Synonyms: exodontia, exodontics, or tooth pulling
Every person, no matter how strict they are with their oral hygiene, will experience the extraction of one or more teeth. Patients prepare themselves mentally that this procedure must be carried out. Tranquilizing medication are given to timid and sensitive patients in advance, together with an anesthesia during tooth extraction.
The procedure for tooth extraction is as follows:
First stage – With an appropriate tool (dental elevator), the gum is separated from the tooth in the area of the dental neck and root. Then, the right extraction forceps are selected and fixed firmly as close as possible to the bone. Intact teeth are extracted with extraction forceps, while highly damaged teeth or remaining roots are removed using dental elevators and root extraction forceps.
Second stage – After the extraction forceps have been positioned correctly and firmly, the tooth is shaken in the bone. Shaking in two directions, usually from the lips to the tongue and vice versa is done in various teeth (single or multi-rooted). In single root anterior teeth rotating motion can also be used (rotation around the axis of the tooth).
Third stage – The tooth is removed from its bone socket after sufficient shaking. Extraction is carried out by smooth motions and gently twisting in the direction of the curve of the tooth root. Then the extracted tooth and dental socket are carefully examined in order to check for broken or remaining pieces of the tooth root.
Fourth stage – If everything is okay after extraction, the wound is cleaned and pressed to close. Upon removal of several adjacent teeth the gums can be sutured in order to recover faster.
Depending on the general condition, 2 or 3 adjacent teeth can be removed in one visit. If several teeth need to be removed, but there are not adjacent, then the tooth, which is causing most problems should be removed first and then the other teeth in subsequent visits. The patient is instructed not to eat for some time and not to drink warm fluids, not to smoke as long as possible after removal, and also not to suck the blood clot that has formed in the wound. This is crucial for proper, quick and painless healing. Usually it takes about a week for the wound on the gum to close, but the bone below heals for about a month. During this time, patients should maintain good oral hygiene and consult a dentist in case of any problems. After a month, a bridge construction can be made where the tooth has been extracted, otherwise the Phenomenon of Godona occurs.