s life.

It is very difficult to speak in the past tense about a person who just a few days ago was full of life, strength, and health. It is even more difficult to imagine what enormous grief befell Igor’s family and his mother during these holidays: after all, for a mother’s heart there is nothing worse than outliving her son. Moreover, when he was overtaken by such a stupid, such an absurd death because of someone’s negligence, callousness, indifference and desire to “quickly rest”, hastily getting rid of an unwanted patient.

On June 22, when Daugavpils residents were massively purchasing groceries in joyful anticipation of the long league weekend, Igor began to be bothered by a seemingly ordinary toothache. My cheek began to swell. On the advice of friends, he went straight to the emergency room of the Daugavpils Regional Hospital. But no one there even looked at his tumor and offered no advice. Igor was simply turned around and kicked off to the city dental clinic. By the way, they actually deployed their colleague, because Igor also worked in the healthcare system - he was a driver in a city psychiatric hospital.

What to do if Igor was such a person: very calm, unable to “bump his fist” and get his way, embarrassed to cause unnecessary trouble to others. That is why he did not insist, but, patiently enduring severe pain, went to the other end of the city, to the street. Lachplesha.

And here I would like to ask our doctors the first question (apparently, rhetorical): “Dear sirs, what about the patient’s legal right to receive emergency medical care? How about the same legal right to freely choose a doctor and medical institution? Or has it already been canceled in Daugavpils?!”

Yes, according to the rules, a referral to a hospital is given either by a family doctor or a specialist. But if a person is in a lot of pain and he has already come to you! Is it really not possible to just carefully examine, understand, advise, give advice on how to remove the tumor, or at least give painkillers. And don’t push away from the patient like hell from incense. You're still at work! Or is normal human behavior in a hospital emergency room already “outlawed” in our country?!

Recommendations after removal

Regardless of which tooth you removed or just its root, you must follow the rules of the rehabilitation period. Then healing takes place quickly and without complications.

• Do not eat for 2-3 hours after surgery.
• Eliminate hot and solid foods from your diet for 7 days.
• Carefully walk around the socket when brushing your teeth.
• Do not pick out the blood clot and try not to disturb the hole with your tongue until it is completely healed.
• Don't rinse your mouth.

The Vimontal Clinic carries out operations of any complexity using advanced equipment. This allows you to provide assistance with maximum comfort and safety.

Doctors providing this service

Modern surgical dentistry makes it possible to avoid tooth extraction in most cases, but tooth extraction is still sometimes necessary.

An operation to remove a tooth should be performed only as a last resort, when other methods to save the tooth are no longer possible or when the tooth may cause other, more serious complications.

Indications for tooth extraction

A fairly common indication for tooth extraction is the need to sanitation the oral cavity in the presence of chronic periodontitis in the acute stage, when it is impossible to eliminate the inflammatory focus at the apex of the tooth.

In some cases, tooth extraction is performed to avoid more serious complications. For example, if you have teeth that can cause a cyst, inflammation or neuritis of the trigeminal nerve. If a tooth constantly injures the tongue or the mucous membrane of the cheek, and also interferes with a normal bite, it is also better to remove such a tooth. Multi-rooted teeth, which are the cause of odontogenic osteomyelitis, are removed. When fitting a removable denture, sometimes it becomes necessary to remove teeth, but there must be strict indications for this.

Surgical operations to remove a tooth are performed under effective anesthesia, taking into account all contraindications.

Teeth are removed when they are severely damaged by caries, affected by advanced periodontal disease (“sick gums”), have been broken so that they can no longer be restored, are incorrectly positioned in the mouth (for example, an embedded wisdom tooth), or in preparation for orthodontic treatment.

Before starting tooth extraction, the dentist examines the oral cavity, takes x-rays of diseased teeth, and evaluates their condition.

After a tooth is removed, the teeth adjacent to it begin to gradually shift, sometimes quite significantly, and this can greatly affect the general condition of the teeth. Removing even a single tooth can create serious chewing problems. To avoid these complications, the dentist will recommend replacing the extracted tooth with an artificial one.

Considering all the advances in operative surgery today, most patients prefer to replace the existing dentition defect by placing a dental implant (advantages of using dental implants), dental bridges or removable partial dentures.

Wisdom teeth removal

The removal of wisdom teeth is due to slightly different reasons. Naturally, the above reasons for tooth removal also apply to the removal of wisdom teeth, however, this case has its own characteristics.

Problems with wisdom teeth often arise as soon as they erupt. They erupt at the age of 18-25 years (sometimes much later), when the dentition is formed by 28 teeth, which leads to incorrect placement of wisdom teeth in the dentition (the lower wisdom teeth are more often displaced), immersion (incomplete eruption with a tilt in the vertical, horizontal, distal or medial direction). In addition, misaligned wisdom teeth can cause damage to adjacent teeth, putting pressure on them and causing root damage and resorption, as well as displacement and malocclusion.

There are no dental rules determining the most acceptable age for wisdom tooth removal. However, practice shows that the sooner you get rid of these teeth, the fewer complications you can expect from them in the future.

If the wisdom tooth is in the wrong position or has not fully erupted, this leads to pericoronitis (inflammation of the tissues surrounding the tooth), because Part of the tooth is located under the gum and food debris accumulates in the gum pocket, which is an excellent breeding ground for various microorganisms. Wisdom teeth are often affected by caries, because... Between it and the second molar, food debris also accumulates and plaque forms due to the fact that this space is difficult to clean with a toothbrush. In this case, caries affects not only the wisdom tooth, but also the second molar adjacent to it.

• refrain from eating for 2-3 hours after removal;
• do not drink alcohol or take a sauna on the day of surgery;
• do not touch the hole with your tongue or any objects;
• do not eat hot food;
• do not rinse your mouth.

Is prophylactic removal justified?

There are organs in the human body whose functions have been lost as a result of evolution. For example, this is considered the appendix (although scientists have not yet clarified its purpose), ear muscles and coccyx (former caudal vertebrae). Wisdom teeth are the same rudimentary organ. Previously, they were used to chew hard food. After humanity switched to soft food prepared in kitchens, they became unnecessary.

Many owners of “lucky” teeth are ready to remove them immediately after eruption, especially if it was problematic. Anatomically, vital nerves, lymph nodes, and blood vessels are located next to these teeth. Inflammation in this place can quickly go deeper and become dangerous not only to health, but also to life. Therefore, some surgeons adhere to the theory of prophylactic removal. If the patient is not ready to run to a specialist at the first pain or cannot do this due to the remoteness of the clinic, then it makes sense to remove these teeth.

Sometimes “eights” are removed for cosmetic reasons, when all the teeth cannot fit on a narrow jaw and the dentition begins to bend. In this case, the decision must be conscious and thoughtful. If the patient's teeth are all in good condition, and aesthetics are really important, then sometimes it really makes sense to sacrifice something. But it is often possible to do without this.