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DEFINITION
Procedure by which there is practised the extraction of a tooth that is lodged inside the maxillary bone, by means of a few specific skills and a set of instruments.
SYMPTOMS
Frequently symptoms do not exist. The indications of the extraction would be: incompetence between continent and content, ortodóncicos motives, motives prostodón;cicos, asociación to cysts or tumors, association to infectious processes, association to pains maxilofaciales of unknown etiology, like preparation for the irradiation of the maxillary ones and you structure neighbor, 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 one t6eacute; cnica correct and a few asepsis measurements 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 must be realized of a ruled form and understands: correct anesthesia, incision, despegamiento of the tatter mucoperiostico, ostectomía, odontosección (if it is necessary), extraction, cleanliness of the alveolus and soft parts, suture and postoperative care. 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 nearby nerves; displacement of the tooth to other regions, submucous emphysema, break of set of instruments, break of obstructions or prosthesis neighbors, etc.
The late complications can be: 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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