List of contents

1. Tooth extraction, why tooth extraction ?
2. Cause of tooth extraction
3. What are the forms of tooth extraction?
4. Preparation before tooth extraction
5. Things you should know before having a tooth extracted
6. Tooth extraction procedure
7. Tips and methods for taking care of your teeth after tooth extraction
8. Complications from tooth extraction
9. FAQ

Tooth extraction, why tooth extraction ? 

Having good oral and dental health This makes it possible to chew food efficiently. and have a beautiful smile But sometimes there may be dental problems that make it necessary to have a tooth extracted. Tooth extraction may cause anxiety to many people, not least, including fear of needles from injecting anesthetic. Fear of pain from tooth extraction or may be afraid of the side effects of anesthetics But some dental treatments can’t avoid tooth extraction.

Tooth extraction is the last thing that will happen if your tooth can still be treated by other means. which is mainly the dentist will check the diagnosis first that Are your teeth able to be treated or not? If it is still curable, your dentist will not recommend extracting your teeth because natural permanent teeth are best for your mouth.

However, tooth extraction is still the best treatment to prevent the spread of germs. and to remove the root teeth for further treatment so as not to affect the patient. The dentist will take into account this very important point, which is how to treat it to be the most effective and effective in use.

Tooth extraction is something that no one wants to happen to themselves because many people are afraid of tooth extraction. Pain and sores in the mouth after tooth extraction It also makes it an obstacle in daily life. Let’s look at the causes of tooth extraction to know how to prevent it and how to prepare for treatment if needed. to understand more about tooth extraction

Cause of tooth extraction

Tooth extraction is considered a last resort after other treatments to avoid tooth extraction have been tried and failed. or when teeth need to be extracted Because if it can still be treated with other treatment methods, it will choose that treatment first. Because tooth extraction is the permanent loss of natural teeth. and may cause problems for adjacent teeth to fall into the gap If not wearing dentures

There are many reasons for tooth extraction, including:

1.Damaged tooth decay spreads to the tooth cavity.
which if released may spread to the adjacent teeth It can usually be treated with root canal treatment. or can cover teeth to maintain that tooth But for teeth that are severely damaged and too late to treat with such a method. Tooth extraction has therefore become the only option to prevent the spread of infection. Finally, teeth must be extracted and put on dentures.

2.To extract teeth together with orthodontic treatment

To create gaps in orthodontics or to rearrange the teeth In the case of those who are going to have braces this type of tooth extraction The orthodontist will plan the treatment for which teeth and how many teeth will need to be extracted, depending on the tooth type and face shape. The smile of each person who will have braces

3.Gum problems

People who suffer from gum disease can result in tooth loss. Because gingivitis will have red and swollen gums. If it is in the severe stage, it can cause the bone supporting teeth to melt and the teeth to rock. Without proper treatment, teeth may fall out or require extraction.

4.There is a cyst or pus at the end of the tooth root.

The presence of a cyst or pus at the root tip is caused by bacteria entering the tooth’s nerve cavity and reaching the deepest root apex. Causing pus at the tip of the tooth root in the jawbone, there will be pain, swelling, if not promptly treated, may spread to other teeth and may destroy the bone at the tip of the tooth root.

5.Accidents, chipped or cracked teeth, vertical fractures that are difficult to treat with other methods.

Makes it necessary to extract teeth, such as a tooth that has been severely impacted. Broken teeth, too little dentin, cannot be corrected with fillings or crowns. cracked tooth to root Which these teeth characteristics will inevitably have to be extracted.

6. Wisdom teeth or teeth that cannot come up in the mouth normally

7. Pathological teeth such as cysts or tumors

8. Extra teeth that come up in a disorganized manner

9. Deformed teeth or teeth that grow in abnormal positions that are not in use.

10.There is a risk of infection.

A weakened immune system that can result from chemotherapy or immunosuppressants can make tooth decay more prone to decay. and may also spread infection Before treatment with such drugs, the doctor must first check whether the patient has cavities or not. If so, it is necessary to remove the decayed tooth instead of filling it like a normal person.

11.The crooked teeth that affect the soft tissues on the side of the cheeks. 

12. Teeth near abnormal areas such as tumors or cancer.

13. Teeth that are attached to certain wounds

Or as a result of having to undergo radiation therapy or having to receive bisphosphonates through a vein

What are the forms of tooth extraction?

normal tooth extraction

A normal tooth extraction is a simple tooth extraction. The general dentist is able to perform this normal tooth extraction for everyone. The dentist will use the tools Gently sway the tooth out without causing nerve problems, this completes a normal tooth extraction.

surgery for tooth extraction

This type of tooth extraction is more complicated than a normal tooth extraction. Used in case of broken teeth and embedded in the gums. or a tooth that has a problem but has not yet grown or has grown in a small amount or part, such as a tooth that cannot grow or the last molar tooth

Which this tooth extraction Shouldn’t wait for pain and swelling to occur. Because it may make treatment more difficult in this form, most of them must be a specialist dentist. Or, in most cases, an oral and maxillofacial surgeon is the one who performs the removal of the tooth by surgery.

This surgery will be difficult enough. That is, a specialist dentist will have to cut the gums at the area where the tooth will be extracted. and make an incision mouth wound and then remove the broken teeth embedded or wisdom teeth out by extraction steps But in some cases it may be more difficult where the tooth is embedded within the jawbone, the dentist may need to remove the surrounding jawbone as well. Alternatively, the tooth is divided into two parts and the tooth is extracted one at a time.

Some orthodontic patients with excess teeth and hinder the movement of teeth or if left It may cause a cyst or cyst (Cyst) covering the teeth beyond. This cyst can expand. and squeezes the surrounding jawbone. until the bones keep disappearing They are often aware when they see a tilted face, pain, or if one jaw is larger than the other.

Preparation before tooth extraction

Prepare your body for example Get a good night’s sleep.
The mind is ready to extract the teeth. If you are afraid or stressed, you should tell your dentist, if you have any underlying disease, you should inform your dentist as well.
Eat but in moderation Don’t let yourself get too hungry as you can easily faint while extracting your teeth.
You should not eat too much food because it can cause problems after tooth extraction, such as obstruction of the airway from choking, which can be a complication.

Things you should know before having a tooth extracted.

Must provide a complete health history  if there is a congenital disease such as

• heart valves or require artificial heart valves
• congenital heart disease
• immune system disorders
• liver disease
• Have had joint surgery, such as an artificial hip joint
• have a history of bacterial endocarditis
• diabetes
• high blood pressure
• blood disease

Inform the medication you take on a regular basis. Because tooth extraction is a dental treatment that requires local anesthesia. There is also bleeding during and after tooth extraction. including taking painkillers or antibiotics to help relieve pain and inflammation after tooth extraction for dentists to plan treatment correctly and safely.

People with a history of bleeding prone but difficult to stop, in order to prepare and prevent dangers that may arise after tooth extraction.

Complications from tooth extraction  The most common side effect during tooth extraction is injury to soft tissues in the mouth. may be caused by doing it incorrectly Including the use of tools that are dangerous and difficult to control can cause wounds or abrasions.

If the molar teeth are located near the nasal bone near the cheekbones May pose a risk of sinusitis.

Extraction of the innermost lower molar teeth near the nerve that controls the facial muscles It may result in a distorted face.

Need to wear dentures to replace the gaps arising from the loss of the aforementioned teeth If dentures are not worn, there will be gaps in these areas. As a result, nearby teeth can tilt and fall down.

The extraction of molar teeth can result in inefficient occlusal and occlusion. Because when the tooth that is extracted disappears The pair of teeth touching each other will not meet well. As a result, the gums in that area become sores and oral infections can follow.

Emptying the gap  From the extraction of the molar teeth, it makes it easier for food particles to get stuck. cause tooth decay and gum disease.

Tooth extraction procedure

Teeth withdraw is considered easier compared to removal or removal of wisdom teeth, which are teeth that have not yet emerged from the gums or have not formed normally. Taking off teeth isn’t as scary as you might think. The procedure for tooth extraction is as follows:

1.Diagnosis of teeth and oral tissues.

In some cases, an X-ray may be taken to look at the appearance of the teeth and the root of the teeth inside the jawbone. to plan a thorough treatment before tooth extraction X-ray will show the length. Shape and position of teeth and bone around the teeth from the data obtained. The dentist will be able to estimate the degree of difficulty in the tooth extraction process. and decide whether to refer you to a specialist or oral surgeon or not.

2.Taking a health history to record information such as history of congenital disease, history of drug allergy, food allergy, or if there is a drug that needs to be used regularly, etc.

3.Start using an anesthetic.  for normal tooth extraction Apply local anesthetic to the area where the anesthetic will be injected. to make the injection feel as little as possible but if multiple teeth are extracted An anesthetic may be needed to render the body unconscious and unconscious throughout the tooth extraction process.

4.Start the tooth extraction.  The dentist will use a tool called a sag. make teeth loose from gums The tooth is then extracted with the extraction forceps by gently rocking the tooth little by little. until the teeth fall out Adjust the condition of the bones below to be smoother. However, in case of difficult tooth extraction Cannot be taken out at once may have to be dismantled several times It is mostly done in wisdom teeth HM implanted teeth.

5.After the tooth is extracted  The body creates a blood clot to aid in the healing process by gently closing the wound or the tooth that has been extracted. Your dentist will probably cover the wound with stitches to cover the edge of the gum above the tooth extraction. and bite the sterile gauze for 30-60 minutes to stop the bleeding.

6. Provide advice  on practices and care for wounds caused by tooth extraction, including cleaning care.

7.Come to the dentist to check the wound about 5-7 days after the tooth extraction date.

Tips and methods for taking care of your teeth after tooth extraction.

After teeth withdraw, you should take good care of your oral health and teeth. This will help the wound heal faster and there is no risk of infection after tooth extraction. Practices after taking off teeth are as follows:

• Always bite on clean, sterile gauze, given by a dentist. The bite is firm but not too intense to stop the bleeding. and the blood around the wound to coagulate into blood clots It takes about 30-60 minutes to bite or as recommended by the dentist. In the event that the bleeding has not stopped, a new piece of cloth can be replaced. But if the bleeding has stopped, there is no need to bite the gauze further. Do not talk or answer the phone. This will cause the gauze to come off and the bleeding will not stop.

• Eat soft, easy-to-chew or non-chewable

  foods, such as porridge, porridge, and then gradually eat more and more normal food over the next few days. Instead, chew on the unremoved side of your teeth for the first few days. Hot drinks after withdrawal within 24 hours because it slows blood clotting.

• Do not use your tongue to push or suck on the wound.  This can cause the blood clot to move from the tooth extraction wound until it bleeds and will stop the bleeding.
• Do not gargle after 2-5 hours of taking off teeth.

• Apply a cold compress  to the cheek where the tooth was extracted. to reduce pain and swelling It will help stop the bleeding faster. Apply the compress often until the bleeding stops.

• Avoid drinking alcohol and smoking because it will make the wound heal slowly
• Do not use drinking straws. Because it will make the taste of blood come out.
• Should sleep on high pillows to make the head higher than the body Prevents bleeding from the wound

• Don’t do heavy physical activities.

  for at least 24 hours after taking off your teeth to prevent further bleeding.

• Do not gargle or gargle vigorously within 24 hours after tooth extraction. Because the blood will not stop flowing.
• Gargle with salt water  If there is pain one day after tooth extraction, mix a teaspoon of salt with warm water, 1 teaspoon of salt and 240 ml of water to reduce pain and swelling. Be careful not to gargle too vigorously, which can cause the blood clots to come off the hardened wound. This will result in slow healing wounds.

• Taking painkillers

  as recommended by the dentist and apply an ice compress for 15-30 minutes to reduce pain and swelling.

• Brush teeth normally after the bleeding has stopped But avoid the area with the taking off teeth. wound. to prevent oral infections.

• If the patient is a young child 

  after teeth withdraw Parents must be careful not to bite their lips. Because the child will feel swelling and numbness on the lips. Because the anesthetic will continue to work for 2-3 hours after tooth extraction.

• If you have nausea, vomiting, fever, chills, cough, shortness of breath, or chest pain. including non-stop bleeding Severe pain or swelling continues for more than 4 hours after tooth extraction. You should see a doctor immediately.
• Wear dentures when the wound has healed.  to avoid teeth will fall into the gap and may be a cause of jaw joint deformity The dentist may therefore recommend replacing the extracted tooth with a supplement such as a denture or a bridge.

Dentist specializing in tooth extraction.

Specialist in Oral and Maxillofacial Surgery | Thor.7118  | ท.7118

Dr. Pornthip Fongcharoen (Mook) ทพญ.พรทิพย์ ฟองเจริญ (มุก)
Education background.

Bachelor of Dentistry, Chiang Mai
University Graduate Diploma Department of Oral Medicine. Chulalongkorn
dental home. Department of Oral and Maxillofacial Surgery, Chulalongkorn University

Specialist in Oral and Maxillofacial Surgery | Thor.10302 | ท.10302

Dr. Anon Thao Prayoon (Non) ทพ.อานนท์ ท้าวประยูร(นนท์)
Education background

Dentist, Thammasat
University Diploma in Oral and Maxillofacial Surgery, Dental Council,
Certificate Basic Implant Dentistry Association of Implant Dentistry of Thailand

Dental Implant Specialist | Thor 5579 | ท.5579

Dr. Ratthaphon Jongkonrat (Bom) ทพ.รัฐพล จงกลรัตน์ (บอม)
Education background

Bachelor of Dentistry, Prince of Songkla University
Dental Implant Mahidol University

General dentist | T.7828 | ท.7828

Dr. Sukit Supavarangkul (Golf) ทพ.สุกิจ ศุภวรางกูล (กอล์ฟ)
Education ประวัติการศึกษา

Bachelor of Dentistry, Chiang Mai
University Graduate Diploma General Dentistry, Mahidol University

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