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Pull molar tooth

introduction

Tooth decay, pain or the breaking off of a molar tooth can mean that a tooth can no longer be preserved. The "pulling", in the technical language "extraction“, Of a molar then means that one of the large molars, complete with crown and roots, is removed from its tooth socket

The treatment creates a wound at this point that usually heals without complications over the next two weeks. Then there is a tooth gap between two teeth or a so-called one Free-end situationwhen the last tooth in a row has been extracted. This gap can then be filled.

Read more on the topic: Tooth extraction

An overview of the reasons

If the molar is extensively destroyed or damaged and can no longer be preserved, it must be extracted. These causes are possible:

deep, untreated tooth decay
Trauma (molar has broken off severely)
untreated periodontal disease (inflammation of the teeth supporting structure)
strong degree of loosening (tongue can move the tooth)
difficult transcription of a wisdom tooth
Inflammation of the root of the tooth (apical periodontitis)
Molar lies in the fracture line of a broken jaw
Jaw constriction

Reasons in detail

There are several causes that make the extraction of a tooth inevitable. Caries or trauma can destroy a (molar) tooth so severely that it is impossible to preserve it and the only therapy is to pull the tooth. A strong loosening by periodontal disease can also be the cause. If the tooth is so loose that it can be moved with the force of the tongue, the molar can often no longer be saved. Even with a so-called apical Periodontitis, i.e. the inflammation of the roots of the tooth, remains no other treatment option depending on the degree of severity.

Read more about the topics: Root inflammation

Before radiation or chemotherapy, the indication must be much stricter. Teeth that cannot be preserved or can only be preserved with great effort should definitely be extracted beforehand. They can cause major problems if they are removed later - during or after the radiation treatment.

If a molar tooth lies in the hernia of a jaw fracture, it must be removed when the hernia is treated, otherwise it can cause an infection of the wound. Even with difficult eruption of a wisdom tooth, also "dentitio difficilis“Called, you have to think about pulling the tooth. Inflammation can also develop quickly here.

Does a molar need to be extracted if it has broken off?

When a tooth is broken, the location of the break is very important in terms of the chance of recovery. If only a piece of the tooth crown (the part of the tooth that you can see in the mouth above the gums) has broken off, this can usually be filled again. However, if the tooth is already wobbly or broken far below the gum, it usually has to be pulled. An x-ray is taken to determine the exact extent of the break. If the break or crack extends to the root, the chances of recovery vary greatly. However, sometimes the tooth can no longer be held.

Symptoms that can lead to tooth extraction

The symptoms that lead to a tooth extraction can be very differently be, depending on the cause. Some people don't feel anything, at some point the tooth starts to wobble and falls out.

For example, if a tooth is inflamed, it can strong pain causing the patient to visit the dentist. Cooling down can often alleviate the pain somewhat in the meantime. The pain is often the main reason that leads to the removal of the tooth. Sometimes there is one chronic inflammation also a To press, especially with inflammation of the wisdom teeth.

Other symptoms can include wobbling of the tooth or poor chewing function. This means that the tooth comes up before everyone else or no longer has any contact with its counterpart. It is then pushed out of the tooth socket or into the socket.

Tooth extraction process

When pulling a tooth, the patient must first be informed about the advantages, disadvantages and complications of the treatment by the dentist himself. Sometimes an X-ray is also necessary for a reliable diagnosis. Once all formalities have been clarified and the patient agrees, you can start.

The treatment begins with a local anesthetic, a so-called. Local anesthesia. This involves injecting an agent under the gums that makes the molar and the surrounding area numb.

Read more on this topic: local anesthesia at the dentist

As soon as the effect has occurred, the dentist starts with an instrument, the so-called Periotometo loosen the gums around the tooth. The holding fibers of the tooth are severed. Then an attempt is made to pull the tooth out of its socket with pliers. Sometimes it can happen that the tooth crown breaks off. Then the roots are separated individually using the so-called Beinschen lever and removed with the help of a root forceps.

Then it is checked whether all tooth parts have really been removed. In the upper jaw it is then examined whether there is access to the maxillary sinus via the wound. The wound is then cleaned and granulation and, if necessary, inflammatory tissue removed. The dentist may have to sew up the tooth socket.

Thereafter, the treatment is over, the dentist should explain the precautionary measures for the next few days. You should then bite a gauze swab or a handkerchief for half an hour so that the wound is compressed and the bleeding is stopped. Under no circumstances should paper tissues be used. These fibers and if you try to remove them completely, the wound can tear open again.

Tooth extraction under general anesthesia

Teeth pulling under anesthesia or short anesthesia is possible. However, the risk of anesthesia must be weighed against the benefits. Therefore, this option is usually limited to particularly difficult cases. For example, if several teeth have to be extracted at once and the patient is very afraid of the dentist. Anesthesia is also the method of choice for small children.

Read more on this topic: General anesthesia at the dentist

Duration of a molar extraction

The duration of the treatment depends on various factors, for example how many roots the tooth has and how these roots are anchored in the bone, as well as what pretreatments have already been carried out on the tooth. Both a root canal treatment and a broken crown can make pulling difficult.

Finally, the skill of the dentist also plays a certain role. All in all, however, a molar extraction should be quick. As soon as there is no pain, you can expect a problem-free extraction to take about one to two minutes. If complications arise, the whole procedure can take a little longer than 10 minutes.

Complications of molar extraction

Possible complications that can occur when pulling a molar tooth include: a. the Abort the tooth crown. This is not an unusual situation, the tooth roots can also be removed individually afterwards. During the extraction of the molar, the broken tooth may continue to fall and then accidentally swallowed becomes. Adjacent teeth can be damaged by using instruments and nerves, vessels or soft tissues are injured by slipping.

It can also happen that a Connection between the mouth and maxillary sinus arises. In any case, this should be closed with several sutures so that the maxillary sinus cannot become infected by invading bacteria. A typical complication is the loss of the blood clot in the alveolus, the so-called Sicca alveolitis. Further complications that occur after treatment are edema, secondary bleeding or the formation of a bruise. A lower jaw fracture or an alveolar process fracture occur less frequently.

Inflammation after tooth extraction

Inflammation of a damaged molar tooth is a serious complication after tooth extraction. The simple inflammation can quickly develop into a larger lesion with pus formation. If there are signs of inflammation, you should immediately go to the dentist or the dental emergency service. The affected tooth usually has to be removed and the pus cavity opened so that it can heal. This treatment is often given under general anesthesia and hospitalization may be necessary.

Signs of inflammation include redness, swelling, pain, and overheating. In this context, too, patients often complain of a swollen cheek.

Read more on this topic: Wound healing disorder after tooth extraction

thick jaw

If a swelling of the cheek, i.e. a ’thick cheek’, appears a few days after pulling a tooth, a doctor should be consulted immediately. It is very likely a bacterial infection. The bacteria in the oral cavity were able to penetrate the resulting wound. An inflammation has developed which must be fought as quickly as possible. To prevent the swelling from increasing, heat and physical exertion should be avoided at all costs. Instead, the cheek should be cooled and the inflammation treated with an antibiotic prescribed by the dentist.

Read more on the topic: thick jaw

Pain during and after tooth extraction

Pain during tooth extraction

Every time a tooth is pulled, i.e. a tooth extraction, pain can be perceived individually. In any case, the affected area, in which the molar tooth to be extracted is located, is sufficiently anesthetized. Often syringes are placed in several places to numb the supply areas of the nerves running there. This means that both the gums and the areas underneath are numbed to ensure complete painlessness.

Read more on the topic: Local anesthesia at the dentist

Many patients nevertheless express an uncomfortable feeling of pressure during treatment. The molars have multiple roots that are often twisted or twisted. This means that they are firmly anchored in the bone. The dentist now uses a combination of rotating, tilting and pulling during tooth extraction. This is done with the forceps intended for the corresponding tooth. Due to the anesthesia, the patient does not feel any pain. The jerking and feeling of pressure can, however, become unfamiliar and therefore uncomfortable. If pain does occur during treatment, the dentist can intensify the anesthetic.

What pain do you have afterwards?

After a tooth has been extracted, healing takes place and, associated with this, the typical symptoms of wound healing. They usually start as soon as the anesthetic has worn off and often last about 2-3 days. They are often expressed as a constant throbbing or knocking that can be perceived as uncomfortable. The pain is also often described as burning or drawing. The strength of the pain always depends on the individual pain sensation. If severe pain only occurs a few days after the tooth extraction, a dentist should be consulted. In this case, there could be a deep-seated infection in the wound.

How long have you been in pain?

Every tooth extraction (tooth extraction) corresponds to a surgical procedure and with this a wound is created which then has to heal. Wound healing pain in the first few days after tooth extraction is completely normal. They usually last a few days and are accompanied by tenderness, throbbing or throbbing, and reddening of the affected area. Vigorous brushing of the teeth, the consumption of hard food or other types of irritation should be avoided at the extraction site for about a week. In most cases, provided there are no infections or complications during wound healing, the pain has completely subsided after a week at the latest.

What can you do about the pain?

Painkillers prescribed by a doctor, such as ibuprofen, can be taken to relieve the pain of wound healing. It is important to refrain from using preparations such as aspirin. These have an anticoagulant effect and therefore increase the risk of rebleeding. Furthermore, sucking ice cubes from the inside of the mouth or cold compresses on the cheek can relieve pain. Heat should be avoided in any case. After eating, you can rinse with chamomile prophylactically to prevent infection of the wound and to prevent further pain.

Duration of healing

The compartment in the bone in which the tooth was previously located now has to be refilled with tissue. This happens by means of the body's own blood clotting. The wound is usually sutured by the dentist. After about a week, the threads must be pulled. It will take some time for the wound to heal completely. The pain associated with wound healing usually subsides after a few days.

Tooth extraction during pregnancy

If possible, the extraction should not be done until after pregnancy. But even if you're pregnant, it turns out usually not a problem represent pulling a molar. Then just a few precautionary measures need to be taken. The easiest way to have a dental treatment is in the 2nd trimester (4th-7th centuries).Month of pregnancy). During this time, the unborn child is comparatively less sensitive to the stress that one is exposed to during dental treatment.

If you are anesthetized, you should not use the drug Felypressin, as it can trigger labor. Basically, only drugs should be used that contain the so-called. Placental barrier cannot happen.

From the 6th month there is also the risk of the so-called. Vena cava compression syndorms. In the supine position of the pregnant woman, the Vena cava, i.e. the large vena cava, clamped off from the uterus and the blood stagnates. It can then no longer flow back to the heart. This can cause sweating, shortness of breath or dizziness. A lateral storage prevents this phenomenon. Antibiotics can also be given if antibiotics that are allowed to be used during pregnancy are used. Otherwise the extraction proceeds as with non-pregnant women.

You might also be interested in: Toothache During Pregnancy

Cost of tooth extraction

When removing a molar tooth fall for the patient initially no costsn on. These only arise when it comes to the further supply of the resulting gap goes.

Options for this are the production of a bridgeif the neighboring teeth of the gap are already destroyed or already crowned, or the setting of one Dental implant. If there is already a (partial) prosthesis, it may be possible to expand it. Sometimes it has to be renewed, especially if the extracted tooth is an anchor tooth. The costs start at around € 400 for a bridge, but can also be well over € 1000 for prostheses and implants. They are primarily dependent on the type and properties of the material and the expertise of the dentist. There are usually no upper limits. As a rule, the Health insurer the costs for the respective standard careg taken over. Further discounts can be added if the patient can show a consistently kept bonus booklet over 5 or 10 years. The rest must be paid by yourself.

Length of sick leave

One cannot say in general whether and for how long a sick leave is necessary after a molar tooth has been extracted. The treating dentist decides on this. Usually, a sick leave is not necessary after a simple extraction. This means that if only a single tooth is extracted, you can go to work without any problems, but you should only resort to a quiet activity for the next few days.

However, if several teeth are extracted at the same time, the attending dentist will decide how long a sick leave is necessary. It then also plays a role where the extracted teeth were and how much effort has to be put into the work of the patient and what other diseases already exist. The wisdom teeth, i.e. the last large molars, are an exception. Due to the high risk of infection or because there is even already an inflammation, a sick leave of several days to a week is often issued.