Questions and Answers
What is the recommended approach for dealing with ulcerative stomatitis?
Treat the infection first, then extract the tooth after acute symptoms subside
What are the common symptoms of acute pericoronitis?
Swelling, pain, and trismus (difficulty opening the mouth)
What is the risk associated with extracting teeth in cases of malignant tumors?
Risk of causing the malignant tumor to spread to another part of the body
What should be done before extracting teeth in patients undergoing irradiation therapy?
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What is the treatment approach for patients with anemia before and after tooth extraction?
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What happens in cases of leukemia related to tooth extractions?
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What is purpura's etiology in relation to tooth extractions?
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What is a potential consequence of extracting teeth in patients with ankylosis of the temporo-mandibular joint?
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What does systemic contraindications refer to in dental extractions?
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How does irradiation therapy affect blood supply in relation to tooth extractions?
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Study Notes
Tooth Extraction
- Tooth extraction is the removal of a tooth from its socket in the upper or lower jaw, performed under local anesthesia in a dental chair or general anesthesia in an operating room.
Methods of Tooth Extraction
- There are two methods of tooth extraction:
- Intra-alveolar extraction (simple extraction): uses dental forceps and elevators to grip the root of the tooth by forcing the blades into the periodontal space between the root and alveolar bone.
- Trans-alveolar or surgical method: used for teeth whose roots cannot be gripped using the simple technique; involves reflecting the overlying soft tissue, removing the surrounding bone, and using turbine burs or chisels.
Indications for Extraction
- Orthodontic reasons
- Mobility of teeth (3-4 degree)
- Deep pocket that cannot be treated
- Gangrene of pulp with curved roots
- Root resorption
- Teeth without a matching tooth on the opposing jaw
- Teeth involved with cysts or tumors of the jaw
- Perforation of roots during endodontic therapy (endodontic failure)
- Periapical infection (dental abscess)
- Teeth near epulis
- Teeth in the field of radiotherapy
- Teeth in the line of a jaw fracture
- Impacted tooth
- Fracture of a tooth that cannot be treated
- Fracture of the roots
- Abnormal tooth development (e.g., hypoplasia)
- Tooth that erupts before normal eruption
- Tooth with an endodontic instrument broken in it
- Tooth that erupts after normal eruption for prosthetic reasons
- When the patient requests tooth extraction
- Before using a dental plate for fixation
- When the tooth is a focal point of pain, but the patient's general health is not suitable for treatment
- Early eruption in a child
Contraindications of Extraction
- Local:
- Acute infection with cellulitis (swelling, high temperature, pain, redness, etc.)
- Systemic: may include conditions that affect the patient's overall health.
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Description
Test your knowledge on tooth extraction methods including intra-alveolar extraction and the tools used such as dental forceps and elevators. Learn about the differences between simple extraction and surgical extraction procedures.
