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www.hg2280.com [Meng Meng Teeth Meeting] Are bad teeth guaranteed or extracted? Don't be capricious

[Meng Meng Teeth Meeting] Are bad teeth guaranteed or extracted? Don't be capricious

Public number: Oral window Source: Time: 2020-02-21 01:40:26

Millennium Tongzhou vitality north stream

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Tooth is a precious gift from nature to human beings. It can make people chew delicious food, make beautiful sounds, and show charming smiles. So, what should I do if there are problems such as dental caries and loosening? Is it rule? Is it up?

When the toothache is severe, many people want to pull it out. Anyway, people have 28 to 32 teeth, and it is okay to have one less. However, it's actually not that simple.

1. One less tooth affects a large area

After the tooth is missing, it will affect many functions, such as impaired chewing function. Food that has not been chewed directly into the gastrointestinal tract will increase the burden on the gastrointestinal tract. The loss of teeth will affect aesthetics and pronunciation. Even if a single tooth is missing, the transmission of force between the teeth will be broken, causing the tilt of the adjacent tooth and the overly long jaw. The tilted tooth will further interfere with the chewing motion cycle, and eventually cause occlusal interference or trauma. In view of the series of problems caused by tooth extraction, it should be kept as far as possible.

Fortunately, with the development of oral preservation technology, many teeth that were previously thought to be unretainable can now be restored to their original function through treatment. For example, the residual roots that were thought to be removed in the past can be restored to the original functional form through root canal therapy plus post-core crown repair. For example, patients with periodontitis can also be treated with the periodontal system to control periodontal inflammation. Block the progress of periodontitis, reduce loosening of the affected teeth, and restore some or even all functions of the affected teeth.

2. It's a misunderstanding to stay blindly

In actual life, there is another understanding that many patients think that as long as the teeth in the mouth are damaged, they should be retained as long as the affected teeth are not lost, even if they cannot be used, they are not willing to pull out. Some patients even insert the affected tooth back into the socket formed by granulation tissue when the tooth has been lost. Is this feasible? How should I decide whether the affected teeth should be retained?

The criteria for retaining teeth are generally based on two considerations: on the one hand, whether the tooth has inflammation, whether this inflammation can be treated, whether it can be controlled, and whether it can maintain the health of the oral and maxillofacial system; Whether the function can be fully or partially restored after treatment.

If a tooth with good function cannot control inflammation and maintain health, it will eventually fall off, and the surrounding tissue of the tooth will be greatly damaged during the loss. In addition, the retention of the tooth must be able to restore function, and sometimes the residual root is too short If you can't use it, you can't restore the function.

Even if the teeth are intact, such tooth retention is meaningless if it cannot achieve its intended function. For example, some "good" teeth will affect overall function, and such "good" teeth must also be removed. That is, we must have a holistic concept, and do not damage the overall effect of the oral and maxillofacial system because of the pursuit of individual tooth retention.

3. Three "bad" teeth to be pulled out

Faced with various dental problems of patients, doctors must first try their best to treat them. Only when the teeth have adverse effects on health, and there is no effective method for treatment and preservation, consider removal. Because tooth loss can cause alveolar bone atrophy, adjacent teeth and maxillary teeth shift or extend, causing chewing disorders. Anterior tooth loss also directly affects pronunciation and appearance. Premature loss of deciduous teeth in children can cause malformation of the jaw, so the indications for tooth extraction must be strictly controlled. There are three common situations that require tooth extraction:

First, there is pain or affects other teeth, such as repeated inflammation and pain, long distorted, misaligned up and down, always plugged teeth, broken, deep holes, and invisible to the naked eye, filmed deep buried in bones Wisdom tooth.

Second, there are residual roots and crowns that have no retention value. They are likely to cause repeated inflammation and pain, and damage the gums. The doctor will recommend that they be removed as soon as possible, and then the teeth will be inserted.

The third is cracked teeth. For cracked teeth that cannot be retained, they should be removed as soon as possible.

4. What are the hazards of "bad" tooth extraction?

① Injury of oral mucosa

The long-term repeated friction caused by the diseased tooth and fixed in one place will make the delicate oral mucosa unbearable.

② easily cause tooth decay

If the long-term tooth decay is not treated in time, it will not only easily induce gingivitis and pulpitis, but may also affect the periodontitis and cause periapical periodontitis. In addition to pain, the alveolar bone is gradually absorbed and the teeth become loose. Once chewed Hard objects can easily break teeth or fall off.

③ Affect chewing function

Some teeth that need to be removed due to the installation of dentures, if not removed, will affect the repair of dentures, and cause occlusal relationship disorders, cause periodontal disease, temporal and jaw joint diseases, and affect chewing function.


Jiang Jinfu's expression pack crazy

④ cause oral cancer

Some irreparable roots and crowns can irritate the tongue, buccal mucosa, and form ulcers or white spots. These long-term adverse stimuli can cause cancer in the mouth.

5. Find the right way to make up missing teeth

Missing teeth are harmless and not beneficial. Therefore, the tooth should be repaired as soon as possible after the tooth is missing. Generally, the traditional repair time is after the bone tissue has basically healed and the morphological structure is basically stable. The restoration methods are divided into three types: traditional fixed denture restoration, traditional movable denture restoration and implant denture restoration.

The traditional fixed repair is suitable for patients with fewer missing teeth. The specific method is to prepare adjacent crowns and make crowns on the adjacent teeth. The central bridge and the adjacent teeth form a whole. Because its external structure resembles a bridge, it is also called a fixed bridge. The power transmission of this repair method is similar to natural teeth, and the comfort and repair effect are also comparable to natural teeth, but the disadvantage is that adjacent teeth need to be damaged. In addition, the cleaning under the bridge is relatively difficult, and more attention needs to be paid to daily oral hygiene.

Traditional movable denture restorations include removable partial dentures or full dentures that need to be removed daily. This prosthesis is mainly fixed to the remaining teeth or mucous membranes with some snap rings or supports, and the role it bears while chewing The force is transmitted to the abutment and the soft tissue below it. The advantages of this prosthesis are that it is cheap, easy to remove and clean, and has a wide range of indications. The disadvantage is that it must be worn every day, which is relatively inconvenient. Due to its large structure, the patient feels more foreign body, and the power transmission is different from that of natural teeth. Improper design may cause excessive force on the soft tissue below and adjacent teeth.

The third method of restoration is planting technology. The implantation technique is to implant an implant of pure titanium into the alveolar bone of the missing tooth area. After 3 to 6 months of implant and osseointegration, repair of the implant superstructure is completed. Because the composition and structure of the implant is similar to that of natural teeth, it has many advantages: it can better retain alveolar bone, which is more beautiful and comfortable, and its service life is basically close to that of natural teeth. The problem is that compared with natural teeth, implants and soft tissues cannot effectively combine, and the gums around the implant lack a barrier to prevent inflammation from progressing. Therefore, dental implants have higher requirements for oral hygiene maintenance. Patients who use implant dentures need to pay more attention to periodontal maintenance, wash their teeth regularly, and brush their teeth carefully. In addition, implant dentures lack physiological mobility compared to natural teeth, and they need to check the occlusion regularly and adjust if necessary.

6. Precautions for extraction

Pay attention to wounds after tooth extraction, if there is a lot of bleeding, you should seek medical examination in time.

① The gauze or cotton ball on the wound after tooth extraction should be bitten for about half an hour before spitting out. It is normal for a small amount of blood in the saliva within 24 hours.

② You can take a rest in a semi-recumbent position after tooth extraction. Do not lie flat. You cannot immediately take a hot bath to avoid bleeding from the wound.

③ Eat 2 hours after tooth extraction. You can eat liquid or semi-liquid, do not eat hard, hot food.

④ Do not perform strenuous exercise or heavy physical labor on the day of tooth extraction, do not drink alcohol, do not play musical instruments, do not suck wounds, and do not gargle.

⑤ After the anesthesia disappears, the tooth extraction wound is slightly painful, and medicine is generally not needed. If you have fever, severe pain, swelling or massive bleeding, you should seek medical treatment in time.

⑥ Except for the third molar and multiple teeth, adults generally need to install dentures after tooth extraction, and can go to the hospital for examination about 3 months after extraction.

In short, whether the preservation of affected teeth involves all aspects of the oral and maxillofacial system. For individual patients, when there is damage to the teeth in the mouth, they should seek medical treatment in a timely manner. If the affected tooth can control inflammation and restore some or all of its functions, we will try to retain such teeth. For those who cannot control inflammation and fail to restore the required functions, it will not promptly remove the affected teeth.

Chief Editor: Xie Yuandong

Assistant Editor: Luan Mengyin

Text editor: Nie Huimin

Layout design: Zhou Hongju

Li Yan Media Center

Oral Window (binyikouqiang)


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