Complex Dental Extractions
Why Treat Infected Teeth
Tooth decay is still a problem even in the developed world and can lead to serious and life threatening complications. The microorganisms can spread from just within the tooth to surrounding bone supporting the tooth and then to soft tissues in the face. Due to the nature of human tissues there are potential tracks within the skin and adjoining tissues through which the infection can spread rapidly and reach a critical state. This can be more dangerous in people with other pre-existing diseases which affect their immunity. Therefore it is prudent to have these teeth treated promptly by your dentist. In cases where they cannot be saved they should be removed promptly.
Most extractions are done under local anesthetic and involve a needle. Lot of care is taken to make this least painful. Once your gum and teeth are numbed all you should feel is pushing and pressure. Very rarely in the presence of pus or active infection the anesthetic may not work very well.
Your surgeon may decide to peel the gums if the teeth are brittle or broken down, in which case you require stitching. Stitches should dissolve and heal away without any problem.
Be on a soft diet and take pain killers like simple paracetamol or ibuprofen which are quite useful. Some people may need codeine which is available as co-codamol over the counter. Maintain your oral hygiene as normal.
Immuno- Compromised Patients
Patients who are unable to mount a normal healing response which is preceded by inflammation to any surgical procedure can be termed immuno-compromised. There are a host of conditions which can lead to this situation and can result in delayed or even non healing areas where surgery is carried out in your mouth and may require treatment in the hospital depending on the severity.
What Conditions Can Compromise Healing?
- Radiotherapy to head and neck
- Steriod treatment for various medial conditions
- Immunosuppressive therapy for different types of cancer
- Blood disorders
- Treatment of osteoporosis
What Precautions Needs To Be Taken?
Meticulous maintenance of oral hygiene with careful consideration of the surgical alternative should be the first step. Your surgeon will discuss the options available and pros and cons of each of these options. If you should have a tooth removed or similar surgical procedure undertaken then the risks involved will be explained. Antibiotic cover for such procedures may be useful in preventing complications.
Oro Antral Communication
Many upper molar teeth are located in close relation or even within maxillary sinus cavity. This is a hollow cavity within the upper jaw and has direct communication to your nose. It is directly under the orbit(eye shell). Prior to removal the risk of causing communication to the sinus cavity will be discussed by your surgeon. Many a times they may heal without causing much symptoms. In some situations patients may experience fluid running through the nose or even pain in the cheek. The close relationship also makes one prone for dislodgement of root into the sinus cavity.
In the event of such complications your surgeon may opt to close the defect by another simple procedure. If a root fragment needs removed or the defect is large and not amenable to be treated by simple procedure then a treatment under general anesthetic may be necessary.