Tooth removal is a surgical procedure. A thorough assessment by the dentist is carried out, and if it is not able to treat the tooth in any other way, then it is extracted.Indications for tooth extraction are: highly destroyed and gangrenous roots, teeth with periapical periodontitis and impassable root canals, teeth leading to chronic inflammation in the gums, teeth with periodontal disease, teeth causing neuralgic pain, teeth with 3rd – grade mobility, teeth that hinder orthodontic treatment. Teeth, which are a source of focal (local) infection and aggravate the general health of the patient (heart disease, rheumatism, and headache), are also removed.

Tooth extraction is done in the dental practice after preparation of the patient. It is desirable that the mouth is treated with antiseptic and disinfectant solutions to reduce the number of microorganisms in it. An anesthesia is used according to the location of the tooth, which will be removed and the general state of the patient. The necessary tools for tooth extraction (extraction forceps, dental elevators, curette, and gauze) are prepared in advance and the tooth is removed. It is mandatory to clean the wound after extraction and suture it if necessary, then instructions are given to the patients how to take care of it. Depending on whether the tooth extraction is through a surgical procedure or not, the instructions differ and are described in the relevant sections. Tooth extraction applies even in childhood, in changing primary teeth or in pathological processes. The procedure is simple and not stressful for children with normal change of primary teeth. In more complex cases, a careful and gentle approach is required to avoid stress for young patients. Tooth extraction can be two main types – non-operative (classical extraction) and operative (for impacted teeth).

Non-surgical tooth extraction
Every person, no matter how strict they are

Surgical extraction of an impacted wisdom tooth
The operation for extraction of an impacted wisdom tooth differs from

Treatment of pericoronitis
It is surgical excision of the gum over the crown of the lower wisdom teeth

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