TOOTH REMOVAL

The illness

The neglected carious tooth and its surroundings often deteriorate to such an extent that tooth removal is the only option. Through the necrotic tooth, the infection spreads onto the apex and the surrounding bones, leading to inflammation. This causes periradicular tissues to swell, thereby loosening the tooth, making it mobile and sensitive to touch. The inflammation can lead to fever and chills. Inflammation around the maxillary teeth can lead to the development of sinusitis. Removal of the tooth might become necessary if it maintains a chronic inflammation (infected tooth). In this case, an abscess is visible around the apex on an x-ray. In certain instances, removal of healthy teeth might be necessary, for example: premolars because of orthodontic reasons, or impacted wisdom teeth or canines that cause complaints, or a malpositioned tooth that is an obstacle for final restoration, or an extremely mobile tooth.

Preparation for surgery

An examination precedes any tooth removal. We conduct the examination by palpation and percussion. Taking a digital x-ray is imperative. From the x-ray, it becomes obvious whether a simple extraction will suffice, or if surgical extraction is necessary. The treatment can be started immediately in either case, because the oral surgeon, as well as the operating room is available onsite. Eating is recommended before any dental treatment, because after the injection of the local anesthetic, the patient cannot eat until the anesthetic wears off.

Simple tooth extraction

It is performed using local anesthesia, which means injection of 2% Lidocaine. Once the doctor is convinced about the numbness of the operational site, as a precautionary measure to avoid mucosal injuries, the gingiva is separated from the tooth using a periosteal elevator, and then the blades of the forceps are applied to the tooth for extraction. When removing an inflamed tooth, the inflamed tissue in the socket must also be removed. The dentist applies pressure to the wound edges to close them. For 15 minutes after the extraction, the patient needs to bite on a gauze. After the bleeding stops, the patient is free to go home.

Surgical tooth extraction

In many instances a simple tooth extraction is not feasible. In these cases, we resort to surgical tooth extraction. This is the case if: caries destructs the coronal part of the tooth or cervical region (in this case the tooth shatters when forceps are applied), or if an x-ray indicates strongly curved, divergent tooth roots. In the case of impacted wisdom tooth or canine, as well as in the case of maxillary molars, when it is clear on the x-ray that the sinus is too close to the root, and thus we can expect the opening of the sinus cavity, we also resort to surgical removal of the tooth.

The surgery

It is an outpatient procedure using local anesthesia, this implies infiltration of the surgical area with 2% Lidocaine. We create a flap around the tooth by incision, reflect the gingiva, remove the bone surrounding the root, and then remove the tooth itself. We remove the inflamed tissue from the socket. We correct the uneven bone edges of the alveolus with a rounger. Lastly, we close the wound with sutures. If necessary, hemostasis is achieved by injection. After surgery, we provide a sterile gauze, which the patient bites on for 30 minutes, and as soon as the bleeding stops, the patient is free to go home.

Post extraction complications

After tooth removal there is a possibility that the alveolar process surrounding the tooth fractures, and the small fragments later penetrate the gum tissue. The gum tissue might rupture, the angle of the mouth may tear, or herpes might form on the lip. The adjacent teeth might be displaced, or large restorations in the adjacent teeth might dislodge. In case of maxillary teeth, the sinus might perforate, in case of lower wisdom teeth the sensory nerve in the mandible might be damaged, in which case the surgical side might be numb for up to a half year. The above mentioned complications generally result from simple tooth extraction, therefore, it can be generally stated that surgical extraction is safer, and heals faster.

Post extraction responsibilities

Light bleeding might occur at home. In this case place a sterile gauze on the wound, and bite together. Sucking on the wound, or rinsing it with water is forbidden, since this could lead to additional bleeding. After brushing, we recommend rinsing the mouth with Chlorhexamed 2-3 times a day, because this disinfects the oral cavity. All the teeth must be brushed at night, and starting the following day, the wound must be washed as well, but only with a lot of foam on the tooth brush. Compresses to the face, or warming it with a pillow is forbidden. Apply ice packs to the swelling on the face 5-6 times daily for 1-2 minutes. In case maxillary teeth were extracted, avoid nose-blowing. Do not perform heavy physical activities for 7-8 days. Sleep with your head propped up. Take pain-relief medication as needed. Use antibiotics according to the dentist's instructions. In case of surgical tooth removal, we will remove the sutures in 5-7 days. If any problems occur, please contact your dentist.

Charge for simple tooth extraction

8.000 HUF > Euro
Charge for examination and consultation: 4.000 HUF > Euro

Charge for surgical tooth extraction

12.000 - 25.000 HUF > Euro
Charge for examination and consultation: 4.000 HUF > Euro

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766