Multiple Dental avulsions
Multiple dental extractions is the medical term for extracting particular when this act concerns the teeth. When teeth are very damaged, Conservative care is no longer possible. It is then necessary to remove the teeth damaged to prevent or treat infectious door entry they represent.
Illustration 1: View d & rsquo profile; an example of bad oral condition with major dental caries. For some teeth, it persists only root.
Illustration 2: Top view of the lower jaw in the previous illustration
Indeed teeth in poor condition can lead to inflammation, pains, abscesses, even systemic infections.
Dental extractions are only one step of treatment. The ultimate goal is to eliminate the outbreaks but also to restore teeth to eat and smile comfortably. To this before programming avulsions it is important to coordinate with the treating dentist. The prosthetic restoration is thus made by the treating dentist so that the time when teeth are missing as short as possible.
It is sometimes possible to avulsion of teeth and the laying of temporary dentures the same day. However be aware that most of the time the final prostheses are made once the bone and gingival healing obtained remote intervention.
Illustration 3: Even with such definitive fixed prosthetic rehabilitation for the upper jaw. Association & rsquo; a fixed final rehabilitation and d & rsquo; a removable final rehabilitation for the lower jaw
Outcome of surgery
The teeth are avulsed preserving maximum bone capital jaws. The bone of dental cavities can still be limed to reduce residual bone splinters. The purpose of facilitating the possible subsequent prosthetic rehabilitation. The gum is mostly sutured using absorbable son who disappear 2 at 4 weeks or are removed in consultation.
usual postoperative and post-operative care
The swelling of the cheeks (edema) is common if a bone milling was conducted.
bleeding : Often a small bleeding persists for a few hours to overnight following surgery. The treatment consists of mouthwash in ice water and apply a compress on the area of the & rsquo; extraction bleeding and bite on it until the bleeding does s & rsquo; not stop.
Excellent oral hygiene is essential. prescribed mouthwashes should be initiated only after 24 hours so as not to dislodge the blood clot. This protects the cell from left free tooth avulsion of it. After each meal, teeth and gums must be cleaned with an ultra-soft brush (known surgical).
The pain in the operated areas is more common below than above. She often gives with analgesics and disappears in a few days. ice packs coated in cloth (not directly on the skin) decrease swelling and pain. Furthermore during the procedure a local anesthetic of long-acting is often injected at the surgery site. It reduces the post operative pain during 4 at 8 hours and allows time to standard analgesics take over. This local anesthetic can disseminate and anesthetize the tongue and lower lip, it is not worth saying that the nerves are damaged but simply that the product does its effect.
A limitation of the & rsquo; mouth opening is common for a few days.
Food should not be hard for the 2 weeks after surgery. Specifically: During the 2 first days, the diet should be soft, warm or cold. Then during the 12 days Avoid very salty or very acidic foods. Also avoid offensive foods: biscuits, toast, chips…
Also avoid very small items that could come between the dots and create infections semolina, peanuts, rice, peas ... You will find on the site https://www.docteurwajszczak.fr in the section advice recipe ideas suited to you after this type of surgery. The postoperative orders will be given most of the time before surgery.
This will allow you to go for post-operative medication before surgery. Strictly follow the prescriptions of the order is given to you. Do not drive the day of surgery or take important decisions due to anesthesia.
Be accompanied to the exit and the first night after surgery. Most of the time, it is desirable to provide after surgery 2 at 5 days & rsquo; work stoppage or school waiver. Alcohol and tobacco should be avoided before and after intervention. Alcohol is incompatible with most drugs against pain. Tobacco decreases healing, increases postoperative pain and increases the risk of infection. A post operative follow up consultation is essential, it helps ensure the proper development of postoperative.
The risks
Any medical procedure, very well led, harbors a risk of complications. Do not hesitate to contact the surgical team that took care of you, or clinical emergencies or contact 15 in case of serious emergency.
There may be rare complications:
– alveolitis : Inflammation of the tooth socket that occurs a few days 3 weeks after avulsion. It can lead to severe pain and require local care.
– An infection of the soft tissues of the cheek (Cellulitis) can occur days or even 2 at 3 weeks after extraction. It is consecutive to the stagnation of food residues in the tooth socket. It gives a suitable antibiotic treatment, exceptionally it may be necessary to carry out surgery to drain an abscess if cellulite is complicated.
– Communication between the maxillary sinus and mouth to the upper teeth, it closes spontaneously in 15 days 3 weeks and requires no trimming during this period. A persistence beyond justifies a suitable surgical treatment.
Or exceptional complications:
– A fracture of the angle of the jaw (In patients with very fine jaw) which may need to eat soft foods for a few weeks or operate by putting plates and screws.
– A tooth root may break and remain in the socket when avulsion. If the risk to pick her up is important (nerve damage or oral sinus communication), it may be decided to let up despite the risk of infection (low) this represents.
– Bruises or hematomas may occur in patients whose blood coagulation is disturbed.
In total, should not overstate the risks, but just be aware that surgery, even seemingly simple, still a small share of hazards.
It is very important to bring the day of surgery all medical imaging: Dental pan and scan (if there had been prescribed). Without these intervention can not be performed
