This article describes the anatomy of the deciduous tooth and its relationship to the developing permanent tooth, proper technique and appropriate instrumentation for removing deciduous teeth, and tips for minimizing complications during extraction. Early diagnosis of fractured deciduous teeth, deciduous malocclusions, and persistent deciduous teeth allows for immediate treatment, thus preventing pain for the patient and potential pathology of the developing permanent teeth. Antibiotics will probably be prescribed.A thorough intraoral examination must be part of every physical examination, beginning with a puppy’s first visit. This will cause the pain, stiffness and swelling to last longer than normal. Occasionally wisdom teeth sockets become infected.Pain and discomfort may be relieved with ordinary pain killers such as paracetamol and ibuprofen.This will usually pass over the following week or two. Some bruising and stiffness will occur and you may experience some difficulty in opening your jaw wide.Sometimes they need to be removed by the dentist. These symptoms usually improve within a week. These will either be separated and exfoliated or reabsorbed into the healing socket. Some bony spicules may outline the edge of the wound. The socket may ooze slightly for a few hours.If this happens we would have to refer you to an oral surgeon to have the tooth or remainder of the tooth extracted in hospital. It may not be possible to actually remove the tooth in the surgery or the top of the tooth can break off from the roots.However, if pain, swelling or bleeding persist contact the dentist but remember, if excessive bleeding does occur it is important to avoid exercise, drinking alcohol or disturbing the socket.Ĭomplications from an extraction. It is not unusual to experience swelling or discomfort for a few days.Consult the surgery if excessive bleeding continues for more than 1 hour or go to the nearest A&E.Inspect the socket and replace the pad, or use another one, if bleeding still appears from the socket.Bite firmly to compress the pad on the bleeding socket for 10-15 minutes.If the socket is between two standing teeth constrict the pad to fit. Place the pad across the bleeding socket from the tongue to the cheek side.Keep siting up and clear the mouth of loose blood clots with a clean linen square or tissue so that you can find where the socket is bleeding.Use some clean linen or gauze about 1.5” (4cm) wide to make a roll of 1” (2.5cm) thick, thus forming a firm pad, or use a clean handkerchief.If after 24 hours the pain is severe, consult the surgery for advice.A warm salt water rinse (made by adding a level teaspoon of salt to a glass of warm water) should be used to bathe the wound at least 3 times a day, after all food, until healing is complete.It is unlikely that you will feel like working or attending social functions.Īfter extraction instructions – after 24 hours….Always remember that a clean and healthy mouth heals more rapidly than a neglected one.Do not rinse your mouth out for 24 hours.This will delay the healing process.ĭry socket will delay healing and causes immense pain. Do not disturb the socket with your tongue, by eating food on that side, sticking your tongue into the socket or by vigorous rinsing.You may feel the sharp edge of a socket with your tongue and occasionally small fragments of bone may work their way out. Follow any instructions regarding dosage carefully.
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