21 July 2012
Extraction | Oral surgery
Tooth extraction is the removal of tooth from its socket in the bone.# INDICATION
- Unrestorable teeth
- Teeth which cannot be restored endodontically
- Periodontically weak teeth
- Radiation therapy- when radiation therapy for tumors of head and neck region may require prophylactic extraction of teeth
- Teeth in the line of fracture
- Fractured teeth
- If the tooth is involved in a cyst or tumor, removal of tooth may be considered.
- Malaligned tooth
- Orthodontic extractions
- Supernumerary teeth
- Retained decidious tooth
- Impacted tooth
- Extraction of teeth for osteotomy
- Impacted tooth in an edentulous mandible
- Serial extractions
IMAGES
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| BEFORE |
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| EXTRACTED TEETH |
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| BLEEDING DURING EXTRACTION |
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| AFTER EXTRACTION OF TEETH |
1) SYSTEMIC CONTRAINDICATION
- Uncontrolled diabetes
- Bleeding diathesis
- Pregnancy
- Uncontrolled hypertension, myocardial infarction, prosthetic heart valve, coronary artery disease etc.
- Endocrine malfunctions such as toxic goiter, Addison’s disease etc.
2) LOCAL CONTRAINDICATION
- An acute infection and severe cellulitis
- An acute pericoronitis
- A malignancy
- Radiation therapy to the jaw
- Vascular lesion such as hemangioma
# COMPLICATION
1) INTRAOPERATIVE
- Inability to move the tooth
- Fracture of tooth
- Fracture of alveolar process
- Fracture of maxillary tuberosity
- Jaw fracture
- Mucosal lacerations, puncture wounds
- Abrasion or burns on soft tissue
- Damaged to adjacent tooth
- Luxation of adjacent tooth
- Oroantral communication
- Displacement into facial spaces
- Nerve injury
- Hemorrahge
- Dislocation of TMJ
2) POSTOPERATIVE COMPLICATION
- Hemorrhage
- Pain
- Swelling
- Dry socket
- Trismus
- Infection
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