TOOTH EXTRACTION

The teeth that are too carious or broken to be treated with filling, crowing or similar methods and the loose teeth due to progressed gingival disease must be extracted. Besides, the teeth may be extracted if the orthodontist deems necessary for saving space during orthodontic treatment. It is also appropriate to extract milk teeth that are not loose when it is time.

Why should an acute abscessed tooth not be extracted? Should antibiotics be used before each tooth extraction?

diş çekimi.jpg If the tooth has acute abscess (pain, swelling, fever and common weakness), the tooth cannot be extracted on the day of visiting dentist. It is necessary to use antibiotics for minimum two days prior to tooth extraction. The reason for using antibiotics is to prevent tooth infection from spreading over the body through blood. But, no teeth can be treated with antibiotic therapy alone, therefore it must be treated by the dentist. The chronic abscessed tooth may be extracted without antibiotic therapy.

What should you do before tooth extraction?

If your dentist prescribe antibiotics, you must take your antibiotics regularly and on time. If you have any systemic diseases or allergy, and if you continuously use drugs for your condition, you need to discuss this with your dentist. No anticoagulants like aspirin or blood thinners should be used before extraction. You should thoroughly brush your teeth and rinse your mouth with and antiseptic mouthwash, if possible. So, the risk for developing an infection is mitigated by reduced bacteria in the mouth.

Will I have pain after tooth extraction? What is alveolitis?

If the patient follows the recommendations of dentist after a quick and atraumatic tooth extraction, they will not experience pain other than a slight pain on the first day that can be controlled by analgesics. However, the most common cause for the pain following a tooth extraction is dry osteitis. The dry osteitis, also known as alveolitis, occurs when food particles get into the well of the removed tooth, resulting in oral malodor and pain, after the clot is excreted by eating hot food or drinking hot drinks, using straws, sucking or manipulating the wound site, or smoking. It is seen 2-3 days after tooth extraction. In this case, you must immediately see your dentist.

What to do after your tooth is removed

  • You must keep the sterile gauze dressing applied for clot formation for about half an hour in the mouth.
  • Do not tamper the wound site with the tongue or a foreign object.
  • Do not rinse your mouth on the day of tooth extraction and avoid spitting as much as possible.
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A cold compress (ice) should be applied over the extraction site on the chin right after the operation for 10 minutes, then another cold compress should be applied for 10 minutes after allowing for 5 minutes. A cold compress will prevent facial swelling especially following a difficult tooth removal.
The bleeding may continue in the form of leak. However, if you experience a heavier bleeding, put and keep a tea bag in the warm water for some time, take it out and apply it on the wound site for 1 hour. If you have prolonged bleeding, you must see your dentist as soon as possible.
Applying a piece of cotton on the wound site in case of bleeding will impair the wound healing, and the bleeding will be increased when removing the cotton. Therefore, no cotton must be applied on the wound site.

  • Do not use the extraction site for chewing for the first 24 hours.
  • Do not drink anything using a straw for the first 24 hours.
  • Do not smoke or take alcoholic drinks for the first 24 hours.
  • Remember to gargle with warm salty water or a mouthwash prescribed by your dentist every two hours after the first 24 hours. To prepare the mixture of salt and water, boil a glass of water first, then allow it to cool down to a temperature suitable for your mouth, and add a teaspoon of salt in the warm water.
    You should start to brush your teeth on the day after tooth extraction using a smooth toothbrush and use maximum care for oral hygiene without damaging the wound site.
    Avoid spicy, hot, sour, sweet, too hot or too cold food for the first five. .

If you have excessive facial swelling and difficulty in opening or closing your mouth, you may apply a warm compress on the face after consulting with your dentist.
If your dentist prescribe drugs for you to use after extraction, remember to take your drugs regularly on time and do not stop until you complete the medication. It is not necessary to use drugs every time you have your tooth removed. Do not insist on using drugs if your dentist prescribes no medication.



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