As we know, human teeth are temporary (milk) and permanent.Genetically, we should have 20 primary and 32 permanent teeth.The process of eruption of deciduous teeth begins around the age of 6 months and ends 2.5 3 years.The change of milk teeth to permanent happens to 5-7 to 12-14 years.For some reason, many people mistakenly called permanent teeth roots.In fact, there are roots and temporary and permanent teeth.Just at the time of the change of the roots of deciduous teeth normally absorbed.And when you remove the impression that they were not.They also say that time is called milk teeth, because only in the period of their presence is useful to a person to consume milk.According to another version, the time of the child's teeth are fed mother's milk.
Something about baby teeth
Normally baby teeth are removed only because of their physiological change.The loss of temporary teeth for other reasons is called premature.Premature removal of primary teeth does not pass without a trace.Complications after
According to the doctors, 25% -50% of the milk teeth removed prematurely.Less than is typical for children of large cities, more - for the children of the district centers.In most cases (80% -98%) temporary teeth removed on the complicated caries.Doctors found that earlier treatment for complicated caries baby teeth removed rarely untreated teeth.Permanent teeth in children often removed for orthodontic reasons.
Why do we lose our teeth
All indications for the removal of the teeth are divided into absolute (no doubt) and relative.Premature baby teeth removed: about complicated caries (periodontitis, periostitis, osteomyelitis), for orthodontic reasons, as a result of trauma (fracture, dislocation).Permanent teeth are removed: for complications of dental caries, periodontal diseases (tissue that hold teeth), for orthodontic reasons, resulting in injury.The main causes of tooth extractions in adults are complicated by caries and periodontal disease.Disappointing statistics point to the need for improved personal oral hygiene, dental care and timely conduct, to prevent periodontal disease, oral health professional.
Extractions and complications
Now let's talk about the removal of the tooth.Under the operation of tooth extraction understand the amount produced in a certain sequence influences, resulting in a tooth or its root is extracted from wells.In this intervention, except periodontal gap occurs and some expansion of the entrance to the hole required for the removal of her divergent roots.
After tooth extraction occur certain complications.Physiological changes occur not only in the portion of the alveolar bone where a tooth located, but also in the adjacent teeth.But often the opposite jaw dentition.In addition, there is an infringement of chewing function.All this is due to the fact that after tooth bone atrophy occurs in the region of its wells.As well as the displacement of adjacent teeth in the direction of the missing tooth, leading to disruption of contacts between them.Violated the ratio of these teeth with the teeth opposite jaw, there is also the movement of the latter vertically.And if the loss of a tooth is not significantly reflected in the chewing function, the removal of several teeth greatly reduces the quality of chewing food.
Equally important with the loss of certain teeth, mainly front have cosmetic consequences.As well as the possibility of dysfunction of speech.This leads to the need for the prosthesis.But you should always remember that no dentures not fully replace the native tooth.
We have to think about the consequences that arise in the untimely removal of the patient's teeth affected by the pathological process.The fact that its preservation for some diseases (osteomyelitis, abscess), developing in the surrounding tissues, can lead to serious complications, even death (absolute indications for removal).All of the above indicates that the operation of tooth extraction - a serious dental surgery.It must take into account all the positive and negative effects, according to strict medical indications, which determines the dentist.
urgent or planned?
Extractions can be carried out in an emergency and planned manner.Depending on the overall condition of the patient the surgery is performed in the clinic or hospital.Obviously, emergency surgery is performed in cases where the delay is death.And, of course, has no contraindications.Contraindications to the planned removal of the teeth are relative and can be general and local.Common: blood diseases, central nervous system, acute infectious diseases, diseases of parenchymal organs, cardiovascular system in the acute stage.Local: inflammation of the throat and mouth (sore throat, herpes infection, stomatitis), tumors (especially of unknown etiology).
Some believe contraindication for tooth extraction pregnancy - due to the possibility of miscarriage or premature birth.However, special studies have shown that the removal of the tooth does not adversely affect the normal pregnancy.The most favorable for the removal of a tooth is the period from the 3rd to the 7th month of pregnancy.However, we must consider it appropriate to a preliminary survey of pregnant obstetrician-gynecologist.
is not a contraindication for tooth extraction and lactation.At the same time, planning a pregnancy, it is necessary to sanitize the mouth.That is to heal or remove the problematic teeth.Tooth extraction during menstruation should be if there is no indication for emergency intervention, to postpone for a few days.This is due to a possible massive bleeding from the extraction sites.In diseases of the blood (hemophilia, thrombocytopenia, leukemia), and other common diseases in the acute stage is recommended surgery in a hospital.If there are no indications for urgent intervention, medication, doctors conduct a preliminary preparation of the patient within a certain period.In acute infections in the oral cavity and nasopharynx tooth extraction should, if possible, to postpone until the end of the disease.
To prevent serious complications after tooth extraction, listen to the following advice:
- extract teeth routinely better than in the morning.
- special training for surgery healthy person is not required.It is only necessary to prepare psychologically for a possible prolonged surgery.It is not always the teeth are removed simultaneously.Prepare yourself for feeling the crunch, the sound breaking the mucous, feeling of pressure on the tooth, and so on.
- Before tooth extraction is recommended, if possible, have a good rest.You can not starve as a strong physical fatigue and hunger predispose to fainting, collapse and shock.
- At considerable psychological instability is shown (by a doctor) the application for a few days before the removal of the drugs (bromides and barbiturates).
- Minor bleeding, resulting from rupture of blood vessels in the gums and periodontal tooth circle, usually stops in 2-5 minutes after the tooth extraction.At this time, the mouth of the well impose gauze ball.
- Under normal conditions, extraction sites filled with a blood clot, which is protected against the ingress of infection.In order not to wash the blood clot, rinse your mouth after a tooth extraction is not recommended.
- For the same reason it is not recommended meal for two hours.
After 2 weeks, a significant portion of the hole is filled with granulation tissue.Then it covered with a mucous membrane, and its depth in the formation of bone tissue.By the end of the 3rd month after the extraction hole is filled with bone tissue.And after 6 months of tissue in the area of the former wells are no different from others.
Injury wells during removal and the presence of inflammation causing pain and slow down the healing process.In the absence of complications in the postoperative healing wells painless.