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Download as PDF; Printable version; ... to as tooth extraction ... to the use of antibiotics to reduce the risks of certain post-extraction complications. There is ...
Typically, a parent may take a sick child to a traditional healer, who will look in the child's mouth and attribute the illness to "tooth worms".The healer will point out the small, white, developing tooth buds as being "tooth worms", and then dig the "worms" out of the gums without local anesthesia and using a non-sterile tool (normally a bicycle spoke). [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.
Most often, the cause of impaction is inadequate arch length and space in which to erupt. That is the total length of the alveolar arch is smaller than the tooth arch (the combined mesiodistal width of each tooth). The wisdom teeth (third molars) are frequently impacted because they are the last teeth to erupt in the oral cavity.
A tooth is unsuitable for periradicular surgery if it does not have a good periodontal support or coronal seal. It must have enough structure to support restoration. Filling the root canals of the tooth from the crown (orthograde root canal therapy) should be the first treatment option to resolve inflammation caused by the tooth.
An oroantral fistula (OAF) is an epithelialized oroantral communication (OAC), which refers to an abnormal connection between the oral cavity and the antrum. [1] The creation of an OAC is most commonly due to the extraction of a maxillary tooth (typically a maxillary first molar) which is closely related to the antral floor.
Potential complications include: [20] Unsuccessful treatment procedure which can lead to recurrent defect; Post-treatment infection; Barrier membrane being worn away, caused by e.g. traumatic toothbrushing; Vitality of tooth being compromised in furcation-involved teeth; Unfavourable gingival adaptation which can be of aesthetic concern
The prognosis for a tooth should be considered carefully. If multiple treatment procedures are necessary, each procedure costs time and money with potential for failures/complications. Thus, tooth extraction may be a reasonable treatment option. The tooth could then be replaced with a dental implant.