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 DEFINITION
Procedure by which there is practised the specific extraction of a hill range (wisdom tooth or third molar) of the maxillary bone that lodges it, by means of a few skills and a set of instruments.
SYMPTOMS
The causes more comúnes for the extraction of a hill range not including, are the tooth decay and the illness periodontal, associated or not with pain and repetitive infections. Other possible causes are: tooth in areas submitted to irradiation, causes protésicas, you cause ortodóncicas, association to cysts or tumors, etc.
The extraction would always teethe it must be indicated by the professional.
SKILL
The suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the success of the extraction. A previous history and exploration, as well as the achievement of a radiology they are also essential before the achievement of the extraction.
The extraction skill needs according to her situaci6oacute; n of the hill range, of the use of sindesmotomos, forceps and elevators. Sometimes it can be necessary to realize ostectomía and odontosección. The professional must eliminate all the remains, check the empty alveolus, regularize the rims, compress the cortical ones, and place a gauze doubled on the alveolus. It can be necessary to realize suture of the wound after realizing the extraction. The achievement of a postsurgical radiography can be necessary to value the result.
COMPLICATIONS
The complications are infrequent and they split in immediate and mediate (secondary or late).
The immediate complications can be: breaks of the tooth, breaks or luxations of adjacent teeth or antagonists; breaks of the bony dividing wall, alveolar rim, tuberosidad, nasal soil or sinusal or jaw; luxation of the joint temporomandibular; tears, hemorrhages hurt by soft parts; injuries of the nerves; displacement of the tooth to other regions, submucous emphysema, break of set of instruments, break of obstructions or prosthesis neighbors, etc.
The mediate complications: infectious (alveolitis, osteitis, abscesses, osteorradionecrosis, cellulitis, lockjaw, sinusitis, etc); hemorrhagic (of local or general cause); mechanical or traumatic (periodontitis traumatic, communications buconasales, alterations of the joint temporomandibular); tumor (residual cysts or epulis granulomatoso); personal details (bacteriemas, septicemias, glomerulonefritis, crisis hiperglucémica or hyperthyroid, descompensaciones cardiac, hepatitis, etc).
WHAT DOCTOR CAN TREAT ME?
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DEFINITION 
