Tooth extraction: The last therapeutic option

Permanent teeth begins to appear from 6 years old, gradually, replacing all the baby teeth. Permanent teeth are supposed to remain permanently in the mouth.
After an advanced stage of caries, trauma or gum disease, the dentist is forced to choose tooth extraction as a therapeutic option to avoid some serious complications.

When tooth extraction is needed ?

Permanent teeth are supposed to be kept for a lifetime, especially if good oral hygiene is maintained.
Unfortunately, it can happen that a tooth becomes fragile and impossible for the dentist to save it.
Here are the main causes that justify tooth extraction:

How tooth extraction impacts our oral function ?

consequences of tooth extraction After extraction, the missing tooth will leave empty space. The neighboring teeth, always seeking contacts with adjacent teeth, will change ist position.
These movements will create spaces between the teeth, where food debris can be accumulated, increasing The risk of CAVITIES and GUM disease.
The opposing teeth will also look for contact and will change their position too.
Having a missing tooth can cause wear of the remaining teeth since they have to work more and therefore wear out more.

To avoid these functional disorders, it's important to find a solution to replace the extracted tooth.

There are several options to replace the missing tooth: Bridge, Implant, Crown or a removable prosthesis useful when several teeth are missing.
In case of tooth loss during an accident, you can still save your tooth provided you do not exceed 60 minutes.
Also, a lot of research has been done to push back the extracted teeth although it cant be applied in dental practices yet.

Other complications of tooth extraction

After tooth extraction, some complications may occur.
They are quite common and do not have to worry you. Do not hesitate to call your dentist if they seem abnormal.
Pain after tooth extraction: It is normal to feel pain after extraction. The dentist should prescribe you analgesics. You can also use ice or mouthwashes to relieve pain.
Bleeding in the mouth: Bleeding may also occur after dental extraction. To stop the bleeding, you can bite into cotton pad. Avoid rinsing your mouth or spitting too much for at least 24 hours to promote healing.
complications of tooth extraction
Edema: Some patients will experience swelling after a few hours of tooth extraction. Generally, it disappears in a few days.
Infection: During an extraction, the gap left by the tooth represents a niche for bacterial and toxins.
The symptoms of infection are:
  • Pain in the face and feeling of warmth.
  • Redness, inflammation or presence of pus in the mouth.
  • Fever and headaches.
  • Bad breath (halitosis) or bad taste during meals.
  • Nausea or vomiting.
  • Difficulty breathing and chest pain.
  • Difficulty chewing and opening your mouth.
Alveolitis : Alveolitis is an inflammation in the bone. Can happen due to the space left by the tooth.
Paresthesia: It's quite rare, but it can happen during tooth extraction. Characterized by loss of sensitivity in the tongue and lower jaw.
Paresthesia can exceptionally be permanent.
That's why it's hard to choose tooth extraction as a solution. This is particularly the case when:
  • Acute inflammatory process
  • Acute rhinogenic sinusitis
  • Stomatitis (inflammation of the oral mucosa)
  • Myocardial infarction (heart disease)
  • Acute leukemia
  • Pregnancy especially during the first and third trimester
  • During certain treatments (anticoagulants, chemotherapy, radiotherapy)

Types of tooth extraction:

Simple extraction:
If the shape of the tooth is normal with no bone abnormalities and gum disease. The dentist can perform a simple extraction of the tooth.
The dentist will first move the tooth and then remove it under local anesthesia.
Surgical extractions
This pulling method is used when the tooth is destroyed by decay or when it is difficult to access.
The dentist must first clear the gum around the tooth before proceeding. After extraction, stitches will be affixed to protect the gum during healing.

Is it possible to save the Lost Tooth?

Most people do not know what to do in case of a tooth loss in accident or trauma. The procedure is simple and easy to do: you have to put the TOOTH BACK in place quickly, even if it is a little damaged.
The operation is not pleasant, but it is not very painful. The lost tooth, which is preserved without major fracture, may be BACK IN PLACE FOR ABOUT 60 MINUTES.
Chances are high that the tooth will return to its ORIGINAL POSITION AND HER STRENGTH for the rest of life.
If the tooth is dirty, put it in your mouth and clean it with your saliva.
After that, go straight to the nearest emergency service.
Otherwise, can we push back an extracted tooth?
dental eruption Many studies have been done. According to a Japanese team, it is now possible to grow new perfectly functional teeth from a set of stem cells.
The experience was to implant stem cells into the upper jaw of mice. They gave birth to a tooth that pierces the gum 36 days later and reaches a normal size after 49 days. The tooth was well aligned, allowed perfect chewing.
During the observation, these new teeth appeared quite normal, with innervation and internal vascularization, roots and enamel protection. The connections between root and bone have been well-established.
The new teeth therefore provide a sensitivity to pressure, which is of course impossible with artificial teeth.
In short, the generated teeth have all the characteristics of natural teeth.
The experience was successful, however, if the operation is actually possible in humans, the technique is still far from the dentists.