Tag: dry sockets

Dental Extractions

Dental extractions are among the easiest and best ways to get relief from a toothache. As the name implies, an extraction involves removing the tooth. If your pulp has died or the tooth has become severely infected, extraction may be your only route. Depending on the tooth, the dentist can do either a simple extraction or a more complicated extraction.

Simple extractions
These types of extractions, the simple extractions, are the most common in the world of dentistry. During a simple extraction, the dentist will remove the tooth by loosening the gums around the socket. He will grasp the tooth with forceps and move it from side to side until he can get it to break free from the socket and remove it.

The teeth are held to the bone by a thin piece of soft tissue. This soft tissue is known as the periodontal ligament. The dentist uses this tissue to remove the tooth. As you may know, the key to removing a tooth by pulling is to rock the tooth from side to side, which enlarges the socket in the bone and breaks the ligament that helps to hold the tooth in place.

Simple extractions, also known as pulling, dont take long to complete. The dentist will numb you before he starts, so you wont feel anything. Depending on the tooth, pulling it will normally take just a few minutes after you have been numbed with local anesthesia. Once completed, the dentist will place gauze in your mouth to bite on and you will be free to go.

Complex extractions
As we all know, not all teeth can be pulled. Sometimes, the tooth will be so decayed or broken off that the dentist will have nothing to grasp above the gum line. In cases such as this, the dentist will need to perform a more complicated extraction, which involves getting the tooth out below the gum line, as he wont be able to use the standard method of pulling and rocking.

These types of extractions involve the dentist making an incision in the gums around the tooth, and raising the flap he cut to expose the bone. Once he has exposed the bone, there may be enough of the tooth exposed for the dentist to grab and remove it using the pulling method. In most cases however, the tooth will be embedded in the bone, meaning that the dentist will be unable to pull the tooth out.

With teeth that are imbedded in the bone, the dentist will need to use a drill and chip away at the bone to get to the tooth. This is known as cutting the tooth out, and happens to be very common with impacted teeth or teeth that are severely decayed. Once the dentist has cut his way to the tooth and removed it, he will sew back the flap of skin that he cut to get to the tooth. The flap of skin and the socket will heal over time – providing you take care of it.

Dental extractions are very common, and happen on a daily basis for dentists. Oral surgeons are the best for extractions, as extractions are all they do. All types of extractions, even the most complex, will take time to heal. As long as you take care of your extraction site, youll avoid common pitfalls such as dry sockets and other mishaps. Although they can be painful once the procedure is over – youll eventually start to feel a lot better once you have had the tooth or teeth removed.

The Dry Socket

Even though they arent life threatening like bleeding or abscesses, dry sockets can be extremely painful. They are very common following surgery, and happen to be one of the most painful post extraction problems. Dry sockets are more common with removal of the lower teeth than they are with removal of upper teeth. No matter what type of extraction you have performed, a dry socket can occur with any type.

Although there is really no way to prevent a dry socket, you can help to reduce the risk by following your after surgery directions. Even though you may be following the directly precisely, you could still end up with a dry socket. They are known as a quirk of nature, and will make you feel like you are on your death bed – although you really arent. Those who are more at risk to dry sockets include those who smoke following extractions, and those who like to grind their teeth frequently.

A dry socket is a condition where the blood clot that forms after an extraction detaches itself from the socket walls. Sometimes, the clot will dissolve, leaving the bone exposed to food, the weather, and even saliva. Once the bone is exposed, it can become inflamed. The inflammation that occurs is very painful, often times being a deep pain that makes you feel as if you are dying.

If you leave it alone, the dry socket will heal. It will normally take around a month or so, although the pain wont let up during the healing period. If you have a dry socket, youll find that antibiotics and even the strongest of prescription drug wont cure it. An antibiotic will normally cure infections, although a dry socket isnt considered to be an infection.

The best way to fight a dry socket is to go back to your dentist and have him pack the socket. Packing the socket is done without any anesthesia and can be quite painful. It doesnt take long to complete, and it can provide relief from the pain. Once you have a dry socket, you wont care about anything but stopping the pain. The pain can be so intense at times that you will be willing to do anything to stop the pain – even for a few minutes.

Once the socket has been packed, you will be relived from pain for a day or so. If you go back to your dentist, he will remove the old packing, wash the socket out, and place a new packing in. This way, you can get relief from the pain and help the socket heal. Keep in mind that it will take time to heal – and the best way to stop the pain is to do your best to avoid a dry socket at all costs.