Extraction of 22,23

# EXTRACTION OF 22,23

*In a simple extraction,

  the dentist loosens thetooth with an  instrument called an elevator. Then the dentist uses

  an instrument called a forceps to remove the tooth.

                   *   BEFORE TOOTH EXTRACTION

  √  know about any medications and  supplements patient take, or medical conditions that put you a high  risk of infection, such as:

        - History of bacterial endocarditis

        - Damaged or man-made heart  valves

        - Congenital heart defect

        - Impaired immune system

        - Liver disease (cirrhosis)

        - Artificial joint, such as knee or hip replacement

   √  Proper Radiographic Assessment Should be done

                  *    INSTRUMENTS TO BE USED

     - Mouth mirror

     - Twizer

     - Periosteal elevator

     - Upper anterior forceps

     - Gloves

     -  2 ml of syringe

     - Gauze piece

                  *    EXTRACTION TECHNIQUE

√ Wear a head cap , keep mouth mask and Gloves

√ Maintain asepsis :

     - Do not touch the light or any other objects after gloving

√ Follow Anesthesia Technique :

     - For infraorbital nerve bolck

     - For nasopalatine nerve block

√ Retract the flap with periosteal elevator

√ use a forcep- engage between the flap and tooth sarface - take a deep grip with the forcep

    to avoid a root fracture - first apply force on buccally and then palatally...apply a more

    force on buccally and give  rotation movement..And tooth taken out from the socket

√ control bleeding from socket

√ Irrigate with the Betadine

√ keep a gauze piece at the extraction site

                  *    AFTER TOOTH EXTRACTION

√  pack the tooth socket with gauze and you’ll be asked to bite down to lessen the bleeding. A few self-.dissolving stitches may be used to close the tooth extraction site.

                   *    Advise the patient, follow these important dental care guidelines:

   -  bite down on the gauze for at least three hours to reduce bleeding and allow a clot to    

      form.

   - Apply ice immediately after tooth extraction and at 10-minute intervals.

   - Don’t rinse, spit forcibly, or drink from a straw for 24 hours.

   - After 24 hours, rinse with a solution of ½ teaspoon of salt water.

  - Eat soft foods. Slowly add solid foods as the tooth extraction site heals.

  - Avoid the tooth extraction site when brushing and flossing your other teeth.

  - Give  a medicine :

       KETOROLAC TRIMETHAMINE.

          (10 mg) for 3 days TD

  √ If any infection associated with the tooth :

        ORDENT (ANALGESIC)

          Ornidazole + ofloxacin

             (500 mg).     (200 mg)

               For 5 days  BD

  - Generally, the tooth extraction site will heal in one to two weeks.