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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]
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
A tooth with extensive caries eventually requiring extraction. In certain cases, endodontic therapy may be necessary for the restoration of a tooth. [143] Endodontic therapy, also known as a "root canal", is recommended if the pulp in a tooth dies from infection by decay-causing bacteria or from trauma.
A Mesio-impacted, partially erupted mandibular third molar, B Dental caries and periodontal defects associated with both the third and second molars, caused by food packing and poor access to oral hygiene methods, C Inflamed operculum covering partially erupted lower third molar, with accumulation of food debris and bacteria underneath, D The upper third molar has over-erupted due lack of ...
Severe cases can lead to tooth extraction and dentures. Dental abscess—A dental abscess is a collection of pus that accumulates in teeth or gums as a result of bacterial infection, giving rise to a severe throbbing pain at the site of the abscess. It is caused by consuming sugary or starchy food and poor dental hygiene and is treated by a ...
After extraction of a tooth, the clot in the alveolus fills in with immature bone, which later is remodeled into mature secondary bone. Disturbance of the blood clot can cause alveolar osteitis, commonly referred to as "dry socket". With the partial or total loss of teeth, the alveolar process undergoes resorption.
The dental pulp is the central part of the tooth filled with soft connective tissue. [16] This tissue contains blood vessels and nerves that enter the tooth from a hole at the apex of the root. [23] Along the border between the dentin and the pulp are odontoblasts, which initiate the formation of dentin. [16]
There are risks to forgoing treatment, including pain, infection and the possibility of worsening dental infection such that the tooth will become irreparable (root canal treatment will not be successful, often due to excessive loss of tooth structure). If extensive loss of tooth structure occurs, extraction may be the only option.