Specialists resort to tooth extraction in various cases. For example, in cases of inflammation at the tooth root tip, which, if it progresses, may lead to bone inflammation. The presence of a cyst complicated by sinusitis is another reason for tooth extraction. Impacted or broken teeth are also usually extracted. Teeth may be extracted in cases of malocclusion, but the most common case of extraction is wisdom tooth removal. Modern medications make the extraction procedure painless – either local or general anesthesia is used, depending on the complexity of the case. However, there are ways to avoid full tooth extraction.
Tooth extraction – are there alternatives to saving the tooth?
A tooth-preserving surgery can be an alternative to extraction. The main types of such procedures include root apex resection, hemisection, and cystotomy. There is no need to explain why true professionals always try to preserve at least part of the tooth, so let’s talk about the procedures themselves.
Root apex resection is often used if the patient has a cyst or other inflammation, and previously filled canals cannot be reopened. In this case, an incision is made in the gum, soft tissues are lifted, and the inflammation focus is removed along with the root tip. The resulting cavity is filled with artificial bone material, and the gum tissue is sutured. Bone regeneration near the root tip takes about a month.
Hemisection is performed if there is inflammation on one of the roots or complications from previous treatment. The tooth is cut, the affected root is removed, and bone material is placed in the area temporarily. Later, the remaining part of the tooth can be used for a prosthetic construction.
Cystotomy is carried out to remove a cyst, usually of significant size. During this procedure, the mucous membrane is incised, and only the front wall of the cyst is removed rather than the entire cyst. Then the mucous membrane is sutured to the cyst wall. This surgery is typically well tolerated by patients and does not lead to complications.
If extraction is still required, the procedure can be either simple or complex. Simple extractions are done under local anesthesia using forceps or elevators. Complex surgical extractions involve cutting the gum tissue, especially if the teeth are impacted or for wisdom tooth removal.
Always have your teeth removed by professionals!
So, there are several alternatives to tooth extraction. However, if extraction is unavoidable, it is crucial to consult a highly skilled professional, as this is a serious surgical procedure. Complications such as prolonged bleeding or dry socket (complete exposure of bone at the extraction site) may occur. To avoid such issues, carefully choose a qualified specialist.