Buried Tooth Extraction

Buried teeth are problems that occur during the growth and development of dental jaws. They can occur in different parts of the jaw and are buried in different forms. Most of the maxillary canines, incisors, and multiple teeth are completely buried, and the second molars of the upper jaw are mostly low or buccal, while the impact of the third molar is often buried. Treatment often requires surgical removal. Treatment of diseases: pediatric dentin growth syndrome Indication For the influence of normal eruption of adjacent teeth on the normal dentition, the occurrence of abnormal symptoms of adjacent teeth, the occurrence of local inflammation and the treatment of dentition or dental malformation are all indications for plucking teeth. Contraindications Under normal circumstances, buried teeth should be removed. For those who do not induce the pathological changes of adjacent teeth or the need for orthodontic treatment, the abnormality or complications of adjacent tissues and structures may be caused during the extraction or postoperative period. For the local acute inflammation period, it can be regarded as a relative contraindication, and the removal is performed 2 weeks after the inflammation disappears. Preoperative preparation 1. Take X-ray and X-ray positioning teeth, determine the location of the buried teeth, understand the crown and root condition and the relationship between adjacent teeth. 2. Determine the surgical approach and plan through visual inspection, palpation, and X-ray positioning. 3. Partially clean the mouth. Surgical procedure 1. Incision: An arcuate or trapezoidal (inverted trapezoidal) incision is made from the lip (cheek) or temporal side. 2. Flap: Open the mucosa and periosteum, and turn the mucosal periosteum flap under the periosteum to expose the operation area. 3. Deboning: According to the positioning situation, the bone tissue covering the crown portion is cut with a small osteotome to reveal the maximum diameter of the crown. 4. Open the teeth: use a bone chisel or a high-speed gas turbine drill to divide the crown or teeth. 5. Stand out: use the teeth to put the teeth out. 6. Clean up the tooth extraction, scrape the broken bone pieces and tooth fragments. 7. Suture the mucosal periosteal incision with a silk thread. complication 1. Postoperative pain: Due to the large surgical trauma, local swelling and pain may occur after surgery, which is generally symptomatic. 2. Postoperative infection: Remove some sutures in time, place drainage and apply antibiotics throughout the body. 3. When the adjacent teeth are damaged, the dental pulp is fixed or treated immediately.

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