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Localised dental abscesses may be appropriately treated by intra-oral drainage via tooth extraction, opening of root canals and/or intra-oral incision and drainage. Wherever there are signs of spreading cervico-facial infection or significant systemic disturbance, however, patients should be referred urgently further management.
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
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[10]: 56, 61 As all of these conditions may mimic toothache, it is possible that dental treatment, such as fillings, root canal treatment, or tooth extraction may be carried out unnecessarily by dentists in an attempt to relieve the individual's pain, and as a result the correct diagnosis is delayed. A hallmark is that there is no obvious ...
Dental avulsion is a true dental emergency in which prompt management affects the prognosis of the tooth. [14] Replantation of the tooth within 15 minutes is associated with the best prognosis as periodontal ligament (PDL) cells are still viable. Total extra-oral dry time of more than 60 minutes, regardless of storage media, has poor prognosis.
This was called the "focal infection theory", and it led some dentists to advocate dental extraction. This theory was discredited in the 1930s. Bacteremia (bacteria in the bloodstream) can be caused by many everyday activities, e.g. brushing teeth, but may also occur after any dental procedure which involves bleeding. It is particularly likely ...