EXTRACTION OF 22,23

EXTRACTION OF 22,23                                                                                                              

In a simple extraction the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.

 BEFORE TOOTH EXTRACTION                                                                                                        
 √  know about any medications and supplements patient take, or medical conditions that put you a high  risk of infection, such as: 

  - History of bacterial endocarditis                                                                                                   

  - Damaged or man-made heart valves                                                                                            

     - Congenital heart defect                                                                                                                 

    - Impaired immune system                                                                                                                

     - Liver disease (cirrhosis)                                                                                                              

        - Artificial joint, such as knee or hip replacement                                                                        

  √  Proper Radiographic Assessment Should be done.


INSTRUMENTS TO BE USED                                                                                                

     - Mouth mirror                        


- Periosteal elevator                  

 - Twizer                               
- Upper anterior forceps        

- Gauze piece   
- Gloves 
-  2 ml of syringe


   EXTRACTION TECHNIQUE

√ Wear a head cap , keep mouth mask and Gloves 
√ Maintain asepsis 
    - Do not touch the light or any other objects after gloving
√ Follow Anesthesia Technique :
    - For infraorbital nerve bolck
    - For nasopalatine nerve block
√ Retract the flap with periosteal elevator
√ use a forcep- engage between the flap and tooth sarface - take a deep grip with the force to avoid    a root fracture - first apply force on buccally and then palatally...apply a more force on buccally      and give a rotation movement..And tooth taken out from the socket
√ control bleeding from socket
√ Irrigate with the Betadine
√ keep a gauze piece at the extraction site

AFTER TOOTH EXTRACTION

√  pack the tooth socket with gauze and you’ll be asked to bite down to lessen the bleeding. A few self dissolving stitches may be used to close the tooth extraction site.

* Advise the patient, follow these important dental care guidelines:
 -  bite down on the gauze for at leas three hours to reduce bleeding and allow a clot to form.         
- Apply ice immediately after tooth extraction and at 10-minute intervals.
- Don’t rinse, spit forcibly, or drink from a straw for 24 hours.
- After 24 hours, rinse with a solution of ½ teaspoon of salt mixed into 8 ounces of warm water 
- Eat soft foods. Slowly add solid foods as the tooth extraction site heals.
- Avoid the tooth extraction site when brushing and flossing your other teeth.

- Give  a medicine :

KETOROLAC TRIMETHAMINE. (ANALGESIC) (10 mg) for 3 days TD

√ If any infection associated with the tooth : 
ORDENT (ANTIBIOTIC)
Ornidazole + ofloxacin
(500 mg).     (200 mg)  For 5 days  BD


- Generally, the tooth extraction site  will heal in one to two weeks.