In the article, we consider that this is the removal of a retarded tooth.
In seventy percent of cases, wisdom teeth grow in people dystopic, that is, they occupy an extremely wrong position in the row. There are also cases when the crown erupts only partially, then this is called retention. Such problematic eights must be removed, as they become the main cause of inflammatory diseases, and, in addition, strongly distort the dentition.
That this is the removal of a retined tooth is of interest to many.
Frequent surgery
Removing such a tooth is a fairly frequent surgical operation. Those elements which cannot be cut independently, and, therefore, are located in the proper place, are called retinated; in this regard, they remain inside the bone, located under the mucous membrane. Often, the removal of a retina incisor is the elimination of a wisdom tooth.
The reason for the occurrence of this phenomenon may be the early removal of milk incisors along with the incorrect location of the root, shifting the entire row and not leaving room for the growth of a new element. In all situations, the removal of retined lower teeth (or upper) is the most effective way to return a smile of beauty and health.
Indications for removal
A retarded tooth usually remains under the gum or in the jaw bones. As a rule, it is unable to cut through due to lack of space in a narrow section of the jaw and begins to put pressure on neighboring nearby molars, while destroying their roots. This process is usually accompanied by very severe pain along with swelling of the mucosa.
This is a sure signal that it’s time for a person to go to a dental surgeon. But even in the absence of symptoms, doctors often prescribe the removal of a retarded wisdom tooth in the lower jaw. The decision is usually made after an x-ray diagnosis. The main indications for removal are:
- The presence of pericoronaritis, that is, the formation of a gingival hood directly above the crown.
- The development of the inflammatory process of a different nature (be it periodontitis or osteomyelitis, etc.).
- The occurrence of numbness of the face due to the pressure exerted by the eight on the nerve endings.
- The appearance of a cyst or flux.
- The development of severe soft tissue edema when facial features change.
- The cutter of wisdom grows horizontally, resting against an adjacent crown.
That this is a retined tooth extraction is now clear.
When should surgery be postponed?
However, it is necessary to postpone a similar operation in such cases:
- In periods of reduced immunity (against the background of seasonal colds and so on).
- The occurrence of exacerbation of a viral or infectious disease.
- The appearance of a hypertensive crisis in a patient.
- Blood pathology (for example, hemophilia and so on).
- The onset of pregnancy.
Removal of a retarded distoped wisdom tooth
Doped teeth on the front of the jaw (we are talking about incisors and fangs), as a rule, are not removed. They can be put in place through orthodontic treatment. For example, if the crown has grown obliquely or rotates around its axis, it is necessary to install a bracket system. Doped teeth are usually required to be removed, as they cause a number of the following problems:
- They shift the entire dentition, and at the same time, occlusion (i.e., occlusion) is impaired.
- They greatly interfere with the installation of the prosthesis.
- Due to improper position lead to a rapid accumulation of plaque and tooth decay.
- They can rest on the cheek, injuring the mucous membrane of the mouth.
Cutter Removal Techniques
To remove the retarded wisdom tooth on the lower jaw, the following methods are used:
- Application of the traditional removal method. As part of the operation, the gum is cut with a surgical scalpel, and the incisor is pulled out with hand forceps, which, as a rule, come in various shapes and sizes.
- Performing removal using an elevator that creates rotational movements and thereby expand the periodontal gap. In this case, the fibers that connect the tooth with the alveolus are torn.
- Laser removal procedure. As part of its implementation, a laser beam is used, which replaces a traditional scalpel with a drill. With its help, the gum is cut along with the crushing of the incisor. This is an absolutely sterile and at the same time painless and almost bloodless method.
Stages of the procedure
In order to extract the retina incisors, a complex removal involving surgical intervention is used. The operation usually includes the following steps:
- Anesthesia procedure.
- Making an incision on the gum in order to create access to dental crowns.
- If necessary, drilling is performed along with sawing out the bone with boron.
- The procedure for applying surgical forceps in combination with the advancement of their cheeks inward.
- Performing dislocation and extraction of the tooth.
- Suturing wounds with special suture material.
The procedure usually lasts from twenty minutes to one hour. For anesthesia, local anesthesia is sufficient. But in the event that it is required to eliminate several teeth at once, then the extraction is performed directly under general anesthesia. Removing dystopian erupted incisors will not require dissection of the mucosa. The doctor simply places forceps on the crown, rocking the tooth through pendulum-like movements, and then removes it from the hole. Removing retinirovannye, just like dystopian incisors on the lower jaw, almost always happens very difficult, since the bone structure is very dense.
Complications after a dental operation
The postoperative period, as a rule, lasts about five to seven days. Usually, the doctor prescribes taking antibiotics in order to prevent the occurrence of an inflammatory process in the holes (we are talking about alveolitis). In the first two to three days, the appearance of swelling of the mucosa is possible along with painful sensations and difficulty in opening the mouth and eating food. Normally, all the symptoms gradually subside. However, you must immediately consult a doctor in the following cases:
- Against the background of a rise in temperature.
- With heavy bleeding from the hole.
- In the event of a putrid odor, which may appear from the mouth.
- The formation of gray plaque on the wall of the hole.
- The development of severe edema, in which half the face of a person swells.
What needs to be done after the procedure?
After the removal of the retina of the lower jaw, the following recommendations should be followed:
- It is mandatory to refuse food and all kinds of drinks within three hours after the procedure, in addition, a person should not smoke.
- In order to relieve pain, you need to take an anesthetic pill or attach a piece of ice to your cheek.
- Do not rinse your mouth during the first day, it can quickly destroy a blood clot in the hole.
- It is not recommended to apply a hot compress to the operation site.
- In the first three days it is not necessary to eat too hot and hard food.
- It is necessary to chew food on the side opposite from the hole.
- During the first week you should not take a hot bath, you can not go to the sauna and you need to limit physical activity.
Removal of incisors on the lower jaw
The classic operation to remove the lower retined and dystopic eighth teeth involves, as a rule, a pair of cuts of the mucosa. The first is carried out in the retro-molar region, and the other acts as a laxative vertical incision of the mucosa in the area of the second molar, followed by removal of the overhanging bone and sawing of the incisor and its extraction. At the end, the operation is completed by suturing the wound.
After such an surgical intervention, as a rule, a long period of wound healing begins, since vertical incisions are an additional intervention. In this case, postoperative pain is more pronounced, postoperative edema is noticeable.
In addition, the sutures that fix the vertical incision are often inconsistent due to the proximity of the lower jaw mucosa. Oral fluid may leak into the hole, followed by the formation of alveolitis and prolonged treatment with daily dressings. The number of complications following the removal of the lower incisors of wisdom can be significantly reduced without performing a vertical incision.
Removal of Retained Upper Teeth
When removing the upper elements, an incision is often made from the vestibule of the oral cavity, then a mucous periosteal flap covering the teeth is cut out. Bone tissue is cut with a drill. Further, the elements are carefully dislocated by the elevator, in certain cases it is more efficient to first cut the cutter into several parts (a crown with a root) and separately remove them. Further, bone plastic material is left in the cavity, as for the flap, it is laid in place so that the hole completely overlaps with it, then the sutures are applied.
Against the background of localization of the upper retina incisor or canine near the palatine surfaces, its removal is carried out through the mucous membrane of the hard palate. Just before the removal of the upper premolar and wisdom teeth, it is necessary to clarify how close they are to the maxillary sinus. The operation itself must be carried out carefully so that the tooth is not pushed into the sinus. The incision is made from the vestibule of the oral cavity. In the event that the teeth are covered with bone tissue, it is removed with a drill.
Below are reviews on the removal of a retarded tooth. We learn what people say about this operation.
Reviews
In the testimonials, patients who went through the procedure for removing retined and dystopian incisors report that it is terribly difficult, but also expensive. Patients say that after it, as a rule, the cheek swells very much, and then a bruise forms. Seams in the mouth, of course, interfere.
What other reviews are there about removing a retarded wisdom tooth?
But no matter how painful this process, according to most people, in any case, it relieves patients from pain and suffering. Direct removal of such incisors is a great plus for the health of every person. Thus, in the overwhelming majority of reviews regarding such operations, there are complaints of severe pain after it.
It is better to familiarize yourself with reviews about the removal of a retined tooth in advance.
Conclusion
Thus, the main task of modern dentistry is to keep the teeth beautiful, and at the same time healthy for as long as possible. But, unfortunately, sometimes you have to turn to their removal. This is done only in exceptional cases, when it is already impossible to save the incisor or it turns out to be the main cause of more complex pathologies leading to the worst consequences.
We considered that this is an extraction of a retarded tooth.