Performing tooth extraction | Tooth extraction

Performing tooth extraction

In a normal dental practice only teeth that have already broken through are removed! This means only teeth that are already visible in the oral cavity. Shortly before the extraction, the tooth and the surrounding mucous membrane is anaesthetized (pain elimination).

In the lower jaw a conduction anesthesia is applied, in the upper jaw an infiltration anesthesia. Depending on the anesthetic, the effect occurs after about 3-10 minutes. To extract a tooth, first of all the alveolus is stretched with a chisel.

Without prior loosening, the dentist needs much more strength to pull the tooth out of its anchorage! The chisel does indeed have a certain resemblance to the chisel from the hardware store, only it is much more delicate and finer. The alveolus is the bone cavity in which the tooth is firmly anchored.

Only when all the tendons and fibers that hold the tooth in the bone are loosened, a special pair of pliers is used to finally remove the tooth from the oral cavity. There are different types of forceps. For example, each tooth has its own special pliers.

At the same time, a distinction is also made as to whether the tooth is to be extracted in the upper or lower jaw.The appropriate forceps are applied to the loosened tooth and then an attempt is made to remove the tooth. In the case of single-rooted teeth (anterior teeth and premolars), an attempt is made to rotate the tooth. Due to the anatomical position of the retaining fibers, the forces that simply pull upwards offer a great resistance, but they can hardly resist rotating forces.

Multi-rooted teeth (molars or even molars) cannot be rotated. The stronger the periodontal damage, the easier and less effort is required to remove the tooth. A blood coagulum forms in the now empty alveolus as a natural wound closure.

A sterile swab is pressed onto the empty alveolus for about ten minutes until the coagulum forms. In most cases, suturing the wound is not necessary and the swab is absolutely sufficient. In the case of very heavy bleeding or patients taking blood thinners, a suture can be placed. Patients who are taking very strong blood thinners and who as a result are expected to bleed extremely heavily are sometimes given individually adapted dressing plates beforehand, which they are not allowed to remove until a control one day later.

  • The front tooth forceps,
  • The premolar forceps,
  • The molar forceps,
  • Root forceps,
  • Whiteness tooth forceps.