Tooth Extraction (Surgery)

Additionally, to aid in orthodontic treatment, some teeth may be extracted even if they are otherwise healthy, due to lack of space.

Tooth extraction-force relationship:
Of course, force is applied during extraction. However, since extraction instruments are designed to amplify the force applied by the dentist several times over, excessive force can even lead to negative consequences. Therefore, tooth extraction is primarily a procedure requiring technical knowledge and skill. It should also be noted that many oral surgeons are women.

Ways to overcome the fear of tooth extraction:
In special cases where it is understood that the fear of tooth extraction cannot be overcome in any way, extraction can be performed under general anesthesia. However, in most cases, the dialogue and approach between the patient and the doctor show that such an intervention is not necessary. First, it should be remembered that the negative effects such as harm and pain caused by the tooth to the body should be considered and that it is necessary to get rid of these. After good anesthesia is achieved, during the extraction, only a feeling of pressure and small cracking sounds may be heard as the tooth is lifted. There should be no pain or discomfort. People often like to scare those around them and exaggerate these pressure and cracking sounds when describing them. One should not be influenced by such false suggestions and all questions should be directed to the doctor.

Things to do before tooth extraction
: • Especially with molars, i.e., teeth with many roots, when the roots are very far apart or curved,
• In elderly people whose bones have lost elasticity,
• In people with very thick jawbones that don't flex,
• In teeth that have become brittle and have reduced support due to excessive substance loss, fracture may occur during extraction.
This is not something to be feared. If anesthesia, or numbness, is successfully achieved, the dentist will painlessly remove any remaining fragments using instruments designed for this purpose.

Things to keep in mind after tooth extraction
: • The gauze pad placed on the extraction wound should be kept in place for about half an hour. •
After removing this pad, do not apply another one unless necessary, taking care not to disturb the clot that has formed.
• Do not rinse your mouth with water.
• Do not eat anything for about two hours after the extraction; after this time, only lukewarm foods should be preferred, and very hot or cold foods should be avoided.
• Do not smoke for 24 hours. Smoking can cause the clot to break down and the wound to become infected. This condition, called 'dry socket,' causes pain for a long time.
• Do not consume alcohol for 24 hours.
• Do not touch the extraction site in any way; do not suck or spit on the wound area.
• Do not use the wounded area for 24 hours.
• If pain occurs, use medication other than aspirin; if possible, consult your doctor.
• The extraction site must be kept clean. Food particles should not get into the wound.
• 24 hours after the extraction, gently brush the area with a soft toothbrush. A warm salt water gargle can be used during this time.
• Slight bleeding lasting 6-24 hours is considered normal. However, if there is excessive bleeding or if this time is exceeded, a dentist should be consulted immediately.
• Similarly, prolonged pain or swelling should also be reported to a doctor.
• For bleeding that continues as a trickle, a moistened tea bag wrapped in gauze can be placed on the wound. Applying this as a compress for a while may be beneficial due to the hemostatic properties of some substances in tea.

After the wound heals
, the extraction site should be filled with a bridge, prosthesis, or implant, depending on the situation. This is because tooth loss can lead to digestive problems, and the teeth adjacent to the extracted tooth can experience positional abnormalities (tilting, tilting, etc.), resulting in chewing difficulties.

An impacted tooth
is a tooth that remains embedded in the bone beneath the gum line due to several reasons: excessive density of the jawbone or thick gums; a narrow jaw arch preventing the tooth from erupting; early loss of baby teeth; or certain diseases. These teeth should be extracted if they cause abscesses, pain, tumors or cysts, lead to decay in neighboring teeth, or if their size and location cause significant bone thinning, posing a risk of jaw fracture.