Tooth extraction-Wisdom Teeth Removal-Istanbul

teeth extraction dentist

Tooth extraction is postponed by many people, especially due to fear. This can be risky for vital organs such as the heart and liver, as well as in the mouth area. Even wisdom tooth extraction is not a difficult procedure with appropriate anesthesia.

What is tooth extraction (Dental removal)?

Tooth extraction is the process of removing the tooth from its socket in the bone without causing damage to the surrounding tissues in cases where it is not possible to repair the tooth. Tooth extraction is usually performed under local anesthesia. When compared to other dental treatments tooth extraction cost is cheaper.

Why is the tooth pulled? In which cases is tooth extraction applied?

Although the main purpose is the lifelong use and protection of permanent teeth that replace primary teeth, tooth extraction is inevitable in some cases. Tooth extraction is performed in the following cases.

  • If treatments are insufficient
  • In cases where filling, root canal treatment, crown and coating cannot be performed due to caries and fractures in the tooth (tooth decay has advanced to the tooth pulp, which is rich in nerves and blood vessels, that is, if peridontitis is severe, antibiotic and root canal treatment is the first option. However, even in this case, If root canal treatment is not sufficient, tooth extraction is required to prevent the spread of infection)

  • If there is advanced gingivitis to the jawbone
  • In the presence of advanced gingivitis, there are significant losses in the supporting tissues around the tooth (if the gum, periodontal fibers and jawbone are affected),

  • To maintain a regular knee alignment with orthodontic treatment
  • Tooth extraction is considered in cases where there are too many teeth that do not fit in the jaw completely or there are crooked teeth other than the alignment line. If orthodontic treatment is deemed necessary to make room for the eruption of other teeth (especially in patients who wear or will wear braces)

  • If wisdom teeth and impacted teeth cause problems
  • If there are permanent pains (especially severe aching wisdom tooth), bruises and stubborn abscesses that occur over time in the teeth that are embedded or partially embedded in the gingiva. The 20 teeth are the last teeth to erupt in the back of the jaw. It comes off easily in some patients. In some cases, it may be painful or buried. There are also cases where wisdom tooth damage neighboring teeth. For this reason, wisdom tooth may need to be extracted.

  • In the presence of risky diseases that will pose a danger to infection
  • In cases where drugs that suppress the immune system are used (such as chemotherapy, organ transplantation), since the infection is a risk for the patient, in this case, to prevent the spread of the infection in the tooth,

  • Due to some aesthetic concerns

  • In case of loosening of the teeth
  • Due to the damage to the periodontal tissues surrounding the gingiva, the teeth may shake and cannot perform their function. For this reason, tooth extraction may be considered appropriate.

  • Tooth extraction is performed due to the presence of tumors or persistent cysts.
  • In the cases we have transferred, tooth extraction is considered as a last resort. It is the dentist who will make the decision for tooth extraction. Treatment options are evaluated and the most appropriate treatment for the patient is performed. If unsuccessful results are obtained, tooth extraction is performed.

    What should be done before tooth extraction?

  • If there are chronic diseases such as heart, diabetes, high blood pressure, it is shared with the physician (It is important for the anesthesia method. General anesthesia cannot be performed due to some diseases or it is done by taking special precautions. Knowing the drugs used is also important in this respect.)
  • The drugs used are told to the physician.
  • The pregnant patient informs the doctor about the situation (It is important because anesthetic will be used. The doctor may also recommend medication after tooth extraction. The medication to be used in this case may also be risky for pregnant women)
  • Before going to the clinic for tooth extraction, the teeth are brushed.
  • Before going to the clinic, mouthwash with antiseptic properties is used (the spread of infection that may occur due to bleeding after tooth extraction can be prevented)
  • The physician examines the patient and determines the condition of the jawbone and tooth, the number of roots of the tooth, and whether there is any deformity in the tooth by taking X-rays. If there is a severe case, he can send the patient to the maxillofacial surgeon.
  • It is determined whether there is an infection (such as the presence of abscess). If there is an infection, the infection should be removed by using antibiotics first and then the tooth should be extracted)
  • How is tooth extraction done?

  • Tooth extraction is performed by the dentist.

  • The patient is examined and x-rayed.
  • Before the tooth is extracted, the dentist examines the patient. If necessary, he/she takes x-rays or examines the x-ray image taken recently. Obtains information about the drugs used by the patient. Decides the most appropriate tooth extraction procedure.

  • The area to be extracted is anesthetized.
  • The area to be extracted is anesthetized with local anesthesia. Thus, the patient does not feel pain during tooth extraction. Anesthesia drug is delivered to the area by injection method. In a very short time, numbness occurs and then the procedure can be started. In cases where it is expected to be more severe and difficult, and in cases where the patient's anxiety and fear are very high (such as 20 dental concerns), local anesthesia can be supported by sedation or general anesthesia may be needed.

  • Waiting for anesthesia
  • After local anesthesia is given, it is waited for a few minutes. The dentist checks the teeth for numbness to see if sensation is present. If there is enough numbness, the tooth extraction process is started.

  • Tooth extraction is performed
  • The tooth is pushed upwards by applying pressure from the sides with a special tool. The tool, also known as forceps is grasped from the edges of the tooth and moved to the right and left, and the tooth is easily separated from its ligaments that connect it to the surrounding tissues. In severe cases, a few stitches are placed on the gums, since tooth extraction is performed by making an incision in the gum. How is wisdom teeth removal? Regardless of whether there is an impacted tooth or an erupted tooth (sufficiently erupted), the difficulty of tooth extraction depends on the relationship of the tooth with the bone and the condition of the roots. There is no significant difference between a non-impacted wisdom teeth removal and a normal tooth extraction. During an impacted tooth extraction, a small incision is made in the gum to reach the tooth. After the gingiva is lifted and a comfortable area is provided for the tooth to be seen, the extraction process is performed.

  • While some tooth extractions are easy, some teeth can be extracted in parts.
  • In some cases, a decayed tooth begins to dislodge over time until it reaches the dental extraction stage. Some teeth are markedly wobbly. In these cases, the shooting process is easier. In some patients, the teeth may not come out in one piece because the root structure of the teeth is irregular, the teeth are impacted or very decayed. In this case, the tooth is partially removed from its socket.

  • Gauze is placed on the tooth extraction area and bleeding is stopped.
  • Since blood will start to accumulate in the socket of the tooth separated from the jawbone, the dentist places a gauze pad called a tampon in the patient's mouth to stop the bleeding and asks the patient to press the tampon. The tampon is kept in the mouth for approximately 20-30 minutes.

    Tooth extraction takes approximately 20 minutes.

    Tooth extraction takes about 20 minutes on average, depending on the structure of the tooth and the experience of the dentist.

  • Dentist advises patient
  • The dentist informs and advises the patient about what to do after tooth extraction.

    What should be done after tooth extraction?

  • The steps to be taken to minimize discomfort after tooth extraction, reduce the risk of infection and speed up healing are listed below.
  • Medicines (antibiotics, painkillers) that are not prescribed or not recommended by the physician should not be used.
  • To stop bleeding and accelerate clot formation, the gauze placed on the extracted tooth area should be bitten gently for 30 minutes. The tampon should not be removed from the mouth immediately.
  • Saliva should not be accumulated in the mouth. Otherwise, bleeding may increase.
  • There may be swelling in the mouth after tooth extraction. In order to reduce swelling, ice packs can be placed on the area where the tooth was extracted at regular intervals for 5 minutes. Keeping the ice pack for a long time should be avoided in order to avoid ice burns.
  • For 24 hours after tooth extraction, water should not be shaken vigorously and spitting should not be done in order not to move the clot formed in the tooth socket.
  • After 24 hours, the mouth can be washed by mixing half a teaspoon of salt with a glass of warm water.
  • Smoking should be stopped for a few days (even if not completely stopped) in order to prevent bleeding and accelerate healing.
  • Especially on the first day, the head should be kept up by placing a high pillow under the head during the sleeping process. This will reduce edema and bleeding.
  • Tongue and teeth should be brushed gently and dental floss should be continued away from the operation area. This will reduce the occurrence of infection.
  • After tooth extraction, pain may be felt as the effect of numbness wears off. In this case, recommended painkillers other than aspirin can be used. Fever is not generally seen after tooth extraction. Mild bleeding for 24 hours and inconspicuous swelling in the mouth are normal. If there is severe pain and bleeding for more than 24 hours, fever, chills, nausea, vomiting, rash, cough and chest pain, the physician should be informed immediately.
  • Since the teeth are attached to the jawbone, the bone emerges after the tooth extraction process. Sometimes, it can be thought that a piece of the extracted tooth is left as a result of seeing this bone. It is necessary not to touch this area with the tongue or any other object. After a few days, the gum will cover the bone.
  • Eating after tooth extraction is important. Lethargy should be waited for food consumption. This time can vary between 2-4 hours. Afterwards, it should be consumed soft and warm for a few days. The area should not be irritated by hard, acidic, spicy, very hot or very cold foods.
  • It is best not to take a bath in the first 24 hours. Otherwise, hot water may increase bleeding.
  • If stitches were taken after dental extraction, the control appointment should not be forgotten.
  • Are there risks to tooth extraction? What are the complications after tooth extraction?

    Breakage of the tooth during tooth extraction, development of infection (especially alveolitis, which is the infection of the extracted tooth slow), swelling, bleeding, tooth residue due to poorly performed tooth extraction, especially cyst formation due to tooth residues, depending on the patient's tooth and gum condition before extraction, the experience of the physician. , may develop depending on whether the post-extraction rules are observed or not. In addition, severe pain and bleeding, fever, chills, nausea, vomiting, redness, cough and chest pains can also be seen rarely, as indicators of more serious conditions. In these cases, a dentist should be consulted immediately.

    Frequently Asked Questions about Tooth Extraction Istanbul

    Does tooth extraction hurt? Is tooth extraction a painful procedure?

    Most of the patients think that they will feel pain during tooth extraction and they worry. Since local anesthesia is applied to the patient, there is no pain and no pain is felt during tooth extraction. The dentist checks whether the area is already numb before tooth extraction. The tooth extraction process is not started without a match. In some people, depending on the pain threshold of the person after tooth extraction, there may be pain that lasts for a few days. In cases where the tooth is inflamed or the extraction process is difficult, the pain may last a little longer after the extraction. These pains can be relieved with recommended painkillers.

    What are the symptoms of alveolitis after tooth extraction?

    The alveoli is where the teeth are located within the jawbone. Alveolitis is an inflammatory disease that can occur here after tooth extraction. After tooth extraction, the cavity should fill with blood and a clot should form. If this situation does not occur completely for various reasons, alveolitis may develop. Especially smoking is one of the main reasons that lead to this situation. Not paying attention to mouth and dental care, tampering with the tongue or other objects, hot, cold or spicy foods that will affect the area, anesthetics used and some diseases may cause the development of alveolitis. Alveolitis is a rather painful disease. For this reason, maximum effort should be made after tooth extraction.

    What is good for a toothache that does not sleep at night? How to prevent toothache?

    Most patients ask, 'What are the home remedies for toothache?', 'What is good for toothache?' However, although it can reduce the toothache to be transferred, the important thing is not temporary solutions, but permanent applications. Salt water loosens the deposits between teeth and can reduce infection with its disinfectant effect. For this, a teaspoon of salt is mixed with a glass of warm water and the mouth is rinsed. Cleaning pieces of food with a toothbrush and dental floss is also effective. Awl treatment is important for toothaches caused by swelling. Recommended painkillers will also be effective in reducing mild pain.

    Is it possible to smoke after tooth extraction?

    Smoking after tooth extraction will have the effect of reducing blood entry into the extraction cavity and clot formation. In addition, it should be kept in mind that smoking may cause infection due to the delaying wound healing and weakening effect of the immune system. For this reason, even if it is not possible to quit completely, smoking should not be smoked for a few days after tooth extraction.

    When does the wound close after tooth extraction?

    The closure time of the tooth extraction area after tooth extraction varies depending on the size of the cavity, the wound healing speed of the person, nutrition, and the attention to what should be done after tooth extraction. Recovery (healed tooth extraction) after mild and not difficult tooth extraction may take up to 1 week, while in more severe cases, recovery may take up to 3 weeks. It is difficult to talk about an exact time for recovery.

    Is tooth extraction done during pregnancy?

    There are local anesthetic agents that are safe for dental treatment during pregnancy. However, it is not recommended for pregnant women to have x-rays for tooth extraction (although the radiation in the x-ray device used for tooth extraction is low). If it is absolutely necessary, the pregnant patient should be dressed in a protective gown and x-ray should be taken at the lowest dose. Due to these effects, tooth extraction should be postponed during the first and last 3 months of pregnancy.

    How many days does tooth pulled hurt?

    There may be no pain after tooth extraction. However, it is considered normal to have pain for 1-2 days. However, this pain may continue during the healing process, which may last 1-3 weeks depending on the difficulty of tooth extraction. Swelling after tooth extraction can also cause pain. Pain can be reduced if ice therapy is used as recommended. To reduce pain, be careful about what to do after tooth extraction. Painkillers other than aspirin recommended by the dentist should be used as recommended.

    Are there risks to tooth extraction? What are the complications after tooth extraction?

    Breakage of the tooth during tooth extraction, development of infection (especially alveolitis, which is the infection of the extracted tooth slow), swelling, bleeding, tooth residue due to poorly performed tooth extraction, especially cyst formation due to tooth residues, depending on the patient's tooth and gum condition before extraction, the experience of the physician. , may develop depending on whether the post-extraction rules are observed or not. In addition, severe pain and bleeding, fever, chills, nausea, vomiting, redness, cough and chest pains can also be seen rarely, as indicators of more serious conditions. In these cases, a dentist should be consulted immediately.

    What herbal products are good for toothache?

    Clove oil (1-2 drops of clove leaf dripped onto a small cotton ball), vanilla extract (can be applied by dripping onto a cotton ball or hand. It can be applied to teeth or gums), peppermint tea (leaves are boiled. After cooling, apply to the painful area), garlic (crushed garlic) It can be applied to the painful area) and thyme oil (dropped on a small cotton ball and applied to the painful area. However, it should be noted that these applications may only be temporary solutions that may work in some cases, and a dentist should be consulted for treatment.

    You can contact us to get information about tooth extraction and to benefit from our examination.