Tooth Root Removal in Dubai

Preparation for removal

At the preparatory stage, the doctor determines what kind of operation is required: simple or complex. He also decides what anesthesia will be used. If necessary, additional examination is prescribed to select suitable anesthesia and determine the dosage. Oral sanitation may be required, which ensures that infection will not enter the postoperative wound. It may be necessary to treat caries and other diseases first. A day before the operation, it is recommended to exclude intense physical activities – sports, heavy work. It is advisable not to overheat, so do not visit a sauna or beach, or go to the beach. On the day of the procedure, you need to eat – food can be consumed 2-3 hours after the surgical manipulations are completed. Also, a well-fed body copes with stress more easily, and primary wound healing will be faster. If you are taking blood-thinning medications, you need to stop taking them. If this is undesirable, discuss with the doctor whether they can be replaced with other drugs or switch to a safer dosage. The intake of mild sedatives is allowed to relieve nervous tension.

Types of Surgery

Surgical intervention is carried out in several ways. The doctor chooses the appropriate solution according to the clinical situation.

When the Crown is Destroyed

This option is chosen if the crown part is severely damaged, and it is not possible to use the root for tooth restoration with an implant. The dentist uses forceps or an elevator depending on which root needs to be removed: incisor, canine, or molar, from the upper or lower jaw. If dealing with a complex, branched root system, it is divided into parts, each of which is extracted separately.

When Preserving the Crown

In this case, the doctor has three methods at their disposal.

1. Apicoectomy. The surgeon removes only the part where a cyst has formed.
2. Hemisection – this method is usually applied to the chewing units of the lower row. It involves removing the root along with the adjacent part of the crown.
3. Amputation – complete removal. This method is used only on the upper row of teeth.

Stages of Tooth Root Removal

Regardless of the type of operation chosen, simple or complex, it is carried out in several stages.

Before removal, anesthesia is necessary so that the patient does not experience painful sensations. In most cases, local anesthesia is sufficient. If the patient has dentophobia, i.e., a panic fear of dental manipulations, or a complex, lengthy extraction is planned, alternative options can be used. These include:

• general anesthesia;
• sedation – a medicated sleep induced with nitrous oxide and similar means.

Once the anesthesia takes effect, the doctor detaches the gum from the root or makes an incision in the gum using a scalpel or ultrasonic cutter. In some cases, it is additionally necessary to drill bone tissue to access the root.

A simple operation usually takes a few minutes and does not require special preparation. To extract roots from the upper jaw, the doctor uses forceps, as they are well suited for gripping and then pulling out the root. If working on the lower jaw or the tooth has a branched multi-root system, the dentist often takes an elevator, which is better suited for loosening. The doctor uses rotation to twist out the root, or rocks it from side to side, and then pulls it towards themselves.

Complex removal takes more time. Typically, this option is used if it is necessary to get rid of a branched multi-root system. It is divided into fragments, each of which is extracted separately. Additional tools may be needed – scalpel, drills, scissors. Fragmentation is also used if it is necessary to extract root fragments that cannot be hooked or gripped due to an incorrect shape.

After extracting the root, the doctor examines the socket and ensures that the work is done well. They use a gauze pad or a hemostatic sponge to stop bleeding and apply sutures. Anti-inflammatory drugs may also be used to treat the postoperative wound.

Usually, sutures are made from self-dissolving material, so they do not need to be removed. But if the doctor used another material for some reason, they will tell you when to come for suture removal. You will also need to visit the dentist so that they can examine the socket and ensure it is healing without complications.

Possible Complications

Tooth root removal places a serious strain on the body. Natural reactions to surgical intervention will be:

• pain;
• bleeding;
• swelling.

Usually, these symptoms disappear on their own. Painful sensations and swelling can persist for 3-4 days, bleeding stops within a day or two. If this does not happen, it is necessary to see a doctor as soon as possible: complications may have arisen, caused by infection entering the postoperative wound.

The most common problem is alveolitis, inflammation of the socket. It occurs because the blood clot, which should protect the socket from infection, did not form or shifted, did not fit tightly to the edges of the wound because the patient did not follow the doctor's recovery recommendations.

Symptoms of alveolitis include:

• severe pulsating pain at the site of the operation;
• swelling of the gum;
• unpleasant smell from the mouth;
• increased salivation;
• general weakness, rapid fatigue;
• body temperature rising to 38.0 °C, if reduced with antipyretics, it returns to the previous level after some time.

If alveolitis is not treated, it can cause odontogenic sinusitis or abscess. The worst-case scenario is osteomyelitis, a purulent infectious-inflammatory process in the jawbone, which eventually leads to the death of bone tissue.

Alveolitis is a well-studied disease; it is not difficult to cure if measures are taken in time.