Pulling the cheek tooth
The extraction of a tooth or molar is the extraction of the entire tooth or molar with the gum and bone material connected. An anaesthetic is usually not necessary. If necessary, a local anaesthetic is possible.
The injection as such can also be painful. First the molar is loosened by the dentist using a lever instrument. Then the affected tooth is carefully extracted from the jaw with a forceps instrument.
Usually you feel a kind of pressure in the jaw. Pain should not occur. After the actual extraction of the tooth it is important to clean or disinfect it.
Thorough oral hygiene should always be ensured. If there is a tendency to bleed, a hemostatic tamponade can be inserted, which can be removed after about a week. After this time, the suture material can also be removed if a suture closure of the affected oral mucosa has been necessary.
The removal of the molar tooth is often necessary for orthodontic reasons to create the space needed to avoid deformities. The extraction of a molar is a routine procedure for the dentist. However, care should be taken when pulling, as adjacent teeth should not be damaged. In rare cases, a hairline fracture may even occur in the jawbone. In this case, symptoms only become noticeable a few weeks later.
The breaking or chipping of a part of the molar tooth is not uncommon and often results from the enormous physical stress that this tooth is exposed to. It is advised to consult a dentist as soon as possible. If the molar tooth or a part of it breaks off, this also means that the root of the tooth is still in the jaw.
Now there are 2 options, which the dentist has to weigh up. Firstly, the root can be removed through an incision in the gum and an implant or prosthesis can be inserted. On the other hand, if possible, the root can be preserved and a crown can be placed.
If a possible tooth restoration should be carried out after clarification, this first requires a thorough root canal treatment. Decisive for the type and extent of the cheek tooth restoration is the length of the broken off tooth part. If the enamel is broken off superficially, it is often sufficient to grind the tooth with a subsequent glaze using a varnish.
It is hardly possible to chew food normally, which is why the dentist needs to clarify the cause of the pain. The best known trigger for toothache is caries. This occurs when caries causes a hole to form in the tooth, which attacks the tip of the nerve.
The nerve marrow of the tooth (pulp) continues to retract and sclerose. If the molar tooth is not “preserved”, the dentist will remove it. However, this should be considered as a last option, as the molar is extremely important for the process of chewing.
Rather, one tries to remove the defect first. If the molar is under the crown, the dentist will try to put it back in place or even have a new crown made (based on an impression). An X-ray is also part of the clarification of the cause by the dentist.
If caries was discovered or treated too late as the cause, it can lead to pulpitis. This is an inflammation of the nerve marrow. Due to the swelling and the pressure, there is a permanent pulsating pain in the area of the molar tooth. In rare cases, this disease can also be caused by injuries to the jaw. Other causes would be abscesses, periodontitis or the falling out or loosening of dentures, which means that the ground tooth is now sensitive to food or liquids.