Tuesday, 20 November 2012

Tooth Extraction

Definition:  Tooth Extraction refers to painless removal of tooth or tooth roots with minimum trauma to the surrounding tissues so that the extraction socket wound heals uneventfully without any post-operative complications.




Indications for Tooth Extraction

  • Deeply Carious tooth with pulpal pathology 
  • Teeth with apical pathology
  • Severe gum disease
  • Broken teeth 
  • Teeth in the fracture line
  • Teeth which cannot be restored endodontically
  • Retained deciduous teeth
  • Teeth with fractured root
  • Prosthetic Reasons
  • Prophylactic extraction
Contraindications for Tooth Extraction

Absolute contraindications
  • Uncontrolled Diabetes
  • Leukemia
  • Renal Failure
  • Cirrhosis of liver
  • Heart Failure
Relative contraindications
  • Diabetes
  • Hypertension
  • Heart Disease
  • Pregnancy
  • Blood dyscrasias
  • Patients on steroid therapy
  • Patients on anticoaugulant therapy
  • Medically compromised patients
  • Toxic Goitre
  • Jaundice
  • Nephritis
  • Fever Of unexplained ttorigin
Types  of Tooth Extraction

Teeth can be extracted in two ways
  1. Closed or intra-alveolar: In this method, the tooth is extracted in a simple way using forceps.
  2. Open or transalveolar: In this method, a mucoperiosteal flap is raised and the tooth is extracted surgically.
Complications of Tooth Extraction


  • Pain
  • Swelling
  • Dry socket
  • Limited mouth opening/Trismus
  • Fracture of teeth
  • Damage to adjacent teeth
  • Damage to soft tissues 
  • Oro-antral fistula
  • Fracture of alveolar bone



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