Surgery treatment

Tooth extraction/Extraction of Wisdom/ Unerupted and extra teeth 

The most frequent reasons of the extraction of teeth:
•    The tooth crown is severely decayed 
•    Extended periodontal diseases
•    Festering process near the tooth root
•    Orthodontic correction
•    Incorrect position of the tooth
•    Breaking off of the crown or root

Unerupted (impacted) teeth are the teeth that are fully formed, but they have not emerged  because of various reasons. Usually the canine teeth and the eighth– wisdom – teeth are unerupted. 

Extra teeth are additional teeth that should not be in the jaws. These teeth can be unerupted or fully emerged in the mouth cavity. Sometimes the teeth have a normal anatomic structure, but usually they are smaller or of incorrect shape.

Extra unerupted tooth may become an obstacle for the growing of permanent teeth. Unerupted canine teeth that are necessary for the normal occlusion can be “made to disappear” applying the orthodontic treatment. Fully unerupted teeth that do not arouse any discomfort may be left. But when the unerupted tooth is retained, there might be a risk of complications: the appearance of cysts and tumours, pushing of the teeth arc, the inflammation of soft tissues around the tooth, resorption of the surrounding bone and the roots of the adjacent teeth, the caries of the unerupted tooth, the pulpitis, periodontitis, pain of neuralgic nature due to chronic inflammation.  The extraction of wisdom teeth is the only solution when the patient has such problems.

The unerupted and extra teeth are removed:

• if inflammation processes are repeated
• when the tooth retention conditions the nearby tooth caries or the root resorption (melting of solid tissues)
• after the radiogramme is carried out, the destructive changes of the surrounding bone are supervised (the formation of a cyst). 
• because of the orthodontic treatment,
• when preparing the mouth cavity for prosthesis.
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How to behave after the extraction of the tooth?

After the extraction of the tooth, the doctor will give you to bite a gauze tampon, that must be kept for about 30 minutes. The purpose of the tampon is to absorb and stop bleeding after the tooth extraction. If the bleeding persists, change the tampon with a new one and then keep it for 30 minutes. Also measure your blood pressure (the standard is 120/80 mmHg). In case the blood pressure is higher than indicated, take a pill from the blood pressure. The increased blood pressure can be the reason of bleeding after the blood extraction. If the bleeding persists, and the blood pressure is normal, contact the Face and Mouth Surgery Centre.

It is recommended to avoid active physical work after the tooth extraction (physical exercises, lifting of heavy objects), and hot baths.

Nutrition

During two hours after the operation do not eat anything, because the anesthetics are active for such a period and when you bite you may not feel if you are damaging the cheek or tongue. Avoid rough and hot dishes on the same day. No coffee of alcohol, because you will invoke bleeding when you raise you blood pressure! The feeling of blood taste is normal even on the next day after the extraction of the tooth. It may occur because of the blood clot in the alveoli of the extracted tooth. 

Smoking
You should avoid this bad habit for the next 12 hours after the extraction of the tooth, as the hot smoke and nicotine hinder the healing of the scar and may influence the formation of the clot. 

Discomfort

The swelling out after the extraction of the tooth is usually insignificant. Cold therapy is required to avoid it or reduce it that should last for about 5-6 hours. During the cold therapy the cheek should be kept cold for 15 minutes, then make a break of 30 minutes and then repeat again. If you put ice, wrap it in a thin towel.

To cease the pain after the operation, all usual medicine is suitable (Ibumax, Ibuprom, Nimesil, Ketanov, ect.) from your home medicine cabinet, except for the ASPIRIN as it liquefies the blood. 

Individual mouth hygiene

On the first day after the extraction, do not rinse the mouth, because you will remove the clot from the former tooth place and the pain will start. Brushing of the teeth should be done carefully and with a soft toothfrush. Since the next day, it is necessary to rinse the mouth with profesional liquids (Eludril, Listerine, Heksoral, etc.) 5-6 times per day and to brush the teeth normally.

In our clinic, we also carry out the following surgery procedures:

•    Resection of the tip of the tooth root;
•    Alveolitis treatment;
•    Peri-implantitis treatment;
•    Bone augmentation (growing up) when the bone is missing (horizontally and/or vertically) for the screwing of the implant;
•    The internal/external lifting of the upper jaw sinus.
 

Radvilėnų pl. 26-1, Kaunas
Tel.: 8-37 732124
Mob.: 8-655 99444
info@denteina.lt