Edmund name nationality. The name Edmund in different languages

In what cases may it be necessary to remove the root of a tooth, or part of it (for example, resection of the apex);
Why “rotten” tooth roots should be removed as soon as possible and what can await you if this is not done on time;
In what cases can tooth roots be preserved (for subsequent prosthetics) and by what methods is such preservation implemented?
Typical clinical situations when a tooth root needs to be removed (and what is useful to know if, for example, a significant piece breaks off from a tooth while eating);
Methods for removing tooth roots, ranging from simple to complex and traumatic (using a dental chisel and hammer);
What to do if, after tooth extraction, a root or small fragments remain in the socket...

Sometimes the crown part of the tooth is so badly destroyed that only the root of the tooth, eaten away by caries, remains - in such cases, the question usually arises of removing these “rotten” remains. There are often annoying injuries: for example, while eating, a piece of a tooth may break off, and the chip (or crack) sometimes goes deep under the gum - in this case, the removal of the tooth root may also be necessary.

It’s a different story when the tooth is outwardly more or less functional, but the condition of its root (or roots) is far from normal - there are cysts and granulomas. Then the dental surgeon may suggest resection of the root apex or even amputation of the entire tooth root. We will also talk about this a little further below...

Fortunately, in some cases it is not necessary to remove the root of a tooth, and you can limit yourself to its treatment followed by prosthetics or restoration of the crown of the tooth. However, it should be understood that tooth remnants ("thoroughly rotten" roots) that are severely destroyed by the carious process should be parted with as quickly as possible and without regret, since their preservation is harmful to health more harm than good.

Let’s start with this – let’s see why, in fact, it is necessary to remove damaged tooth roots as soon as possible...

Why should rotten, destroyed remains of tooth roots be removed?

From the point of view of a dentist, the situation when a patient walks for years with a rotten tooth destroyed to the ground looks like this: this person does not feel sorry for himself. The fact is that in such cases, the roots of the teeth need to be removed urgently (see example in the photo below).

The reason is simple: rotten roots are a breeding ground for infection, and the more there are in the mouth, the more severe the problems are, and they are far from being limited to constant bad breath. These porous “rotten things”, like a vacuum cleaner, absorb bacteria and food particles. In addition to rotting food, the remains of the tooth also contain plaque that is difficult to remove and almost always supra- and subgingival tartar, which is why the gums begin to suffer.

In almost 100% of such cases, an inflammatory process is observed at the tops of rotten roots, accompanied by thinning of bone tissue, and a granuloma or cyst is formed. Simply put, there is a purulent sac hanging at the top of the root, which is just waiting in the wings to break through to form a “flux.”

The photo below shows an example of extracted teeth with cysts on the roots:

Against the background of the vital activity of microorganisms, the human immune system is forced to constantly expend its resources to fight the infection in order to somehow compensate for this problem (frequent illnesses may occur).

If such a tooth root is not removed, sooner or later a moment comes when the body’s forces can no longer prevent the spread of infection - an acute inflammatory process will occur, often accompanied by significant swelling. The favorite phrase of such patients: “The root was rotting for so many years, it didn’t hurt, and then suddenly the cheek suddenly swollen, and as always, at the wrong time.”

Note

And how, one might ask, should a dentist painlessly remove a tooth root for such a patient with gumboil, for whom the slightest touch to the gum causes severe pain? After all, anesthesia is almost always done in the projection of the roots of the tooth onto the gum, and there at that moment the accumulation of significant amount pus. The surgeon has a choice here: somehow try to inject the anesthetic as painlessly as possible, cut the gum, releasing the pus, and send the patient home, and after a few days, when he feels better, calmly remove the destroyed tooth root.

Or you can remove it here and now, but in this case there is a very high risk that removing the root will be painful.

As you can see, there is no point in delaying the removal of rotten tooth roots - they must be removed, and the sooner the better.

In what cases can tooth roots be preserved, and by what methods is this implemented?

Suppose that in your oral cavity you have a tooth (or even several), which can hardly be called a full-fledged tooth due to destruction, but it also hardly falls under the category popularly called “root”.

For example, for a long time There were large fillings on the dead teeth, which for some reason fell out, and all that remained of the tooth were “horns and legs”: one or two walls or remnants of the walls of the tooth. Or, for example, while eating, a significant piece broke off from a molar, leaving only a “stump” with sharp edges.

Is it necessary to remove the roots of the tooth in such cases, or is it still possible to come up with something to preserve them with subsequent prosthetics of the crown part?

So, today there are many so-called tooth-preserving techniques - the main ones are divided into conservative and conservative-surgical.

Conservative methods of tooth preservation do not involve surgical interventions, and the preservation of the root (tooth stump) is carried out through the preparation of canals (if necessary) and restoration of the coronal part suitable method, for example, using restoration with a light-curing material using a pin, or an inlay and a crown.

A conservative-surgical method may be required when there is an inflammatory process at the apex of the tooth root: after filling the tooth canals (most often with dental cement), resection of the root apex is performed on the same day or in a delayed manner. This operation is usually performed under local anesthesia and can be performed on both single-rooted and multi-rooted teeth. The operation is generally simple and usually takes 15-30 minutes.

However, sometimes with an inflammatory process at the apex of the root or even the roots, it is possible to do without surgical procedures - if it is possible to carry out treatment by introducing an anti-inflammatory drug into the canal(s), then the dentist puts the drugs on for a certain period of time (from 2-3 months to 1-2 years) while waiting for bone restoration around the root apex. If there is significant loss of bone tissue, the doctor will most likely still choose a conservative surgical method - either as the only way to save the tooth, or in order to reduce the treatment time (not a year, for example, but 1-2 months).

Note

Resection of the apex of the tooth root is carried out in several stages. At the first stage there is preliminary preparation(collection of anamnesis, especially for allergies, treatment of the surgical field) and anesthesia (most often with articaine drugs).

The second stage involves the beginning of the operation itself: creating access to the apex of the root through an incision in the gum, peeling off the soft tissue, sawing out a special small “window” in the bone and identifying the problem root.

At the third stage, a part of the root with a cyst or granuloma is cut off with a drill, after which drugs are put into the wound to stimulate the growth of bone tissue and accelerate healing. The wound is sutured. Prescription of drugs for home treatment(including painkillers) allows you to minimize possible painful sensations and allows the patient to return to their normal life in a matter of days.

Much less popular techniques to prevent the removal of the entire tooth are hemisection and root amputation.

During hemisection, the affected root is removed with part of the rotten crown of the tooth, and healthy roots with the remaining intact crown part are left for prosthetics.

Amputation of the tooth root, unlike hemisection, does not involve excision of the coronal part: only the root (the entire one) with the cyst or granuloma present on it is removed.

This is interesting

Exclusive options for preserving a severely damaged tooth are coronoradicular separation and tooth replantation (for example, if the tooth was knocked out due to mechanical impact).

Coronoradicular separation is carried out in relation to large molars, when in the area of bifurcation or trifurcation of the roots (where the roots branch) there is a focus of inflammation that cannot be treated. The tooth is cut into two parts, and the affected tissue between the roots is removed. Subsequently, each tooth segment is covered with soldered crowns to restore the lost function of the dentition.

Tooth replantation - simply put, is the return to the socket of a tooth that, for one reason or another, was previously removed from it (on purpose, or, for example, was accidentally knocked out by an impact). It sounds incredible, but it's true. Today, such operations are rarely performed, usually in cases where the tooth is brought to the dentist having just been knocked out.

IN Soviet era when they were not available modern methods preservation of complex destroyed roots, such methods were more or less popular for various options for unsuccessful conservative treatment. For example, a dental surgeon could first carefully remove a tooth, and a dental therapist would carry out intracanal treatment with filling and (sometimes) resection of the root apex (amputation, hemisection). The prepared tooth (or part of it) was fixed back into the socket in its original place using splinting, excluding it from the bite for several weeks.

Due to the technical complexity and not always justification, today the method of dental replantation is used only in exceptional situations.

In what cases will the root have to be removed?

If none of the tooth-preserving techniques can be applied, then the roots of the tooth must be removed.

Below are the most common situations in dental practice that involve the removal of tooth roots:

For complex tooth fractures (for example, longitudinal fractures - see example in the photo below);
Against the background of serious inflammatory processes near the root (large cyst, periostitis, osteomyelitis, abscess, phlegmon);
Destruction of the crown part of the tooth is significantly below the gum level;
Mobility root III degrees;
Atypical position of a destroyed tooth (various dental anomalies).

And some others.

However, as noted above, not every tooth fracture requires removal of the remaining roots. A splinter can break off both from a living tooth and from a dead one, that is, previously depulped, and dead ones are more vulnerable in this regard, since they become fragile over time. So, if the root has not suffered much and has solid base, then the tooth is restored using conventional methods: the canal is treated (if the tooth was alive) and the coronal part is restored using restoration or prosthetics.

There are nuances regarding the roots of wisdom teeth: many patients are in a hurry to get rid of such teeth as soon as possible - the reasons may be different:

Sometimes the hygiene of wisdom teeth is difficult and they are rapidly destroyed due to caries;
Erupted wisdom teeth can cause displacement of the remaining teeth in the dentition, which often leads to malocclusion;
Sometimes figure eights lead to regular cheek biting, that is, to chronic injury to the mucous membrane, and this is dangerous with the risk of malignant formations.

And so on. However, before you rush to remove figure eights, it is worth taking into account the fact that there are cases when even a seemingly severely damaged wisdom tooth is important for removable or fixed prosthetics. Not all people can afford dental implants to “throw away” even such teeth.

Therefore, in certain situations, a dentist can preserve the roots of a wisdom tooth by carrying out full endodontic treatment and restoration of the tooth (for example, with an inlay), followed by using it as one of the supports, for example, a bridge.

From the practice of a dentist

In fact, most dentists rather tentatively adhere to the list of indications for removing a tooth or its roots. The fact is that over the years of work, a practicing doctor has formed his own opinion about the possibility of saving a tooth in a given clinical situation (often this is the result of numerous trials and errors).

So, for example, an inexperienced orthopedic dentist may insist on preparing the roots of a certain tooth for a future bridge prosthesis, to which a competent and experienced dentist-therapist, suppose, refuses, justifying this by the mobility of the root (or roots), destruction of the interradicular septum, or obstruction canals due to the resorcinol-formalin treatment method carried out many years ago, or a significant inflammatory focus at the root apex. Even one of the reasons listed is quite enough to abandon such an undertaking.

In addition, there is such a thing as the “functional value of a tooth”: even if the root of a tooth can technically be restored in an accessible way, this does not mean that without detailed analysis The entire clinical situation should be addressed immediately. Will the tooth be able to function normally in the future? If not, then there is little point in saving it. For example, this applies to the roots of teeth that are outside the dentition, or wisdom teeth that do not have antagonists (that is, they are therefore unable to perform a chewing function).

Methods for removing tooth roots: from simple to complex

For some patients of the old Soviet school, the doctor’s message about the need to remove the root of a tooth almost causes panic. Typically, this reaction is associated with a number of the following fears:

“My lower left molar has fallen apart, they said I need to pull out the roots. Believe me, this is terribly painful, I recently went through this myself. And they also told me that I wouldn’t feel almost anything, they consoled me so that I wouldn’t be too afraid. This is terrible, I burst into tears right in the chair, they even gave me a sedative. They cut and gouged my jaw for an hour, the doctor was already sweating. The pain is wild, despite three injections..."

Oksana, St. Petersburg

Fear of the dental office often leads to the fact that a person can walk around for years with rotten remains of a tooth in his mouth: he looks in the mirror - the root has not yet completely rotted and does not hurt, which means he can still be patient. All this time, the remains of the tooth will be subject to increasing carious destruction, which in the future may further complicate the process of root removal.

Meanwhile, if you don’t wait until the last minute, it will be quite easy for a dental surgeon to remove the roots of a tooth using forceps with cheeks specially adapted for this. Even if the roots are partially covered by the gum, no incisions are made. Moreover, the roots that have disappeared from sight have an access line, that is, the gums cannot completely close the “rotten spots” even over the years, so the dental surgeon can only open them a little with a trowel and remove them with forceps. This usually takes about 3-10 minutes.

The photographs below show the removal of a tooth, the crown part of which has been destroyed almost to the level of the gum:

From the practice of a dentist

In patients of mature age (from 40 years and above), the removal of rotten tooth roots in the vast majority of cases does not present any particular difficulties, since against the background of alveolar atrophy, decreased height of the septa and the inflammatory process near the roots, the body “rejects” these roots, as it were, therefore, there is often their mobility to one degree or another. Practicing doctors know well that the older the patient, the better, since removal along with anesthesia almost always takes a matter of minutes - to the delight of the patient and the doctor.

Now a few words about chiseling tooth roots using a chisel and hammer. There are complex cases, when there is a tandem of 2-3 or more roots, that is, there is a full-fledged partition between them, and the patient’s age is relatively young, the bone tissue around the roots is full. In other words, there is clearly no gift for the dental surgeon.

In such cases, forceps rarely help in solving the problem, and a professional dentist takes on... No, not a chisel and a hammer. Currently, a professional dentist prefers modern approaches to removing such roots: sawing with a drill and removing the roots individually with an elevator and (or) forceps. This is especially true for sixth teeth and wisdom teeth.

Photo of a tooth whose roots are separated by a drill before removal:

Then in what cases do they still resort to a hammer and chisel?

Extremely rare, in dense villages middle zone Russia (figuratively speaking) uses this technique - moreover, it is used as the main one, since the dental surgeon either does not know about removing roots using a drill and chisels even teeth with an almost complete crown, or he does not have a drill available (from the poor equipping the offices is all happening).

As for pain during the procedure: when removing the roots of a tooth, the anesthesia is absolutely the same in quality and technique as when extracting teeth with a crown part. If a dentist uses an outdated anesthetic in his work and, moreover, does not have a professional command of anesthesia techniques, the result will be disastrous, especially for the patient.

Note

A fairly actively discussed topic among people is whether it is possible to remove a decayed tooth yourself using pliers? There are even terrifying (from a professional point of view) examples of removal with this tool. Firstly, in many cases, a diseased tooth, even if it has deep carious destruction, should not be removed, but can be successfully treated by a dentist. Secondly, removal requires anesthesia, and without it the pain will be very severe. Thirdly, with such tooth extraction at home, there is a high risk of introducing an infection into the wound with the subsequent development of complications. And this is not to mention the fact that many daredevils can simply crush or break off part of a tooth with pliers, leaving roots and fragments in the hole.

About situations when, after a tooth is removed, its remains remain in the socket

Patients’ fears often concern not only the fear of removing tooth roots, but also the prospect of possible tooth remains left in the socket due to the doctor’s carelessness (for example, a broken off root with a cyst or splinters). Indeed, in practice, not very experienced specialists sometimes encounter similar precedents. Interestingly, a number of these dentists are firmly convinced that everything will be fine, and tell their patients: “Don’t worry, over time the root will come out on its own.”

What happens if the tooth root was not completely removed by the doctor?

During complex tooth root removal, the dentist often finds himself in a situation where the root apex (tip) breaks off, and the view for further actions it is covered by increased bleeding from the socket (in other words, the socket is completely covered in blood and it is difficult to see anything in it). The professional can either work blindly, relying on his experience, or postpone the appointment, competently explaining to the person what to do and when to visit him again to complete the work.

But if the doctor does not have much experience in tooth extraction, or fundamentally prefers the tactics of “non-intervention” (sometimes in order not to waste his time), then he advises the patient to simply wait until the root “comes out on its own.” They say, don’t worry, the problem will resolve itself.

Dentist's opinion

The practice of leaving a broken tooth root in the hope that everything will be fine is vicious. Indeed, in many cases, an abandoned root or fragment may not bother you for a long time, and the wound simply does not heal completely over the years - something like a canal or fistulous tract remains, and the root gradually moves to the surface of the gum. This can take a very long time (up to several years), and there is nothing good for the owner of such an incompletely removed tooth: the infectious process at the root apex continues its negative impact on the body.

The worst thing happens in cases where the root apex remains with a granuloma or cyst. Problems arise either immediately in the form of purulent inflammation on the gums (“flux”), or delayed, but they will almost certainly arise (they can happen even after 10 years). The most unpleasant situation, when the left root is pulled in by the gum and new bone is formed around it, that is, the remainder of the tooth lies in a kind of capsule that separates it from healthy tissue. How long it will take before all this makes itself felt is not important, but the later the visit to the dentist follows, the more likely it is that with the development of an exacerbation of the purulent process (periostitis, osteomyelitis, abscess, phlegmon), help will be provided already in hospital on the operating table.

Thus, if the tooth was not completely removed (after the tooth was removed, a fragment of the root remained in the socket), then it is advisable to take measures to complete the work begun by the doctor, and this should be done in the near future. This will allow you not to leave an inflammatory focus on for many years, despite the assurances of the attending physician to wait until everything goes away on its own. In such cases, it can be useful to contact another dentist without leaving a time bomb in your jaw.

After tooth extraction, it may turn out that its roots will be completely removed, but at the gum level you will find some small fragments at home. Moreover, the dentist can state from the image that there are no roots in the socket, but will not pay due attention to the gingival margin. The point here is that a tooth destroyed by caries often crumbles during removal, and single fragments connected to the gum are not removed by a dental surgeon for a number of reasons:

Poor vision due to bleeding of injured tissues;
Doctor's carelessness;
Negligence.

If this debris remains in the hole (even small pieces of carious teeth), then the risk of developing alveolitis, an infectious inflammation accompanied by pain, swelling, fever, general malaise and other unpleasant symptoms, increases to a certain extent. That is why a competent dentist not only removes all the roots of the tooth, but also examines the wound for the presence of small tooth fragments, pieces of bone (if the removal was difficult), and filling material.

A clean wound, as a rule, heals much faster and more comfortably than a contaminated one, which is why it is so important to promptly consult a dentist and clean the hole if anything foreign is noticed in it.

Is it possible to remove a tooth root yourself?

Today on the Internet you can often see video reviews about how people remove their own teeth at home. Moreover, there are not only video reviews where adults and, to put it mildly, tipsy men independently pull out their dilapidated teeth, but there are also examples of self-removal of baby teeth in children.

Let's see if it's worth experimenting with this?

Not only does it not look very attractive from an aesthetic point of view (people are writhing in pain, blood literally runs down their fingers), but the main concern is, first of all, the lack of sterile conditions during the procedure. There is no need to talk about the professional component at all: if the removal of a more or less whole tooth is still possible after the tenth time (provided that the crown part does not crumble into fragments), then teeth destroyed to the root are practically impossible to remove on their own.

Therefore, “pulling out” teeth at home (including loose milk teeth) is not worth even trying.

Interesting video: removal of the roots of two teeth followed by suturing the wound

An accessible description of the instruments used in tooth extraction

Removal of the tooth root is indicated in each case when the crown is almost completely destroyed as a result of caries. There are other reasons for this procedure - for example, when the roots are affected by pathological processes. Is it necessary to remove the root of a tooth, is this procedure dangerous to health and does it have contraindications?

Why do you need to remove roots?

Most patients are afraid of this procedure because it is associated with certain negative feelings. However, tooth root removal is not at all necessary. In most cases, they are limited to crown prosthetics. But the patient needs to understand that in conditions where only the root of the tooth remains, a strong infectious process in the oral cavity can develop. Therefore, the doctor may recommend removing the roots as soon as possible. And the reasons for this are as follows:

Any rotten teeth are a source of infection in the body. The more rotten teeth, the more problems a person has, and bad breath is not the only inconvenience. There is always plaque on the remains of the tooth roots, which primarily affects the gums.
An inflammatory process constantly develops at the top of a damaged tooth. It leads not only to bone destruction, but also to the formation of a cyst or granuloma. The most serious complication of this process is flux.
Also suffers from rotten teeth immune system: She is forced to waste her energy fighting bacteria present in the oral cavity. And if the roots of the tooth are not removed, in any case, a moment comes when the immune system no longer prevents the further spread of the bacterial process. Against this background, a person suffers from colds and viral infections much more often.

All this suggests that root removal should be carried out as early as possible.

There are situations when it is necessary to carry out extraction as quickly as possible, and there can no longer be talk of tooth-preserving techniques. Here are common situations when a tooth needs to be removed urgently:

compound fractures;
serious inflammatory diseases (cyst, periostitis, phlegmon or abscess);
if the coronal part is destroyed much lower than the gums;
with severe mobility of the tooth root;
atypical location of a previously extracted tooth in various types of dentoalveolar anomalies.

Sometimes the patient wants to quickly part with the roots of wisdom teeth. The reasons for this lie in the following:

if it is difficult to care for your teeth due to the peculiarities of their location and they are quickly destroyed as a result of an intense carious process;
when wisdom teeth erupt, the remaining units of the dentition shift, and a person develops an abnormal bite;
with regular cheek biting, which leads to chronic injuries and even the appearance of tumors.

How does deletion work?

Most patients do not know how a tooth root is removed. Often, against this background, all sorts of fears develop, and a person subsequently walks for a long time with the remains of a tooth, even if it is rotting. Meanwhile, in the vast majority of cases, it is enough for the dentist to use forceps with special devices. There is no need to make any cuts, even if the root is slightly tightened. And in uncomplicated cases, removal of the roots of the upper jaw teeth lasts no more than 10 minutes.

However, there are unpleasant cases when surgical removal requires a chisel and hammer. This must be done if a formation is formed from several roots. As a rule, the advisability of using such “frightening” surgical instruments occurs at a young age.

Recently, the chisel has been used less and less. There are professional drills that cut out roots. The doctor can remove the roots in small parts using an elevator.

Cutting teeth using the same drill does not always help patients. This usually applies to cases where a wisdom tooth is removed. As a rule, the above operation is performed by a doctor with an assistant. When removing roots, high-quality anesthesia is used, and therefore the patient does not feel pain during the procedure.

In dentistry, local and general anesthesia is used. In the first case it happens drug effects directly on the area that will be surgically treated. General anesthesia is caused by the use of narcotic analgesics introduced into the body by inhalation or intravenous injection.

Recently, local anesthesia has become less and less used. disposable syringes. The doctor prefers carpules. They have much thinner needles, so the injection itself will not be as unpleasant, which is important for patients with a low pain threshold.

Of course, pain during anesthesia is a cause of fear. The pain will be worse if the doctor administers the painkiller quickly. To reduce discomfort, the injection site is treated with Lidocaine in the form of a spray.

There are special medications to relieve fear and anxiety. It is preferable to use Afobazol: it is over-the-counter and non-addictive. It can be used in courses.

Among the drugs for local anesthesia, Articaine (Ultracaine, Ubistezin, Septanest) should be noted. They surpass the analgesic effect of Lidocaine by almost 2 times, and Novocaine - even by 6 times. Ubistezin and Ultracain are safe during pregnancy. In this case, the anesthetic must be used in conjunction with Adrenaline.

Removal of a decayed tooth can occur in various ways and has its own characteristics. We need to take a closer look at how this is done:

Tooth extraction using forceps. In this case, the doctor must separate the protruding gum from the root. Sometimes the mucous membrane and periosteum peel off. The procedure becomes noticeably easier if the bone has resolved (this occurs in older patients).
Removal of an upper jaw tooth (especially if it is necessary to remove a fang) is done using special forceps - bayonet-shaped, etc. There are also S-shaped elements that facilitate the separation of the roots and their dislocation. In this case, the surgeon makes rotational movements. If it is difficult to remove a tooth with such instruments, a bur is used.
The roots of the lower jaw are much easier to remove: they are shorter and the walls of the sockets are thinner. Again, removing a fang involves certain difficulties, so the doctor uses special forceps for this. An elevator is used to remove molars.
The elevator can be used in other cases if the forceps do not give the desired effect. This tool is almost always used if the roots are deep in the hole.
A straight elevator is used to extract the roots of teeth that are located abnormally, as well as the third molar. The removal technique is quite complicated.
The corner elevator is used to remove the roots of molar teeth.

Hole treatment methods

The socket of the tooth to be removed must be carefully processed. The use of an antiseptic solution, such as Alvogel, is mandatory. It must be placed in the hole even if there are no signs of an inflammatory process. This need is explained by the preventive purpose.

To bring the edges of the wound closer together, it is sutured. This should be done to reduce the likelihood of bleeding and infection of a previously treated wound. It must be remembered that bleeding can occur some time after tooth extraction, and therefore you need to be extremely careful and follow all the doctor’s recommendations.

Stitches are removed 5–10 days after surgical intervention. If catgut was used, the suture is not removed: such material dissolves on its own. If any inflammation, increased local temperature, swelling or other signs of complications occur, you should immediately consult a dentist. Sometimes there is severe pain after tooth extraction surgery. To do this, the doctor prescribes a painkiller.

If severe pain occurs after tooth root removal surgery, you need to deal with it. Most effective means against toothache the following:

Nurofen is the most effective drug prescribed to patients to combat severe toothache. Refers to non-steroidal anti-inflammatory drugs. For acute pain, Nurofen Forte is recommended. It is prohibited to use this medicine in the 3rd trimester of pregnancy.
Ketonal is the best remedy for high-intensity pain. It has a strong, prolonged effect. It should not be used during pregnancy or by persons under 18 years of age.
Ketanov perfectly relieves even the most severe pain. True, it can only be used in the most as a last resort, since it has an impressive list of contraindications and side effects.
Nimesil can be used to relieve moderate pain. There are much fewer side effects from taking it.
Paracetamol is a good remedy for relieving moderately intense toothache. However, this medicine is not prescribed in high doses.
Analgin slightly relieves pain, and due to its hemotoxic and hepatotoxic effects it is rarely prescribed. Under no circumstances should it be used by children, in case of pathologies of the hematopoietic system, liver, or by pregnant and lactating women.
It is forbidden to take antibiotics for toothache: they do not have an analgesic effect, and misuse cause great harm to the body.

What to do if there are tooth remains in the hole

Sometimes, due to the doctor’s incompetence, tooth fragments may remain in the socket. For example, during removal, a root with a cyst may break off. It happens that the tip of the tooth breaks off, and the doctor cannot examine the further part of the hole because it bleeds. Even a professional in such cases is forced to work, essentially, blindly. Sometimes the doctor postpones further tooth extraction, explaining to the patient what happened, what needs to be done and when to come for a follow-up appointment.

Finally, there are cases when a specialist advises his patients to “wait a little,” as “the root will come out on its own.” This is a bad practice. It’s good if the fragment left in the hole does not bother you for a long time. But all this time, a more or less intense inflammatory process continues in the dental canal.

It is much worse for the patient if the root remains along with the granuloma. This almost inevitably leads to the formation of flux (it happens that it breaks out even 10 years after unsuccessful removal). Often it will be possible to help such a person already on the operating table.

How are tooth roots removed in this case? It is still advisable to complete the previously undertaken task to the end. Moreover, there is no need to postpone the complete removal of the remaining parts of the tooth “for later.” If the doctor assures you that you need to wait because the root will “come out on its own,” it is better to contact another dentist. An experienced doctor must completely remove from the socket all the fragments remaining after the tooth has been pulled out. This applies to all cases where the extraction was difficult.

Finally, there are diseases and conditions when it is prohibited to remove the remaining tooth roots in the socket. In this case, the underlying disease is treated, and only then the patient visits a doctor and only if the state of health is satisfactory, removal is carried out. So, it is prohibited to remove tooth roots in the following cases:

Previous myocardial infarction.
Suffered apoplexy.
Sudden increase in blood pressure.
Severe cardiac dysfunction (for example, extrasystoles and arrhythmias).
Various bleeding disorders. Removal for hemophilia is categorically unacceptable.
Blood diseases (leukemia, hemorrhagic diathesis).
Epilepsy.
Some mental pathologies, primarily schizophrenia.

However, in each of these cases, the issue of tooth root removal is decided on an individual basis. It happens that such an operation cannot be delayed in any way: then it is carried out in a hospital. In its conditions, it is always possible to provide emergency medical care to the patient.

The presence of roots after tooth extraction is often a complication of an unsuccessful operation. You should not wait until the fragment “comes out on its own” from the hole: you need to get rid of it as soon as possible. Modern medicine has a complex effective techniques to remove even the most difficult to reach roots.

Beautiful healthy teeth are the pride of any person. But, like any other organ, they are not immune from diseases or injuries. A tooth may fall out or break, while the root may remain in the bone tissue under the gum. In such cases, the question arises: what to do? Read on and find out when tooth root removal is inevitable, how the operation is performed, what complications may arise and how to protect yourself from them.

Indications for the tooth root removal procedure

Attention! If the dental crown is destroyed, it is not necessary to resort to radical measures. Sometimes treatment followed by the installation of a pin or an individually created stump inlay that exactly follows the shape of the dental canals will be sufficient. If the root is destroyed and is in poor condition, it must be removed immediately, since there is a high risk of inflammation spreading to other tissues of the oral cavity.

The only condition for preserving the root is the absence of infections and good condition surrounding tissues. Most often, an unhealthy element is extracted in advanced situations. Indications for surgery are the following pathologies:

severe caries damage, presence of cysts or granulomas,
inflammatory processes of the tooth or surrounding tissues,
if there is only one root left, that is, complete destruction of the coronal part and the inability to strengthen the root system to fix the crown or other prosthesis,
preparation for implantation or prosthetics,
mechanical damage (cracks in the root region, root fracture).

Important! During pregnancy, the tooth root is removed only in cases where the inflammatory process poses a threat to the mother or child. For example, when an infection that develops at the root can seriously harm a woman’s health or cause a miscarriage. Pronounced long-term pain syndrome is also an indication for surgery. In other cases, it is better to postpone the procedure until the postpartum period.

In these situations, the root of the diseased tooth is clearly subject to removal (extraction). It is a breeding ground for infection and can provoke the development of serious complications. These include: purulent inflammation (abscesses), inflammatory processes of bone tissue (osteomyelitis), cysts and even blood poisoning.

Such complications are rare. The likelihood of their occurrence increases with the initial presence of pathological processes in the oral cavity.

Warning signs: when to rush to the doctor

So, if all you have left of a tooth is the root, then you still need to see a doctor, even if no pain or discomfort is observed. First, if there is a crack, it can lead to nerve damage. Secondly, the tooth still needs to be restored. Thirdly, a hidden inflammatory process may begin.

We list the symptoms that must be taken as a signal to immediately consult a doctor:

aching, twitching pain in the area of the remaining tooth,
sharp painful sensations when pressed while eating,
swelling and discoloration of the soft tissue of the gums,
slight bleeding, appearance of pus,
increased body temperature, general weakness, fever.

Will it hurt during the procedure?

Is it painful to remove the root? This question worries most patients. Today, such a procedure is as painless as possible, because is carried out . But the presence of rotting tooth remains causes much more discomfort - accompanied by acute pain, which often spreads throughout the jaw. Therefore, in situations where the tooth root is in very poor condition, the answer is clear - it needs to be promptly removed from the socket.

Complex surgery can be performed under general anesthesia. It is most often used to extract the roots of wisdom teeth. If the doctor is a professional, experienced resuscitators and anesthesiologists are involved in the procedure, you don’t have to worry about the consequences.

The operation is performed with complete anesthesia. Anesthesia drugs are selected based on individual characteristics human body. The volume, type, and complexity of the intervention are taken into account; the patient’s condition, the presence of allergic reactions and other diseases. The operation will begin only when the doctor is completely sure that the anesthesia has worked.

Preparation for the procedure

At the preparatory stage, the doctor examines the oral cavity and the problem area to determine the presence of inflammatory processes and suppuration. If the root is overgrown with gum, the doctor will make a preliminary incision.

Then the dentist carries out hygienic treatment, which prevents bacteria from entering the wound. Sometimes, before surgery, it is necessary to clean adjacent teeth of plaque or tartar.

Also at this stage, based on the inspection results and previous x-rays, the doctor selects the necessary instrument and determines the method of pain relief.

Features of the operation: tools, difficulties

The choice of tools in each specific case depends on the general clinical picture and location of the diseased organ.

Extraction of the roots of the upper jaw is carried out with various forceps. For example, bayonet-shaped forceps can be used to reach hard-to-reach places deep under the gum, as is necessary in the case of molars. Straight forceps are used to extract the roots of the front teeth. An S-shaped instrument is used for the procedure on canines and incisors.

Surgery on the lower jaw is usually simpler. The dentist uses forceps with a curve along the edge, as well as beak-shaped ones, with different cheek widths. Molars and canines present certain difficulties. The roots of these lower teeth are extracted using an elevator bent at an angle (lateral). Removal of the upper root of a tooth, dystopic, is carried out using a direct elevator.

A particular difficulty is the extraction of wisdom teeth with curved roots, teeth with many roots and a fragile crown. Due to the nature of their structure conventional methods extraction cannot be applied. For example, a fragile tooth may collapse under the pressure of forceps. In addition to traditional dental instruments, the specifics of complex removal involve the use of a scalpel and a drill.

So, the stages of treatment are as follows:

administration of anesthesia - this can be either local or general anesthesia,
peeling of the gingival flap (carried out if necessary),
drilling the root into several parts,
step-by-step root extraction using special tools,
washing the hole,
applying a cotton swab with medicine. You need to hold it for 20-30 minutes after the procedure,
if the removal was carried out against the background of purulent inflammation, the doctor will definitely prescribe antibacterial drugs, which must be taken in a strictly prescribed course.

Important! After the operation, it is highly advisable for the doctor to take a repeat x-ray. This will make it possible to clarify whether there are any remnants of the root system, instruments, or inflammation inside the hole.

Consequences and complications

Any patient is not immune from negative consequences and complications after surgery. The norm is considered to be minor pain after removal, minor bleeding from the socket, which should stop within half an hour. In the first three days, a slight increase in temperature and mild swelling of the cheek at the operation site may also be observed.

Note! As a result of a complex operation or dental errors, complications such as injury to the oral mucosa, bone damage, and fracture of the jaw or adjacent teeth may occur.

If on the third day after removal the pain intensifies, the swelling increases, and the temperature rises to 38 degrees or higher, this signals the penetration of bacteria into the wound. Ignoring these symptoms can result in serious complications:

dry socket and tissue inflammation. If a blood clot has not formed in the socket, if it has been damaged or dissolved, the patient will face the problem of a dry socket. It is accompanied by slight pain and extremely unpleasant odor from the mouth. The clot is necessary for tissue rehabilitation to take place quickly and efficiently,

Important! Rinsing your mouth with an antiseptic after the root removal procedure should not be done! It can lead to damage to the blood clot and the development of alveolitis.

alveolitis develops against the background of a disruption in the process of tissue repair. The wound remains vulnerable to bacteria, due to which inflammatory processes progress. Main symptom– severe painful sensations that occur after several days. Associated symptoms include fever, excessive swelling, fever, and general malaise. Sometimes the listed symptoms are supplemented by discomfort when swallowing, an increase in the size of the lymph nodes,
Paresthesia (nerve damage) is rare and usually occurs with difficult removal. The main symptom is a feeling of numbness of the tongue, cheeks, sometimes lips, chin.

In all these cases, you must definitely visit a dentist who will select an individual effective treatment. You should not leave solving the problem for later; if you have a diseased root or a broken crown, be sure to consult a doctor - perhaps the tooth can be saved and restored, so it can last for many more decades.

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Removing the roots remaining in the gum after the destruction of the tooth crown is a very complex procedure. It depends on the features anatomical structure, location, presence of damage to surrounding tissues. Difficulties are caused by the deep location of the roots or their fragments remaining in the gums after removal.

In each case, the dentist, based on x-rays, determines the condition of the root. If there is no infection surrounding bone tissue are healthy, the canals are treated, filled, a pin or stump is installed.

An artificial crown is then secured to cement. Must be removed if:

The root can become a focus for the accumulation of bacteria and lead to inflammation, suppuration, and osteomyelitis. Therefore, it is recommended to remove it.

Surgical instruments

How are tooth roots removed if the tooth is completely destroyed? For this purpose special tools are used.

Difficulty removing

Tooth fragility.
The patient cannot open his mouth wide.
Increased salivation.
High blood pressure.

These factors make the dentist's work much more difficult.

The root extraction procedure is performed under local anesthesia. The patient will not feel pain. Painkillers are selected taking into account the complexity of the operation, the patient’s condition, and the duration of the removal.

An x-ray is taken first to know whether the connecting adhesion, the length and shape of the roots have been preserved.

Using forceps

The forceps used to extract roots have narrow, interlocking cheek ends.

How to remove a tooth root with forceps if the tooth is destroyed? In the absence of inflammation, the doctor carefully peels off the gum and circular ligaments from the root with a rasp so that it can be grabbed with forceps. It deepens by about 1 cm, strongly fixes the cheeks of the forceps. Circular movements dislocates the root from the hole.

If it is not possible to achieve a tight clamp, the periosteum is peeled off from the socket. The dentist then rocks and extracts the root debris.

Roots on the upper and lower jaw

Units in the lower row are easier to remove with forceps than those in the upper row. Their roots are shorter, but the walls of the holes are thicker. To do this, use a curved tool with narrow cheeks. It is more difficult to pull out fangs; forceps with wide jaws are suitable.

When choosing forceps, whether the tooth is located on the right or left side matters how widely the patient can open his mouth.

Elevator use

But it happens that the surrounding tissues have melted, the root is located very deep and it is not possible to extract it with forceps. The damaged tooth root is removed using an elevator. The tool operates on the principle of a lever.

The elevator is placed between the wall of the hole and the root, then rotated with pressure and pushed out completely or partially. If not all of the root appears above the surface of the gum, it is grabbed with forceps and removed.

This angular tool can be used to remove separated roots of lower units. They are picked up and pushed out one by one.

The roots of wisdom teeth are removed using a bayonet elevator if the adjacent units are strong. The instrument is inserted between the root and the wall of the socket from the side of the second molar, pressing, and dislocating it. Incorrectly placed eights are also removed.

Drill

If there are fragments left deep in the gum after removal or the tooth has several curved, thin roots, and they diverge into different sides, the tooth is completely hidden in the bone, forceps and an elevator will not be able to help. Removal is performed using a drill, under anesthesia, and can last from 2 to 3 hours.

The decision about whether to pull out the root of the tooth is made by a specialist. A preliminary examination is carried out. Most often, the root of a decayed tooth has a dead nerve. For this reason, it does not cause big problems.

Main indications for removal:

aching and sharp twitching pains;
slight swelling of the gums near the root;
inflammation;
root destruction;
cyst.

If it is possible to restore a tooth, it is best not to remove the roots, but to begin treatment. You can install a special pin and install an implant. Using the capabilities of modern medicine, you can try to grow a tooth. Even if there is an inflammatory process, specialists will carry out therapeutic therapy, after which they will move on to prosthetics.

Dentists often observe the following picture: the patient has one or more teeth that are so destroyed that it is difficult to call them teeth, but they do not look like roots. This can happen when, for certain reasons, fillings fall out and there is practically nothing left of the tooth.

Conservative intervention will be required if inflammation and swelling occur, or a cyst has formed. If the situation is less painful, you can save the root, clean the canals, try to put a new filling or extend the tooth. If the patient wishes to undergo prosthetics, the root will have to be pulled out.

In most cases, it is necessary to remove the root or its remains. Dental surgery is recommended if the root has begun to decay. If the procedure is not carried out on time, this can lead to complications.

Why is it important to remove tooth roots?

Dentists are confident that it is impossible to walk around for years with remnants of the root, which gradually begin to rot. It is imperative to get rid of them, and the sooner the better. The reason is simple: the remains of decaying roots are the concentration of infection, and the more of it, the worse situation for the entire cavity.

Gradually, bad breath may appear. Rotten roots collect food debris, dust and plaque near themselves. Because of this, other teeth and gums suffer. In most such cases, inflammation and irritation occur, and a cyst may form. If you start a process and do not remove the root, sooner or later protective functions the body will malfunction, the infection will begin to spread, and swelling will occur.

Preparation for the procedure

How to properly remove the root of a tooth if the tooth is destroyed? The preparatory process includes a preliminary examination of the oral cavity and the root itself. At this phase, the specialist selects the necessary painkiller depending on age, presence serious illnesses, allergies.

The doctor selects an instrument that will be more convenient to work with. Before surgery, you need to examine your gums for inflammation. This will help you create a clear action plan. The dentist performs the operation wearing gloves and a mask. After removing the root, oral hygiene is performed. Sometimes it is necessary to remove tartar or plaque from a number of teeth.

If the patient is undergoing a major operation, the face is additionally disinfected. Often, an incision is made in the gum before removal, especially if the root is deep in the socket.

Tools used

How is a tooth destroyed at the root removed? To perform tooth root removal surgery, the following is used:

syringes;
various elevators;
drill.

Depending on which tools were selected, the appropriate methodology is selected. To perform the operation efficiently, it is advisable to detach the circular ligament. Removal methods also depend on where exactly the root is to be removed.

The following methods are mainly used:

Pulling out with forceps. If you want to remove the upper root, you need to select forceps with straight ends; for the lower roots, a beak-shaped instrument is suitable. Bayonet forceps can be used for both upper and lower teeth.
Rotation. A different rotation is used only for a tooth with one root. A multi-rooted tooth must be dislocated.
Removing the root using an elevator. The tool is carefully inserted between the roots, in this case it acts as a lever.

Difficulty removing

The work of a dentist is complicated by the following situations:

the tooth is too fragile;
the patient cannot open his mouth wide enough;
saliva is produced intensely;
The patient suffers from high blood pressure.

Tooth root removal is performed under local anesthesia. The patient does not feel pain; slight discomfort and a feeling of pressure are possible. Depending on the complexity of the procedure, an anesthetic drug is selected.

Is it painful to remove the root?

Is it painful to remove the roots of a decayed tooth? In most cases, there is no pain during surgery. This is only possible if the doctor chooses the wrong painkiller or starts the removal procedure when the drug has not had time to take effect.

Some dentists use two types of anesthetic and administer them a short distance apart. The patient may feel slight pressure when twisting the root, an unpleasant and unusual sensation, nothing more. How to remove the root of a tooth if the tooth is destroyed, without pain? Of course, you need to contact a good specialist. Don’t put off going to the doctor, because the consequences can be disappointing.

Important to know

If it is not possible to remove the root using forceps, an elevator can be used. This happens if the root is too far away. The elevator operates on the principle of a lever. The instrument is inserted between the tooth and the hole, the root is unscrewed and an attempt is made to reach it. If the root appears partially on the surface, it is grabbed with forceps and removed. The tool, which has an angular shape, is used to remove the lower roots and their remains. A bayonet elevator is used to extract wisdom teeth.

The drill is used if there are tooth fragments inside the gums or there are curved thin roots. Neither tongs nor an elevator will help here. The procedure can last several hours.

After successful removal of the root, it is washed with an antiseptic, and a special medicine is applied to the painful area to help prevent inflammation. The mucous flap must be put in place and sutures applied. This will help prevent bleeding. After about a week, the stitches are removed. The patient is prescribed painkillers and antibiotics.

The root removal procedure may be accompanied by the following complications:

nerve damage, especially at risk for patients who have their wisdom teeth pulled out;
jaw dislocation;
damage to adjacent teeth;
penetration of bone particles into the socket;
inflammation of the socket;
excessive bleeding, which may occur due to rupture of blood vessels.

If you carry out a competent diagnosis, select the necessary painkiller, perform the operation correctly and then follow the doctor’s recommendations, the wound will heal quickly and the whole process will be painless.

How to remove the root of a tooth if the tooth is destroyed, at home

If the patient did not want to visit the dentist when the tooth was slowly decaying, he will not want to visit him to remove the root. Sometimes a patient may think about how to remove the root of a tooth, if the tooth is destroyed, at home.

On the one hand, it may seem that cutting the gum and pulling out the root is not at all difficult. A few movements and you can forget about the problem forever. However, trying to do this at home is not recommended. There are several reasons for this:

It is very problematic to choose the right painkiller yourself, and it is necessary to correctly inject the drug into the gums and wait certain time, if necessary, repeat the steps. A person who does not have special knowledge will make a mistake in any case.
During an incision, infection can easily occur, and this can lead to the development of an infection. It is difficult to maintain complete sterility at home.
If the incision is made incorrectly, it will lead to serious damage and severe bleeding.
It will not be possible to completely remove the root; small fragments will definitely get inside the hole, which will decompose, infect and damage the tissue.
If anesthesia is not used, the process will be very painful, this can lead to painful shock and stress shock.

Now you know how to remove the root of a tooth if the tooth is destroyed. This procedure is not a complicated operation. Even if the tooth is completely destroyed, an experienced specialist will select the right painkiller and carry out the procedure quickly and efficiently. No need to be afraid of pain modern medicine excludes this possibility.

Just one visit to the dentist is enough, and the problem that has been tormenting the patient for a long time can be forgotten forever. Under no circumstances try to repeat the procedure at home, otherwise you will not get rid of the problem, but will only worsen it.

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1. Forced measure

Unfortunately, there is almost no case when a person has preserved the entire upper or lower chewing row, in cases where there were big problems with teeth. There are forced situations when the tooth root remains, and we need to part with the hard element that helps us chew food.

Why is this happening? Because the hard outer tissue is severely damaged by caries, and gradually causes poor condition that part through which solid elements are held. In this case, the tooth root is removed.

The procedure is necessary to eliminate the process of inflammation inside the gums.

Complication in soft tissues due to infection, swelling of the gums

Let's consider when it is better to remove a tooth root

with a significant absence of the entire part of the chewing element due to its destruction or injury;
in case of poor or inflamed condition of the internal part.

What happens if the tooth root is not removed?

Since conditions for pronounced problems can be created, it is necessary to urgently remove the rotten tooth root. In the opposite case, local and general deterioration of the person’s condition appears.

2. The question that interests everyone is when a tooth root is removed, does it hurt?

There is no need to worry that you will feel anything during the procedure.

Before the tooth root is removed, only certain painkillers used for this are selected. IN modern direction In dentistry, there are special compositions of anesthetics specifically for this manipulation.

Due to severely damaged tissues of the hard element or even missing ones, the root remains broken off inside the gum. Sometimes we, left alone with the problem, think whether it is necessary to remove the roots of the teeth in this condition. Moreover, if there are no nerves in them, they don’t bother you. But this is only a certain period of time when there is a lull. Over time, an infection will get inside and this will cause a reaction in the form of inflammation.

Broken chewing element, with remaining internal part(root)

Don't think that if you have a piece of debris left, it will be difficult to remove. There are many such cases. Let's look at how a tooth without walls is removed, and what is used for this.

In the procedure for extracting the inner part of the chewing element, one thing is important: the ability to grasp it with a tool (forceps). If difficulties arise, instruments are used to move away the covering tissue near the hard part.

How is the root of a tooth removed if the tooth is destroyed?

To do this, the tissues are peeled off and deepened from the outer part by no more than 1 cm.
Before the roots of the teeth are removed, if the tooth is destroyed, they may need to be rocked.
When the remains of a hard element are located far from the outer side of the gum (deeper than usual), a spatula is used. Under the force of rotation and pressure of the tool, the residues are removed by pushing out.
The effect on the remains of the tooth is supplemented by sawing the parts with a drill (if necessary).

3. Complications during tooth extraction, the root remains, consequences and other problems

Bleeding may occur after the procedure and must be stopped. Considering the traumatic nature of how a tooth is removed, if only the root remains, the gums may be severely damaged or a splinter may remain there. Trauma to the hole or infection leads to alveolitis (inflammation).

Considering all the options for how to remove the root of a tooth if the tooth is destroyed, the doctor will first of all choose the path in which it will be possible to reach it with a tool and injure everything there as little as possible. But it is impossible to plan some situations, even with the high professionalism of a specialist.

This could be nerve damage or damage to the jaw bone. Such consequences include damage to nearby chewing elements and penetration into the maxillary cavity.

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Why remove tooth roots?

The question of installing an implant or restoring a tooth is usually decided when the roots of the tooth are healthy - in such cases, the doctor fills the canals, restores the crown with a pin, or together with the patient evaluates the possibility of prosthetics.

If the crown of a tooth is completely destroyed by caries and its restoration is impossible, the roots most often have to be removed - otherwise they become a source of chronic infection, leading to infection of the surrounding tissues, and if the process is neglected, of neighboring teeth and the jaw area. In addition, a cyst can develop on the root - this is not only very painful, but also difficult to treat. The appearance of a cyst is fraught with extremely unpleasant consequences - for example, rupture with the formation of phlegmon or osteomyelitis.

It often becomes necessary to remove even healthy roots if, as a result of an injury, the crown of the tooth is completely broken off - for example, if the chip partially extends under the gum or there is a high probability of infection in the canals.

The tooth roots remaining in the gums after extraction can cause significant discomfort to the patient, continuing to rot, hurt, and infect the bone tissue. In rare cases, the roots do not cause any sensation at all and are only detected on an x-ray, but more often patients feel that the root has not been completely removed. Usually, after removing a tooth, a dental surgeon immediately checks whether there are any root fragments left in the gum, and, if necessary, performs an operation to remove them.

How are roots removed?

Removal of tooth roots is performed under local anesthesia (if indicated, general anesthesia is possible). This is a less painful operation than is commonly believed, although it is quite complex.

Typically, tooth roots are removed using special forceps, the shape of which depends on the location of the affected tooth and its structure. Also important role plays a role in the condition of both the actual roots to be removed and the tissues surrounding them.

If the remainder of the root cannot be pulled out using forceps, it can be removed using an elevator - special tool, which is inserted between the wall of the hole and the root. Roots connected to each other sometimes have to be separated using a drill and removed one by one.

Possible complications after tooth root removal are inflammation of the socket (alveolitis), bleeding, swelling. To avoid them, the doctor may prescribe antibiotics and anti-inflammatory drugs after removal.

Patients are often frightened by the upcoming procedure, but experienced dental surgeons can handle this operation without difficulty. Difficulties most often arise when removing the roots of “wisdom teeth” due to the peculiarities of their location, but for a qualified specialist this is not a problem.

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For most people, going to the dentist is the worst thing that can happen to them. Fear of drills makes them put off this trip for as long as possible, which often leads to disastrous consequences when there is no longer any way to save the tooth. There are more dangerous moments when roots remain in the gums, leading to inflammation and abscesses. Tooth root removal is a fairly complex operation and requires the intervention of an experienced specialist.

Removing tooth roots without pain

If you are faced with a problem where a root remains after tooth extraction, then you should make sure that these remains are also removed from the gums. The roots may not bother you for a while, but over time they can cause inflammation. In this case, their removal will be difficult and even more painful.

Today, during such an operation, both local and general anesthesia are used. Therefore, worry about severe pain not worth it. After the effect of the painkiller wears off, the pain may return and continue until the wound heals.

So, if you have a root left and it is visible above the gum, this will greatly facilitate the doctor’s work. Removing the top of a tooth root is easier because you can easily grab it with a tool and pull it out. If it is not visible, then you often have to make an incision to be able to grab it. Often such an incision in the gums is made during the removal of an overgrown tooth root. In this case, a drill is often used to cut out the remaining roots.

The stages of tooth root removal are as follows:

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What complications may arise?

May develop inflammatory process gums and ligamentous apparatus due to a chronic source of infection, which occurs if the cause of tooth destruction is caries. Inflammation of the gums can cause periodontal disease and then the inflamed and infected hole will take a long time to heal.
If tooth decay occurs due to injury, then infection of the wound surface may occur. Therefore, the remainder of the root must be urgently removed, and the damaged socket and gum must be sanitized.
Often develops pathological process surrounding tissues due to the presence of part of the root in the thickness of the bone.

How to remove tooth roots

Tooth extraction can be of varying complexity. Sometimes this is a fairly simple process, but it can get complicated:

Therefore, the removal method is selected individually, depending on the situation.

Removal with forceps

Above the edge of the hole from the outer and inside part of the tooth protrudes, which the dentist must grab with forceps. To do this, he carefully separates the gum from the root.

Sometimes the dentist has to peel off the mucous membrane and periosteum from the edge of the socket in order to properly grasp the tooth.

But if, as a result of pathological changes, bone resorption occurs, then the cheeks of the forceps can be inserted deep enough and tightly grasp the root.

Upper jaw root removal

Depending on which tooth needs to be removed, the doctor uses special forceps to delete. For example, for large molars, bayonet-shaped forceps are used. Their cheeks may move deep under the gums. Incisors and canines are removed using an S-shaped instrument.

Basically the removal is done using rotational movements . If the roots are located deep in the alveolus or are large, the dentist adds rotational movements.

If it is not possible to extract the root with forceps due to its deviation or the thick walls of the holes, then the doctor separates them with a bur.

If the root is deviated, the bottom of the tooth cavity is sawed where the buccal roots connect to the palatal roots. First, using a spherical bur, a hole is made in the interroot commissure, and then, using a fussor bur, the bottom of the tooth is sawed in the longitudinal direction. An elevator is inserted into the resulting cavity and the palatine root is dislocated. After this, it is removed with bayonet-shaped forceps.

Mandibular root removal

It is much easier to extract the roots of the lower jaw teeth, since they are shorter and have thinner socket walls.

To remove the root of a tooth in the lower jaw, dentists mainly use rib-curved forceps with thin and narrow cheeks.

It is not very easy to extract the fang. To remove it, use forceps with wider cheeks. Sometimes difficulties arise when extracting the lower molars. Often it is not possible to insert the cheeks of the forceps deeply because they slip off. Since the alveolar process is quite thick at the edges of the socket, it is not possible to apply forceps to the cheeks. Therefore, when removing lower molars, dentists often use an elevator.

Tooth root removal using an elevator

If it is not possible to remove the roots of the teeth using forceps, an elevator is used. This situation may arise if they are deep in the hole. Using forceps can damage adjacent bone tissue and mucous membrane. Elevator application less traumatic.

Removal by direct elevator

It is used to remove the upper teeth and roots of teeth that are located outside the dentition, and sometimes when extracting the lower third molar.

The elevator is inserted between the wall of the hole and the root that needs to be removed. To do this, the convex part of the cheek is located towards the wall of the hole, and the concave part should be facing the root. The dentist presses on the handle and rotates it around the longitudinal axis in both directions. Periodontal fibers are torn and displaced to the opposite wall of the socket. After the cheek of the elevator enters approximately four millimeters, the tool rests on the edge of the hole and acts as a lever. The doctor’s force is transferred to the end of the elevator, and the root is squeezed out of the alveoli.