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الخلع العادي والجراحي


Tooth extraction is a dental extraction process, which is medically called “exodontias.” There are many reasons for which extractions are necessary, including teeth that have decayed and penetrated in such a way that it is no longer beneficial to restore the decayed tooth to its natural state or restore it. Damaged or incorrect wisdom teeth may also be extracted, and finally, the doctor may have to extract some permanent teeth to place orthodontic fixtures.

Reasons for tooth extraction

The most common cause of tooth decay is tooth damage as a result of fracture or decay. There are additional reasons that require tooth extraction, including:
  • Caries or severe inflammation of the teeth: despite the decline in the number of dental caries worldwide, caries remains the most common cause of all teeth extractions, except for the third molar, where caries alone accounts for two-thirds of the number of extractions.
  • The emergence of extra teeth impede the growth of other teeth.
  • Severe gum disease that may affect the tissues supporting the teeth.
  • عند الإعداد لتركيب أجهزة تقويم الأسنان.
  • الأسنان الزائدة المؤقتة أو الدائمة وخاصة عندما تسبب عيبا تجميليا أو وظيفيا أو إعاقة في بزوغ السن الدائم.
  • الأسنان المؤقتة المتأخرة السقوط عن مواعيدها كونها تمنع الأسنان الدائمة من البزوغ.
  • الأسنان الواقعة ضمن خط الكسر.
  • الأسنان المكسورة.
  • عدم وجود المتسع الكافي لنمو ضرس العقل (الضرس الثالث المدفون).ورغم أن الكثير من أطباء الأسنان يقدمون على قلع الضروس الثالثة المدفونة التي لا تظهر أية أعراض ، إلا أن الهيئات الطبية الأمريكية والبريطانية توصي الأطباء بعدم إجراء هذه العملية ما لم يكن هناك ما يدل على وجود مرض ما في السنّة المدفونة أو بالقرب منها. فقد تبنّت الجمعية الأمريكية للصحة العامة سياسة (معارضة القلع الوقائي للضروس الثالثة "ضرس العقل") نظرًا للعدد الهائل من الإصابات التي يترتب عن عمليات القلع غير الضرورية لضروس العقل.

أنواع خلع الأسنان

Routine tooth extraction
Surgical extraction, which requires stitches to close the wound after extraction.

Instructions after tooth extraction:-
  1. The patient must remain pressing on the medical cotton (gauze) that the dentist puts for a period of no less than two hours.
  2.  The patient should refrain from rinsing the mouth or trying to extract saliva from the mouth.
  3. Avoid changing a piece of gauze or cotton from time to time, and another piece is added if the first piece is completely filled with blood.
  4. Use cold water compresses on the face from the outside opposite the place where the extraction was done.
  5. Within 24 hours of the time of taking off, it is forbidden to eat any hot or solid foods or drinks, and even warm ones are prohibited.
  6. Eat soft and easily digestible foods, and cold drinks.
  7. 24 hours after the extraction, the patient should start using the medicated rinse (or rinse with water and salt) three times a day for at least 5 days after the extraction.
  8. The patient is allowed to take painkillers to relieve pain immediately after the dislocation or when feeling pain, according to the doctor’s prescription and in proportion to the patient’s health profile.
  9. It is strictly forbidden to smoke during the first day (24 hours) after removal.
Surgical extraction The term surgical
tooth extraction refers to cases in which a number of adjacent teeth are extracted, or the process of removing teeth immersed in the bone that causes pain or problems for the patient, or some incorrectly located wisdom teeth, and this extraction process follows some stitches, which requires some different handling.
In addition to all the previous instructions, the following must be followed:-
  1. After the surgical extraction, the patient must take antibiotics to prevent any bacterial infections that may occur, such as Flagyl-Augmintain medicines, in addition to pain relievers that are taken regularly in the first days according to the prescription mentioned by the doctor.
  2. After eating, and if the patient feels that there is food stuck between the folds of the surgical stitches, he should try to remove the stuck very gently, without harming the tissue under the stitches, or the stitches themselves, and rinsing can be used in some cases.
  3. Refer to the doctor after a week to do the appropriate procedure, either removing the stitches, or giving treatment, as required by the situation.