Removing the dental root of a rotten tooth. Tooth root removal

In the last century, when asked whether it is painful to remove the root of a tooth if the crown is completely destroyed, many dentists would have given an affirmative answer. Pain during and after the procedure, complications from anesthesia and discomfort plagued many patients. But today the situation has changed - a diseased tooth and its root can be pulled out absolutely painlessly.

Who will have to part with a tooth?

Complications following tooth extraction in the doctor's office are extremely rare. Much more often, sad consequences occur when it spontaneously falls out due to destruction or injury. In such cases, there are two options: restoration of dentin and enamel or removal of the tooth root.

The tooth root will have to be removed if the following symptoms occur:

constant discomfort in the gums;
sharp pain when chewing;
swollen soft tissue;
bleeding;
the appearance of pus.

A sure sign of an inflammatory process in the gums is an increase in body temperature in the absence of symptoms of another disease.

Important! You cannot postpone a visit to the dentist, even if only one of these symptoms appears. Any suspicion that the tooth root remains in the gum and has begun to rot should prompt an urgent visit to a doctor.

What are the roots of teeth, look at the photo:

Temporary contraindications

Surgical removal of the root of a decayed tooth is contraindicated during:

relapse of complex mental disorder;
acute phase of ARVI;
exacerbation of neurological disease;
rehabilitation after a heart attack.

Doctors at dental clinics are aware of all contraindications to extraction. But not all conditions have clear clinical signs, so in order to avoid unpleasant consequences, it is necessary to warn the doctor about the ailment.

Generalized scheme for tooth extraction

The process of removing any tooth includes the following steps:

Examination and collection of anamnesis (allergic status, information about the state of health and the dental apparatus).
Preparation of the surgical field: treatment of the injection site, rinsing the mouth with an antiseptic.
Anesthesia.
Detachment of gum from tooth using a trowel.
Loosening a tooth with forceps.
Extracting a tooth from its socket.
Treating the hole with an antiseptic.
Stop bleeding with tamponade.

According to this scheme, simple removal is carried out. In some situations, for example, when a wisdom tooth or a badly damaged molar is pulled out, a complex extraction is required. Its main difference is that in addition to forceps, the dentist uses a drill to cut out bone tissue or saw the root into pieces, a chisel, a hammer and other dental instruments.

Getting rid of a wisdom tooth can be especially difficult. Due to its location in the posterior quadrant of the jaw, access to it is difficult. With anatomically incorrect or curved roots, which are often found in third molars, the dentist may be forced to make incisions in the gums, pull out the root piece by piece, and then apply sutures.

How is a decayed tooth removed?

The process of tooth extraction is a simple dental operation. The difficulty increases when you need to remove the root of a tooth that is completely destroyed. Factors requiring the intervention of an experienced specialist:

small size of the remaining crown;
condition of surrounding tissues;
the location of the remaining hard tooth tissues under the upper edge of the gums;
defects of gums, roots.

Affects the complexity of the operation and whether the position of the upper or lower jaw belongs. In the upper jaw, the walls of the sockets are longer and thicker; accordingly, teeth are removed from them with great difficulty - a highly qualified dentist is required to perform the manipulation.

Wisdom teeth, from which only the root remains, are removed in the same way as ordinary molars, but in some patients, healing after such an intervention is very painful.

Examination and preparation

The procedure begins with a thorough examination and preparation of the patient. When you first visit the clinic, the doctor will take an x-ray and examine the oral cavity.

Doctor's tasks:

determine the condition of the tooth, assess the extent of destruction;
clarify the presence of allergies, contraindications, inflammation;
choose a method of pain relief;
draw up an operation plan;
prepare tools.

The tools used to remove a rotten tooth root are a drill, forceps, and a set of elevators (photo).

A prerequisite is hygienic treatment of adjacent tissues. Extraction is possible only after removing stones and plaque from the molars, incisors or canines surrounding the surgical field. Immediately before extraction, the oral cavity is treated with a Chlorhexidine solution.

Anesthesia

There are cases when dentin is destroyed gradually, without inflammation, without the appearance of rot. In such situations, painless root removal is possible without the use of painkillers, however, anesthesia is more often necessary.

The choice of drug is carried out taking into account:

age;
allergic status;
presence of somatic diseases;
individual intolerance to drugs;
presence of chronic diseases: epilepsy, diabetes;
complexity of the upcoming operation.

The patient must notify the dentist about any deviations before the procedure begins. In most cases, the tooth root is removed under local anesthesia - one or two injections for incisors, 2 to 4 injections into the gums for molars. But if two teeth are destroyed, or the jaw is to be opened, the patient receives general anesthesia - he will sleep until the doctor finishes pulling out the tooth.

Features of pain relief for a tooth with a rotten root

An anesthetic injection is given at the site of the projection of the tooth roots. But if the medicine is injected into the rotten area, it may not work and the person will be hurt during the extraction process.

Treatment of patients with rotten roots is carried out in two stages. On the first visit, the dentist numbs the gum, prepares it and cleans it of pus. During the second visit, anesthesia is repeated, and the doctor removes the root that has rotted inside the gum.

Removal

The doctor decides how to remove a tooth if only the root remains. Usually they start with the use of forceps. Even if the destroyed roots remain under the gum, the holes do not completely heal - the dentist can carefully pick up the remnants of hard tissue and easily pull them out.

If the tooth has crumbled to the very base, it is pulled out with an elevator. Having inserted the instrument between the gum and dentin, the doctor presses on the handle and makes rotational movements of small amplitude. As a result, the periodontal fibers shift and the root is squeezed out of the socket.

A drill is used when it is necessary to crush the hard tissues of a molar before removal. With proper anesthesia, this procedure is painless; discomfort is possible only when the gums are already healing.

Relieving inflammation

When removing a rotten root, an inflammatory process is often detected. To ensure that the wound heals safely and does not fester, it is customary to treat it with an antiseptic. But one treatment will not provide adequate prevention, so an anti-inflammatory drug is placed in a fresh hole. With it, the hole will heal faster, and the patient will have less chance of developing alveolitis.

Stitching

To extract the root system, the doctor separates and lifts flaps of soft tissue; they can only be attached back by suturing. It is customary to tighten the edges of the holes with threads during double or triple removal, when a significant part of the gum has been subjected to preparation. This is done so that the affected area heals faster and does not cause discomfort to the patient.

If there are root fragments left in the hole

If the wound edges were tightened with catgut, the patient’s treatment can be considered complete. If a non-absorbable material was used, the patient will have to return to the dentist to have the sutures removed after a week. During this time, it is necessary to monitor the condition of the gums, your own sensations and notify the doctor if:

This means that small fragments of tooth tissue, which may have gone unnoticed during extraction, rot in the hole. The doctor must prescribe a repeat X-ray for the patient, check the quality of the operation and find out the cause of the ailment. Inaction is fraught with the development of alveolitis (inflammation of the socket), osteomyelitis, phlegmon and other serious diseases.

How to remove a rotten tooth root while preserving the crown

A tooth in which only the root remains is not always pulled out entirely. For example, if an inflammatory process develops at the root apex, but the tooth itself can still be saved, resection of the root apex is performed - partial removal.

The procedure is carried out after filling the canals, under local anesthesia. The operation is simple and lasts no more than half an hour. Its main stages:

Anamnesis collection.
Preparation of the surgical field.
Anesthesia.
Cutting the gum to access the root.
Delamination of soft tissues.
Sawing out a “window” in the bone.
Cutting off the inflamed area of the root with a granuloma or cyst.
Placing drugs into the cavity that stimulate bone growth.
Stitching.

What to do after deletion

After any surgical intervention, you should follow all the dentist’s recommendations, as well as:

do not eat for 2 hours after the procedure;
cool the soft tissues of the face in the projection of the removed root;
stop smoking for two days;
take prescribed pain medication;
make antiseptic applications;
watch to see if other teeth are crumbling.

Sometimes after complex extractions, dentists prescribe antibiotics to patients. This appointment cannot be ignored - after a tooth is pulled out of the socket, a focus of infection forms in it, which can only be extinguished with the help of medications.

The following video schematically shows different methods for removing incisors, canines, molars and premolars of the lower and upper jaw.

Only according to the modern dream book, seeing a tooth pulled out in a dream promises upcoming joy. Of course, who to believe and whether to believe in dreams at all, everyone decides for himself.

According to most dream books, seeing teeth in a dream is an unfavorable sign. But you shouldn’t take this fatally. Teeth are just a symbol that depends on the specific plot of the dream, on the chosen dream book and, of course, on the degree of sanity of the dreamer. Moreover, such dreams can be directly related to toothache experienced by the dreamer in reality, i.e. turn out to be dummies.

Why do you dream about teeth? Miller's Dream Book

Gustav Miller reports that teeth seen in a dream foretell inevitable troubles. Perhaps they will be caused by communication with unpleasant and absurd people. If the dreamer sees his teeth falling out, problems and a series of worries are coming ahead. You can forget about the white stripe for a long time. A dream in which a dentist removes teeth foreshadows a protracted illness.

If the dreamer's teeth are knocked out, then there will be trouble: in reality, unexpected problems are coming in business or on the personal front. Seeing clean and white teeth in a dream, realizing that everything is fine with them, is a favorable sign. Finally, the black stripe will change to white. Brushing your teeth in a dream means fighting for your own interests.

Sometimes you may dream about dentures. If a dreamer sees how a denture is inserted into him, in reality he will be faced with a difficult test: if a person in reality can overcome it, he will emerge victorious from this “battle.” A dream in which a person examines his own teeth is considered a warning: enemies are not asleep, one must be careful in business.

Admiring your white and straight teeth is a transparent dream: in reality, a person is completely satisfied with certain goals achieved. Rotten teeth indicate troubles, future health problems caused by excessive stress. Spitting out your own teeth in a dream means serious illnesses that threaten both the dreamer and his close friends.

Dreams about dental treatment are favorable. If the dreamer has cured his teeth, gotten rid of caries and plaque, in reality he will successfully escape from the clutches of a protracted illness. If such a dream continues in the form of newly appearing caries or plaque, in reality you should beware of unreliable people who are eager to significantly spoil the dreamer’s reputation.

Gustav Miller interprets another “dental” dream. If the dreamer saw that he had a tooth removed, but could not find this empty place in the gum, then in reality he should abandon some business planned a little earlier. If he does not do this, a vague and dubious result will not be long in coming.

Teeth in a dream. Vanga's Dream Book

The Bulgarian soothsayer Vangelia claims that healthy and white teeth are a sign of the onset of favorable times in the dreamer’s life. If the teeth are black and rotten, serious problems with the dreamer’s health are coming in reality. Perhaps he is working his ass off, completely forgetting about the delights of his own life and the fact that he has only one!

If teeth fall out in a dream, sad news about the death of one of your loved ones or acquaintances is not far off. If tooth loss is accompanied by blood, the death of the closest person is possible. Finding yourself toothless in a dream means loneliness in old age.

Video on the topic

It can be considered a truism that the condition of a person’s teeth is directly related to his health. For example, good and healthy teeth will not cause concern to their owner, since most of all processes occurring in his body proceed correctly, without disturbances. Sometimes this happens: in reality the teeth are healthy, but in a dream they are sick, rotten or falling out. It’s worth looking at this in more detail.

Why do you dream of sick and crumbling teeth?

The vast majority of various interpreters describe such dreams as harbingers of some unpleasant situations in the future. It is curious that negative changes can leave their mark on any aspect of the dreamer’s life.

In addition, a number of dream books connect teeth with vital forces and family relationships between people. In this case, the teeth will represent the roots of a person. If the dreamer wants to interpret the picture he saw as accurately as possible, then it is important for him to remember which area of life occupies him most at the moment.

Some interpreters approve of dreams in which toothache is experienced not by the dreamer, but by strangers. The owner of dreams here acts as an outside observer. The result of such dreams is heavy losses from ill-wishers. Enemies and envious people will not be able to fool the dreamer or ruin his reputation or career.

If a person in a dream understands that his bad teeth are just an artificial prosthesis, then in reality he should think about his life values. The fact is that he is simply being a hypocrite with the people around him. Perhaps this will play a cruel joke on him in the future.

Why do you dream about bad teeth? Family dream book

Sick teeth in a dream are a sign of disappointment. If they also crumble - to unfulfilled hopes. At the same time, healthy, straight and white teeth, according to the family dream book, foreshadow the reality of the implementation of all planned events. If the dreamer is concerned about problems related to the health of his loved ones, then bad teeth may signal some future illness of a relative.

Sick teeth according to the Mayan dream book

According to this dream book, sick teeth seen in a dream do not bode well. They symbolize disappointment, health problems, etc. Interpreters of the Mayan dream book generally recommend doing the following: you need to bury one chicken egg in the ground, burn it and throw it into the water. This may only cause a smile, but Mayan interpreters are confident that this action will help a person sleep more peacefully later.

It is also a good sign to eat pineapple, but only if it is sweet. The bitter or sour taste of the fruit is a warning about troubles and interference in business, financial problems and difficulties. If in a dream someone treated you to a pineapple, then by the taste of the fruit you can find out who in reality is your friend and who is your enemy; who to trust and who to be wary of.

If in a dream you ate or saw pineapple jam, then your affairs will soon improve.

O. Smurova’s dream book claims that in a dream it symbolizes a friend or business partner. Eating these fruits in a dream means looking for trouble on your own head. Such a dream warns of sad consequences that may occur. A rotten banana means partners, as well as wasted work. Seeing a banana peel in a dream means vain hopes.

The beautiful banana grove you find yourself in in a dream is a sign of success and... Picking ripe fruits is a harbinger of wealth and profit.

From the outside it seems incomprehensible how the roots of teeth are removed if the tooth is badly damaged, because there is nothing for the instrument to grab onto. There are ways in which dental surgeons can easily cope with this task without causing psychological and physiological pain to the patient.

When is tooth root removal necessary?

The task of every person who cares about their health is to preserve as many teeth as possible. But sometimes there are situations when it is necessary to get rid of one or more, because their presence in the mouth can cause even greater problems.

a cyst has formed in the apical part, which has a tendency to suppurate;
tooth root mobility;
diagnosed periodontal tissue diseases;
tooth root fracture that cannot be strengthened with pin structures;
All that remains of the tooth is the root, the walls of which are located below the level of the gum, so it cannot be used as a support for prosthetics;
tooth discolored, destroyed due to caries or its complications;
root overgrown and remaining after previous removal;
atypical location of the tooth root.

Contraindications

It is not always possible to remove a decayed tooth. There are contraindications in which extirpation can harm the general condition.

the first weeks after myocardial infarction, as well as when accompanied by acute attacks of angina or cardiac asthma;
hypertensive crisis;
any diseases of the cardiovascular system in the acute stage;
location of the root of the tooth being removed in the tumor growth zone;
location of the tooth at the site of hemangioma growth;
in case of inflammatory diseases of the mucous membranes, such as, removal must be postponed until the processes are in remission.

Before doctors remove an overgrown tooth root, they must question the patient about what chronic diseases he suffers from and whether he has previously developed allergies. This approach allows us to identify all possible contraindications and protect the patient’s life.

Preparing for surgery

At the stage of preparation for root removal, the maxillofacial area and the directly causative tooth are examined, the general state of dental health is assessed, dental photographs are analyzed, and in some cases, blood tests. A full comprehensive examination allows the doctor to know before surgery about the peculiarities of the location of the root.

Many patients ask their dental surgeon whether it hurts to remove a tooth root? The procedure is completely painless with proper and adequate pain relief, because before the tooth root is removed, an injection of an anesthetic drug is given. In exceptional cases, the patient may experience some pain and discomfort, which is usually associated with the presence of acute inflammation, due to which the anesthetic cannot fully act.

Tooth root removal methods

In addition to the standard extirpation technique, there are also methods that allow you to save an entire healthy root or part of it in order to use such a tooth in the future for prosthetics.

Patients also have many questions about how to remove a tooth if only the root remains, because to an uninformed person it seems that this is quite difficult or painful. In fact, operations to remove a root or a whole tooth are usually no different.

There are also methods that allow you to save a tooth by removing only part of the root of the diseased tooth.

Hemisection

A method that involves dividing a tooth into two parts, while the root with an inflammatory process at the apex is subject to removal, and the remaining segment of the supragingival part of the tooth is covered with an artificial crown.

During hemisection, it is necessary to separate not only the roots, but also the adjacent coronal part. This way, a healthy half of the tooth remains in the socket, which can be used as a support.

Amputation

This operation means excision of only the problematic root while maintaining the integrity of the crown. This method is often used to remove the roots of the teeth of the upper jaw when one of them has a cyst or granuloma at the apex.

The operation is performed under anesthesia and is completely painless. The missing part of the root should heal over time, so the tooth will be firmly fixed in the alveolus.

Cystectomy

The procedure is performed when it is necessary to remove a cyst from the apical zone in order to save the diseased tooth. In this case, the roots of the lower and upper teeth are not removed - the surgeon only removes the formation on the apex of the tooth. To do this, after creating access to the bone using a bur, a hole is made in the alveolar process in the projection of the root apex, after which curettage, antiseptic treatment and suturing of the wound are performed.

Surgical instruments

To remove the root remaining in the gum, special tools are needed. It is removed using surgical forceps, but in case of complex tooth root removal, the doctor may need elevators, chisels, and sometimes a drill.

There is a division of tools depending on the location of the causative tooth, the side, and the jaw on which it is located. A characteristic feature of root forceps is that their cheeks do not close together, unlike dental forceps with the crown portion preserved.

Let's consider what tools are used to extirpate the root part of a tooth in the upper and lower jaw:

Straight forceps are used to extract central teeth (canines and incisors).
Instruments with an S-shaped handle are used to remove molars and premolars in the upper jaw. The side of the bend determines whether such forceps should be used on the right or left.
Bayonet-shaped ones are recommended for the extraction of wisdom teeth, but they can also remove the roots of the front teeth.
Beak-shaped forceps, curved along the edge, are intended for removing lower molars and premolars.
Beak-shaped forceps, curved along a plane, can be used to remove eighth teeth when access to them is difficult or the mouth opening is limited.

For complex removal, an elevator is used, which can be straight, curved or bayonet-shaped. This instrument has a massive handle, which makes it easy to hold in the doctor's palm, and a pointed, thin working part. To remove the root, the doctor needs to place the cheek of the instrument on the edge of the hole and apply force. Dislocation occurs using the lever method.

If it is necessary to separate one root from a multi-rooted tooth, or their dissection along the bifurcation is required, then a chisel and a drill may also be needed for this.

Treatment of the hole after tooth root removal

After removing the roots of the teeth, the doctor begins to treat the hole. This is necessary for the wound to heal without pain. . Initially, the alveolus is washed with an antiseptic solution, after which, in cases where there are signs of inflammation, the dentist places an anti-inflammatory agent (Alvogel) into the socket, which prevents the risk of developing postoperative complications.

If incisions were made, or traumatic damage to soft tissue occurred during tooth root extirpation, then it is necessary to place the mucous flap in place and secure it with several sutures. With a competent approach, there should be no scars left in the future if the tissues were compared accurately. Applying sutures avoids infection of the socket, repeated bleeding, and promotes faster healing.

After a complex tooth extraction with root separation has been performed, the dental surgeon prescribes painkillers and antibacterial drugs, and a few days later schedules a follow-up appointment to monitor the condition of the alveoli.

Complications

The destroyed root should not remain in the gum, as it is an additional source of infection in the oral cavity, which can lead to the development of inflammation.

If it has been in the hole for a long time, after its removal the risk of complications and unpleasant consequences increases, which may include the following:

damage to the branches of the trigeminal nerve due to the proximity of the roots to its canal, especially in the lower jaw;
fracture of the body or angle of the jaw, dislocation of the temporomandibular joint due to excessive pressure with an instrument;
damage to the crowns of adjacent teeth;
perforation of the bottom of the maxillary sinus in situations where the roots are closely adjacent or even grow into the sinus;
alveolitis;
bleeding from damaged vessels, which requires suturing the wound or applying clamps to stop.

Removing a tooth root with a damaged coronal part causes difficulties for both the doctor and the patient. If you follow all the advice and recommendations of the dentist who removed the problematic root, healing usually proceeds without complications. If after a few days the pain in the socket does not subside, or signs of inflammation appear, you should immediately consult a specialist to eliminate the unpleasant symptoms.

Useful video about partial removal of a tooth root in case of cyst treatment

Tooth root removal

One of the most unpleasant dental procedures is considered to be the removal of the root of a tooth, which can occur in different ways, depending on the location, the presence of pathological changes in the surrounding tissues, and its size. All this determines whether the procedure will be complex or simple, but such manipulation should be performed only by a specialist, and only in a dental surgery office. As a rule, difficulties arise if the remainder of the root is located deep in the gum, which is often a consequence of an unsuccessful previous operation.

Tooth root symptoms

Symptoms of a damaged tooth root

A root damaged due to injury, or due to incorrect treatment, usually bothers the patient with pain or discomfort of a less pronounced nature. And if the root remains during tooth extraction, then most often the patient feels discomfort for a long time, he is haunted by the feeling that something is interfering. There are cases when the root remnant does not make itself known for a long time, and its presence can only be diagnosed on an x-ray, but this is rare. Basically the patient always knows about it. But most people ignore the body’s signal about the existing problem and categorically refuse to visit the dentist, which often leads to the development of complications.

Complications in the presence of root residue

If the tooth has been destroyed due to injury, the risk of infection of the wound surface increases; in this case, the remaining root must be urgently removed and the damaged tooth socket and gums must be sanitized. If the cause of destruction is caries, then the presence of a chronic source of infection provokes the development of an inflammatory process in the ligamentous apparatus of the tooth and gums. In turn, local inflammation of the gums can become chronic and cause periodontal disease. In this case, the infected and inflamed hole will heal much worse.

The presence of part of the root in the thickness of the bone often leads to the development of a pathological process in the surrounding tissues.

In any case, untimely removal of tooth roots sooner or later causes various complications. The overwhelming majority of requests occur in an absolutely advanced stage, due to the presence of a stereotype that the removal of teeth and their roots is a painful procedure.

Anesthesia before removal

Despite the characteristics of each organism as a whole, namely pain threshold, sensitivity, suspiciousness, for the most part, tooth root removal is a painless procedure. Today, tooth root removal occurs under local anesthesia, which is carried out immediately before the operation. Proper calculation of the dosage of the anesthetic allows you to maintain the analgesic effect throughout the entire procedure, regardless of whether it takes several minutes or two hours, regardless of the location and form of the process (acute or chronic), regardless of the instruments used.

Surgeon's instruments

For each group of teeth, there is a certain set of instruments that the dental surgeon prepares in advance before removing the tooth root.
Modern dental surgical instruments are represented by various types of forceps and elevators. Both types of tools operate on the lever principle.

Types of forceps

For removing teeth and roots located on the upper and lower jaws
Forceps for removing coronal (with preserved crown) teeth and roots
Forceps for removing individual groups of teeth on the upper and lower jaws
Forceps for removing large first, large second, upper molars
Forceps for removing teeth on the lower jaw, used when mouth opening is limited

Tooth extraction forceps

The design of each type of forceps is not the same, differing depending on the anatomical structure and location of the tooth relative to the dentition, as well as depending on the structure of the tooth crown and the number of roots.

For example, removal of a central or lateral incisor in the upper jaw is performed with straight forceps. Removal of small molars in the upper jaw is carried out using S-shaped forceps.

When removing teeth and roots of the lower jaw, beak-shaped forceps are used.

Types of elevators

The most common types of elevators in dental practice are:

Straight
Angular
Bayonet-shaped

And just like forceps, each type of elevator, operating on the principle of a lever, is intended for a separate group of teeth, relative to their location in the dentition, and is also used at the doctor’s discretion, regardless of the location of the root.

Basic principles of tooth root removal

The actual process of tooth root removal is carried out in different ways, depending on the location of the damaged tooth, its integrity and the presence of pathological changes in the surrounding bone tissue.

In the absence of inflammation, using special instruments, namely a narrow flat rasp or a smoothing iron, the surgeon separates the circular ligament from the neck of the tooth, and the gum from the edge of the alveolus. Then the forceps are carefully and carefully applied.

In the presence of inflammation and, as a result, melting of the surrounding tissue, applying forceps as deeply as possible is less difficult. There is no need to use special tools.

Often, an attempt to remove a tooth root with forceps does not bring results, in which case they resort to the use of elevators. The main difference from working with forceps: the elevator is inserted between the tooth root and the wall of the socket, or between the roots.

Work with single roots of the upper jaw is carried out using a direct elevator. The angular version of the device allows you to quickly work with the lower jaw.

But it is not always possible to rescue the remaining root only with forceps and elevators, because some teeth have two or more roots. In this case, the surgeon resorts to the help of a drill, which is indispensable at all times. The roots of the teeth are separated from each other and then easily removed from the socket using typical instruments.

The only case where, regardless of the selected instruments, the doctor’s experience, and the degree of development of the process, difficulties may arise is the removal of the root of a wisdom tooth.

Features of wisdom tooth root removal

Features of wisdom teeth removal

Wisdom teeth themselves are special teeth, even with their maximum physiological development. But in most cases, they grow perpendicular to the longitudinal axis of the jaw, roughly speaking, across the roots of the remaining teeth, which often leads to a number of complications during the process of eruption. And most often, wisdom teeth are removed almost immediately.

But there are cases when a wisdom tooth is fully formed, even with an incorrect axis. If there is a tooth crown, the surgeon can subjectively assess the correct location of the tooth and its roots, but when the crown part is missing or is destroyed, even a subjective assessment becomes impossible. In this case, the patient is prescribed an x-ray examination, during which the location of the roots will be determined.

Perhaps the need for the mandatory use of x-rays when removing the roots of wisdom teeth is its main feature. After an X-ray diagnosis, the wisdom tooth root is removed according to the basic rules and principles. Also, a set of instruments is becoming unusual, which is selected taking into account the location of the root and the presence of its anomalies.

About root removal in general

Regardless of the location, tooth root removal is not a complicated operation and the reviews are more than positive, it is not such a terrible and painful procedure.

The actual process of tooth root removal is carried out under anesthesia, and if post-operative pain occurs, you can safely take a painkiller; it is advisable to discuss this with your doctor in advance. Often, after removing teeth or individual roots, the surgeon prescribes an antibiotic or a complex anti-inflammatory drug, which will relieve pain.

You can watch a video of tooth root removal that will help you understand the essence of the process and the methods for carrying it out here. Perhaps, having studied the issue in detail from the inside, taking into account all the nuances, people who are afraid of dentists will stop worrying while sitting at the doctor’s office, and those who were not afraid will be able to explain to the opposite camp why it is not so scary and painful. Thus, motivating a person to seek dental care in a timely manner.

The Dental Association conducted a study which found that the cause of yellow and unattractive teeth in our compatriots is smoking abuse. In addition, most of them suffer from caries and missing teeth, especially the back ones.

Even rotten teeth do not push people to go to the dentist. Holes appear in the teeth, they are destroyed, and become sensitive to hot and cold food. But if the problem is solved in a timely manner, then dental diseases can be stopped by filling, removing plaque and other measures.

With the help of prosthetics, the dentition is restored, and modern materials used in prosthetics make artificial teeth invisible.

It is difficult to understand the causes of tooth decay; it is even more difficult to stop this process, and those affected by this problem suffer from an inferiority complex and are deprived of the opportunity to communicate freely, smile, and achieve success at work and in their personal lives.

Stages of tooth decay

The process of tooth decay goes through several stages. At the first stage, odor appears from the mouth. Then there is a process of destruction, accompanied by darkening and even blackening, and aching or sharp pain appears. At the same time, the gums swell, especially if rotting occurs from the root. Dark spots and holes appear on the tooth surface, pus accumulates under the roots, and sometimes a cyst forms, which can only be removed by a surgeon. During the process of decay, the dental nerve is destroyed, and then the toothache is no longer felt. Gradually, the upper part of the tooth is destroyed down to the base. It is no longer possible to place an implant on the root remaining in the gum, since such a tooth is not strong and healthy enough.

Rotten teeth require timely treatment, and it must be comprehensive. After consultation with the dentist, the patient receives an appropriate prescription. It specifies drugs that should stop the putrefactive process. Treatment with antibiotics and other medications that strengthen the body is provided. In this case, the dentist begins to directly treat the tooth - he processes it, fills it, and, if necessary, removes the nerve, treats and seals the canals.

Causes of tooth decay

Why do teeth start to rot? Experts have long come to the conclusion that rotten teeth signal some kind of disease.
These could be sore gums, diseases of the internal organs (stomach, liver, intestines).
The cause may also be smoking, alcohol abuse, and drug abuse.
Smoking has a particularly negative effect on the condition of teeth, impairing blood flow in the gums. This prevents the supply of useful substances to the bone tissue of the teeth, not to mention the fact that they lose their natural color. One of the consequences of smoking is the development of periodontal disease and tooth loss.
Heredity can also be one of the causes of dental diseases.
Decay can also be the result of neglected oral hygiene. In addition to regular brushing with toothpaste, you should use dental floss and a toothpick, especially for those who love meat dishes. After every meal you should rinse your mouth. Thanks to these measures, the level of caries diseases is almost halved. Even food debris stuck between the teeth also contributes to the decay process.
The development of putrefactive processes in the oral cavity is often provoked by poor nutritional standards. A person can abuse sweets, sour fruits and berries, which have a destructive effect on tooth enamel and the tooth itself.
Rotten teeth also arise from an unhealthy lifestyle and poor nutrition (lack of vitamins and essential minerals).
One of the reasons for this pathology is the environment, fluorine deficiency in water, the presence of harmful impurities in it, and dirty air.

Possible consequences

Rotten teeth can also affect a person’s general condition. They cause complications such as heart pain, loss of appetite, and headache. Many experts trace the relationship between diseases of the oral cavity and diseases of the human skeletal system and the musculoskeletal system as a whole (caries - arthrosis - polyarthritis).

The presence of rotten teeth in one-year-old children indicates a woman’s poor nutrition during pregnancy. It has been proven that caries occurs in young children if the mother also has caries, that is, heredity takes place.

Among the reasons that negatively affect the condition of teeth, dentists note the consumption of certain foods: red wine, coffee, curry.

The biggest problem is that tooth decay has negative consequences. Putrefactive bacteria from damaged dental tissues, entering the body, cause many diseases, and a person cannot prevent this process on his own. The sooner he consults a dentist, the more reliably he will protect himself.

Rotten teeth affect all internal organs through the nervous and circulatory system. Pathogenic microbes (staphylococci, streptococci), which accumulate and multiply as a result of putrefactive processes, enter the body, affecting internal organs and the circulatory system.

Tooth decay can provoke visual impairment, hearing impairment, cause skin diseases, stimulate serious diseases such as rheumatism, kidney or heart failure, internal secretion diseases, and lead to hair loss.

It has been established that during putrefactive processes in the large molars, hair begins to fall out on the back of the head, and if the small molars are diseased, then the person becomes bald at the temples. When there is decay at the base of the teeth, a person may feel dizzy.

Rotten teeth can be the cause of such a serious disease as Ospera endocarditis. In this case, streptococcus affects the internal septum of the heart (endocardium). Usually this disease can only be eliminated through surgery. Before starting it, you need to visit a dentist, who will not only remove the diseased tooth, but also treat and neutralize the resulting wound as a place of penetration of pathogenic microbes.

The process of tooth decay can be stopped and even prevented by contacting a dentist and starting treatment in a timely manner. It is important not to forget about prevention to prevent putrefactive damage: maintain oral hygiene, brush your teeth twice a day with a therapeutic and prophylactic paste containing fluoride, and lead a healthy lifestyle.