What to do if after removal of a tooth there was a splinter, possible complications
Jul 05, 2018
Dental extraction in dental practice is performed quite often.The reasons for this are many - and neglected cases of caries, when the tooth is no longer subject to recovery, and traumatic damage to the teeth, and the need for removal for further prosthetics.
Sometimes it happens that in the process of removal, not all fragments of the tooth are extracted.The remaining fragment can not only disturb the patient for a long time, but also lead to the development of a number of extremely unpleasant complications, some of which require long and sometimes very complicated treatment.
In order to prevent such a development of events, dentists, as a rule, try to examine as thoroughly as possible and check the place where the roots of the tooth were located.However, sometimes something is missing.Most often these are relatively small fragments, which, for some reason or another, could not be detected after the extraction of the tooth.
- When is tooth extraction shown?
- Possible causes of this situation
- Symptoms typical for the presence of a tooth fragment
- Possible treatments for
- What is the risk of the tooth fragment remaining in the gums?
Indications for the removal of teeth in a routine manner
Dentists in their practice often have to remove their teeth.
There are a lot of reasons for this:
- The tooth is completely destroyed by the pathological process( often caries).
- Very strong mobility of teeth with neglected periodontitis.
- In the case of obstruction of the root canals and the presence of a pathological process in the roots of the teeth( cysts, circumcranial periodontitis).
- Abnormal location, due to which teeth injure mucous, or interfere with food and speech.
- With a number of orthodontic and orthopedic surgeries, there is also a need to remove certain teeth.
In the case of malignant and benign tumors, and also in certain variants of jaw fractures, removal is also necessary.
Why can a fragment remain in the gums after the removal of a sick tooth?
This situation, when after removal of the affected tooth from the pathological process, a fragment remains in the gum( most often it is a splinter of the tooth root) for many reasons.Very often patients come to the dentist in very neglected and difficult to treat cases, then the doctor may miss a small piece solely because of the difficulty in removing it.
The doctor may also simply not have the experience of such interventions, but in difficult cases the chance that the fragment will remain in the gums.
However, there are specialists who believe that there is nothing wrong with this, and consciously leaving the fragments.Patients such dentists say that the fragment will come out itself after a certain time.And he really can go out by himself.
After such incomplete removal, the wound is not fully tightened, and the fragment starts to move towards the exit from the hole.However, this process lasts long enough, there is a high risk of complications, and the patient himself all the time is experiencing discomfort from a slow inflammatory process in the oral cavity.
Therefore, all the fragments when removing the tooth should be removed - this reduces the chance of complications and speeds up the recovery process after this intervention.But what to do in the event that there was a splinter after removal of a tooth, after all the symptoms of this pathology will be felt quite distinctly.
The tooth fragment remains in the gum - possible manifestations of
As a rule, immediately after tooth extraction, even if any of its fragments remain, patients do not bother.This is due to the sensations after removal, it is difficult for patients to understand if there are any problems, since pain can be present even after the correct removal performed in full.
However, if the pain does not go on too long after a visit to the dentist, it is most likely an excuse to re-visit this specialist.The presence of fragments very much resembles the sensations with which the tooth erupts - all the same sensation of a foreign body in the gum, aching, or throbbing pain.
Occasionally, the healing of the hole passes without any pain, complications in this case are joined much later.
The most vivid clinical manifestations are attached in the event that complications develop, such as, for example, purulent inflammation.The pain in this case becomes very intense, pulsating.Pronounced edema may also be associated.Let's find out if there is a fragment left after removal of the tooth, what to do and what treatment will be needed to get rid of this problem.
Features of treatment in cases where the fragments of the tooth remain in the hole
After collecting anamnesis, examination, and if necessary performing a radiological examination of the jaw, a decision is made as to the most optimal method of treatment in each case.
The most common option is removal with a cut( and in some cases not one) on the gum.
The most difficult such interventions are usually on the so-called wisdom teeth, since they often have very twisted and numerous roots.
The inconvenience of treating the wisdom teeth is also affected by their extremely uncomfortable position for the dentist, which can also be significantly complicated if the patient has a strong emetic reflex.
Do not try to remove the fragments yourself - in this case, the risk of infection is high enough, and the confidence that the fragments are all removed without X-ray confirmation can not be.
Possible consequences in the presence of a tooth fragment in the hole after its removal
One of the most complex and problematic complications of this situation is osteomyelitis - a purulent-necrotic lesion of bone tissue.In addition to local manifestations in the form of pain and other unpleasant sensations, fever is attached, as well as general signs of intoxication in the form of weakness, headache.
In many cases, there is a rather abundant secretion of pus.Especially unfavorable is the prognosis of those patients in whom osteomyelitis has acquired a chronic course, as in such cases, as a rule, pronounced atrophy of the surrounding bone tissue, as well as dystrophic changes in the surrounding pathological focus of soft tissues.
Among possible complications in such a situation, a pernicious condition is also quite an unpleasant disease.This pathology affects not the bone tissue, but the periosteum.In the case of a jaw injury, the most obvious signs of the disease are swelling of the gums, and also a rather intense pain that can be localized not only at the point of injury - often pain sensations irradiate into the ear or eye.
Disease in most cases is accompanied by a marked rise in body temperature.
It is also possible to form a fistulous path through which pus can go out.Treatment of this disease is mainly operational.Without surgical cleaning of the wound, conservative therapy is ineffective.
Simultaneously with the removal of pus, the cause of its appearance is often at the same time removed - often these are the same fragments of the tooth left after its incomplete removal.The chronic form of this disease has many life-threatening and health-related complications.
In cases where after tooth extraction( it is not important, dairy or permanent) in the hole there were fragments of it, it is not necessary to delay with a visit to a specialist and to hope that the hawk will leave on its own.The presence of such a fragment in the gums can lead to the development of many unpleasant complications, which can be easily prevented.
So, if there is a splinter in the gum left after removal of the tooth, we immediately appeal to the dentist, and in order to prevent the most possible occurrence of such a situation due to untimely treated teeth, we visit the dentist systematically, and not only in case of acute pain.