How to pull out a molar on your own? Does it hurt to pull out a tooth: what it depends on and how the operation goes How to pull out a tooth if it staggers

Going to the dentist is a problem for most people. Many do not like the smell of medicines and antiseptics, they are afraid of the sight of medical instruments. Of course, the most important thing that we all fear is the sensation of pain. Even for those who take good care of their teeth, there is a need to pull out a milk or diseased tooth. In some cases, this can be done right at home. Sometimes you need to go to the dentist. The main thing is to know how to pull out a tooth without pain. Use the recommendations, take into account all the nuances and objectively evaluate your capabilities. Then the procedure will no longer seem so intimidating. Everything will go smoothly and smoothly.

We pull out a tooth without pain for a child
At around 6 years old, baby teeth begin to fall out. For a while they stagger, can cause discomfort and interfere with eating. Some children are afraid that the tooth wobbles so much. Parents often fear that their baby will simply swallow a tooth while eating, in a dream. However, of course, you don’t want to go to the dentist because of every milk tooth. Moreover, many children are very afraid of doctors, dental hospitals and categorically refuse to carry out the procedure in the dentist's office. How to pull out a tooth without pain for a child without leaving a cozy apartment? Let's consider everything in order.

1. First, find out if you can extract the tooth yourself. Even milk teeth sometimes sit very firmly in the gums. They can stagger, but do not fall out, it is difficult to pull them out. Take a close look at your baby's tooth. Persuade him to stand still, direct the light of a table lamp at him (the child needs to close his eyes).
   
2. Make sure that there is no severe redness, swelling on the gums around the tooth. Puffiness may indicate the beginning of the inflammatory process. In this case, you need to go to the dentist, and not act on your own.
   
3. Take clean gauze. You can pre-treat it with any antiseptic, purchasing it at a pharmacy. Put gauze on the tooth, through it gently grab it from the sides. Try to shake the tooth by tilting it in different directions. Evaluate how firmly it sits in the gum.
   
4. Pay attention to the condition of the gum itself. Sometimes she is a little loose. Then, most likely, you will be able to remove the tooth easily and without problems. If the gum differs in density, the tooth staggers, but only in one amplitude (you cannot change the angle of inclination, swing the tooth more), it is better to go to the dentist.
   
5. Is the gum plastic enough? Does the tooth not only swing, but also give in to you a little, changing the angle of inclination? There is no strong redness and swelling around it? Then you can try to pull out a tooth without pain for a child at home! Prepare materials, you will need:
   • clean gauze;
     
   • spittoon;
     
   • clean thread;
     
   • antiseptic liquid;
     
   • cotton swab.
     
6. Set your child up for the tooth extraction in a positive way. Explain that he will then grow a beautiful and strong tooth. To do this, you need to remove the old tooth and present it in a beautiful box to the kind Tooth Fairy. Say it won't hurt, just a little bit uncomfortable. You will do everything well, right at home. Prepare a bright tooth-gift box and show your baby. He must perceive the whole process as a game. This is important, because the child, getting nervous, may interfere with you.
   
7. Having laid out in a conspicuous place a multi-colored small box with ribbons, you will already create the necessary emotional atmosphere. Take care of the practical side of the issue. Be sure to feed your baby before the procedure. After tooth extraction, it is advisable not to eat for at least 3 hours.
   
8. After eating, the child should thoroughly brush their teeth. Rinse your mouth well with a special liquid (they are sold at a pharmacy).
   
9. Sit the child in a chair. Prepare the place so that you are comfortable, the light falls well. Tell the baby that the success of the case and the reaction of the Tooth Fairy will depend on his behavior: the calmer and quieter he sits, the better the gift she will prepare for him. The new tooth will be excellent: strong and beautiful.
   
10. Gently take the tooth with gauze and begin to gently rock it, while pulling it out of the gum. If it is ready to leave the gum, you will pull it out pretty quickly. Feeling that the tooth lends itself well to you, you can pull it out sharply. If you make an effort, do it quickly, otherwise there will be pain.
    
11. Many people prefer to use thread. The method is ambiguous, but also worthy of attention. The thread must be treated in an antiseptic, wetted well so that it does not slip off the tooth. Having tied the tooth with a thread, it must be pulled in the direction from the jaw.

    Note!
    The tooth must not be pulled to the side! You can damage the gum, leave fragments of a fragile tooth in it.

    
    
12. After removing a tooth, rinse your mouth with an antiseptic. Put a cotton swab soaked in antiseptic on the hole. After 5-10 minutes, you can take it out. You don't have to eat for about 3 hours.
    

When a milk tooth is very loose, the gum allows it to be pulled out, it can be pulled out by the baby at home. Remember that before removal, you must carefully check the condition of the tooth and gums. If there are any complications after the procedure, for example, redness, swelling has sharply increased, you should contact your dentist.

We remove teeth without pain: the wonders of modern anesthesia
Turning to the dentist, many do not know in advance about the intricacies of the tooth extraction procedure, the availability of types of anesthesia in the clinic, and the available drugs. Approach the matter more thoughtfully and responsibly, then it will not be difficult to pull out a tooth without pain.

1. First, try to find out the features of tooth extraction in different clinics. Choose a modern institution where more experienced specialists work, proven and effective drugs are used, there is a decent range of different anesthesia. Even if your tooth already hurts quite badly, you need to hurry, your friends and relatives will be able to find out important information in just half an hour.
   
2. Well, if you take into account the complexity of the procedure. Do not immediately ask for the most powerful anesthesia. Everything depends on the situation.
   
3. Pay attention to the compatibility of painkillers with your body. It is important that you are not allergic to any of their ingredients. If you are prone to allergic reactions, be sure to tell your dentist. He will select the best option for you.
   
4. Modern anesthesia is local, combined and general. Recently, there has been a growing interest in general anesthesia. However, general anesthesia should not be abused. It is recommended only in the most severe cases, when serious inflammatory processes have begun, it is necessary to remove a wisdom tooth with a complex root system. Do not insist on general anesthesia.
   
5. Most often, local anesthesia is used: the nerve endings are anesthetized in the right area. Usually it is infiltration: an injection is made into the periosteum. Thin needles, modern syringes practically do not cause pain.
   
6. When the tooth is already sufficiently mobile, application anesthesia is used, in the form of a spray or fondant. This type of anesthesia can be used before the injection, so as not to feel it. If you are sensitive, ask first to apply the anesthesia fondant, and only after that to give an injection.
   
7. Stem and conduction anesthesia is appropriate when a complex tooth is removed, for example, a wisdom tooth.
   
8. Having decided on the type of anesthesia, you can safely put yourself in the hands of a dentist. A qualified doctor will do everything right. After the start of the anesthesia, the tooth will be removed with thin forceps, quickly and painlessly. All you need is a clean handkerchief.
   
9. You should not eat after tooth extraction - wait about 3 hours.
   

Take care of your teeth, and if there is a need to remove them, then do it without pain!

• How can you transfer the procedure of tooth extraction with minimal loss to your health, nerves and wallet;
• Why teeth sometimes have to be removed and what indications the dentist-surgeon is guided by, passing the appropriate verdict;
• In what situations is it better to wait a little with the extraction of a tooth or not even remove it at all;
• What are the stages of the procedure and what awaits you in the dentist's office;
• Is it possible today to remove teeth without terrible forceps, without pain and with minimal trauma;
• How difficult and lengthy can be the removal of problematic teeth - impacted, semi-retinated, resorcinol-formalin and even ordinary molars, but with specific roots;
• How can the patient help the attending physician so that the tooth extraction goes smoothly;
• What to do if you need to urgently remove a tooth at night, on weekends or holidays;
• Is it possible to remove teeth in hospitals today for free and what is often hidden behind the cheapness of the service ...

Tooth extraction (extraction) is considered a dental operation and involves surgical intervention. In other words, when you go to extract a tooth, you are going for a surgical operation, and therefore this procedure should be taken with all responsibility.

Next, we will consider many nuances that will help an ordinary unprepared person go through this test with minimal loss to the nerves, wallet and health (mistakes and negligence of the patient can lead to very serious consequences).

On a note

Situations are different: sometimes a tooth has to be removed urgently, sometimes it is planned, but in both cases the question immediately arises: which dentist is more appropriate to contact? Which doctor can most competently and painlessly remove a tooth?

Someone can immediately say without hesitation that you need to contact a dentist-surgeon. On the one hand, this is the correct answer, but in practice things may not be so simple. The fact is that in clinics, hospitals and even in private dentistry, there is often a situation where one dentist works at a mixed reception. That is, he treats (preserves) teeth that can still be saved, and also removes “bad” teeth, conducts professional teeth cleaning, and in addition, the same doctor also deals with prosthetics of missing teeth. In total, we get 2-3 or more specialties “in one bottle”. Is it worth contacting such a specialist?

Of course, everything depends on the professionalism of the doctor and his experience, but in practice, most dentists focus on one area of ​​work, having significantly less experience in other areas. For example, there are dentists at a mixed reception who devote a lot of time to dental treatment, but the removal is not very high quality. Here much still depends on the complexity of the work ahead. But after an hour and a half of torment, during which the doctor cuts, drills and even chisels with tools, it is unlikely that any of the patients would like to hear that, they say, the tooth is too complex and cannot be removed (it happens).

That is why it is best to remove a tooth from a dentist-surgeon who specializes only in this manipulation in its various forms.

In addition, there are also maxillofacial surgeons - relatively speaking, they are even higher in level than dental surgeons. These specialists are not limited in their work to “pulling out” teeth (even the most complex ones), but can also help with injuries of the maxillofacial region, dangerous complications of periodontitis (periostitis, osteomyelitis, abscess, phlegmon, lymphadenitis), congenital and acquired deformities, diseases TMJ, tumor processes, etc.

For example, with significant problems with opening the mouth, when it is necessary to remove a wisdom tooth with diffuse swelling of the face and neck, dislocation of the jaw or fracture, it is worth contacting maxillofacial surgery.

Why do teeth sometimes have to be removed?

Before performing a tooth extraction, the dentist determines the indications for this in advance, that is, weighs all the pros and cons. There are such clinical situations when a tooth can be considered controversial - this means that a dentist, even taking into account the available indications, cannot unambiguously say whether it is worth the risk of saving it, or still remove it from harm's way.

It is not uncommon for situations when in one clinic they offer to immediately pull out a bad tooth, and in another they undertake to save it.

On a note

Sometimes, in order to recognize a tooth as subject to extraction, a council of dentists of various profiles gathers: a therapist, surgeon, orthopedist, orthodontist, periodontist.

How to explain such uncertainty in dental practice?

In life, as you know, everything is not as simple as it may look in books and textbooks. The indications and contraindications for tooth extraction that exist today were developed back in Soviet times by reputable scientists, and most of them have passed into modern protocols that guide dental surgeons in their practice. However, they may not always be suitable for a specific clinical situation, and there are a number of reasons for this:

• Improving equipment, instruments and methods of dental treatment increases the chances of saving teeth, sometimes contrary to existing protocols;
• At the same time, thanks to the latest diagnostic methods and modern approaches in dentistry, a dentist alone or collectively can decide to remove a tooth, even if there are indications for its preservation.

The following are examples of the main indications for tooth extraction:

1. The failure of endodontic treatment in the area of ​​the periapical inflammatory focus (in other words, when a cavity with pus has formed on the root of the tooth, and the treatment procedures do not work);
2. Emergency cases - sick teeth, which are the source of an active microbial process, not subject to treatment and provoking diseases such as periostitis, osteomyelitis, abscess, phlegmon, lymphadenitis, sepsis, etc.;
3. Technical difficulties associated with curved or hard-to-pass canals, leading to the impossibility of conservative treatment, as well as perforation of the tooth cavity or root wall;
4. The location of the teeth, leading to permanent trauma to the oral mucosa or tongue;
5. Tooth mobility of the third degree and its extension due to bone resorption in periodontitis or periodontitis;
6. Location in the fracture line (teeth that interfere with the reposition of fragments and are not subject to conservative treatment);
7. Complete destruction of the tooth crown when it is impossible to use the root for orthopedic purposes;
   
8. Supernumerary teeth that interfere with prosthetics or cause injury to soft tissues, violating aesthetics and chewing;
   
9. Protruding teeth with the loss of the antagonist, as well as those that interfere with the creation of a functional prosthesis;
10. In case of bite anomalies, according to orthodontic indications, even teeth that are not affected by caries can be removed;
11. Some types of root fractures as a result of mechanical trauma.

Wisdom teeth are a separate category, which a number of dentists recommend removing urgently, while other doctors suggest trying to save them, even at some risk of complications.

On a note

There are situations when orthodontic treatment (for example, on braces) cannot be started without the removal of wisdom teeth, even if they have completely erupted and do not interfere with the bite.

The same ambiguous situations often arise in relation to the preservation of teeth, for example, when it is impossible to pass root canals, perforate the wall, or break off an instrument in the canal. In one clinic, the removal of such a tooth may be recommended, and formally this falls under the indications, while in another dentistry they may offer to save the tooth using the latest technologies (for example, a microscope plus removal of instrument fragments from the canal using ultrasound).

In other words, when extracting teeth, an individual approach, common sense and medical logic, combined with the experience and professionalism of a doctor, are very important. And not a simple old-fashioned method of chopping from the shoulder, which took place in Soviet times, not from a good life: a tooth is badly damaged - under the forceps, there is no third channel - under the forceps, a small edema appeared in the area of ​​​​the transitional fold in the projection of the tooth root - also urgently "Tear out" without waiting for periostitis.

Such antediluvian tactics (which, unfortunately, are still sometimes found in some polyclinics by patients who are tired of the flow and low salaries of doctors) are currently unacceptable and fraught with negative consequences for patients.

Situations when you can wait a little with the extraction of a tooth or not remove it at all

Despite the above-mentioned variety of options involving the extraction of a tooth, there are also many situations when it is better not to remove a problematic tooth or to postpone it.

The most common situation is related to pediatric dentistry, when parents of babies with a carious lesion of a milk (temporary) tooth strongly demand that the tooth be pulled out, accompanying it with something like this: “It will fall out anyway - why treat it?”.

This logic is too straightforward and does not take into account the fact that the change of teeth should normally occur at an appropriate age: symmetrical groups of teeth gradually become mobile and in many cases fall out on their own. If the tooth is removed prematurely (even a year earlier), then there is a high risk of malocclusion and the development of anomalies in the eruption of permanent teeth.

In other words, with the early removal of milk teeth (especially multiple ones), future permanent teeth can literally “spread” in different directions, or even not erupt in a single or group version. No sane parent needs such a prospect, therefore it is better now to save the child from surgical intervention by curing caries or its complications, rather than later investing effort and money in correcting the bite and the child's psyche.

On a note

Meanwhile, there are clinical situations where acute conditions that threaten the health and life of the baby require the immediate removal of a temporary tooth. Or when the tooth can no longer be saved even with modern methods of treatment.

As for the impossibility of cooperation between a child and a doctor at the stage of dental manipulations: there is not only treatment and extraction of teeth under anesthesia, but also various forms of superficial sedation and premedication, which make it possible to carry out the procedure as comfortably as possible and minimize the possibility of a child developing fear of a white coat in the future.

Cases when a person wants to pull out an innocent tooth are quite common in adult dentistry, especially among men and women over 45-50 years old. This is largely due to old memories of the remnants of Soviet dentistry, when a tooth, at any opportunity (even with caries), was sent under forceps. Until now, such categories of citizens often get an appointment, especially in budget (free) dentistry with requests or even requirements to remove a tooth in case of caries or pulpitis.

For example, a tooth began to hurt from cold, hot, sweet, or night pains of a aching nature had just begun, and the patient was already negatively disposed to the treatment of the tooth. The motives can be different: from “love to pull out teeth” (quickly, inexpensively and there is no terrible drill with its sound) to 100% certainty that after treatment the tooth will still have to be removed (the negative experience of past decades, when teeth were treated for a long time, but in the end, I still had to apply for removal).

So, what is important to keep in mind: modern dentistry has long crossed out these prejudices. Now, not only with caries (even deep) and pulpitis, but also with most periodontitis, the teeth are treated remarkably, and they do not need to be rushed to be removed at all. And even if the tooth, it would seem, has broken at the root, it is not yet a fact that the root will need to be removed, since it is quite possible to restore the functionality and aesthetics of the tooth with the help of a root inlay and a crown.

Stages of tooth extraction: how it all happens in most cases

After the decision to remove the tooth is made in accordance with the indications, the stage of preparation for the procedure begins.

The photo below shows an example of a broken front tooth to be removed:

The nature of the preparation depends on the characteristics of the future manipulation (under or without anesthesia, with or without premedication), but the most basic steps include:

1. Collection of anamnesis (especially allergic status);
2. Psychological preparation of the patient (many are afraid, so it is important for the doctor to calm the patient and set him up in a positive way);
3. Medical preparation of the surgical field (rinsing the mouth with antiseptics, treatment of the injection site).

On a note

It is recommended to sign up for tooth extraction in the morning, when you and the doctor are still full of strength. If anesthesia or sedation is not planned, then it is better to eat well before the procedure - this way you will have more strength, and the blood will clot better.

If it is possible to remove a tooth with forceps, then the removal is called simple, and it is carried out in several stages:

In some cases, sutures may be required.

To remove the tooth was not painful, both domestic anesthetics (for example, Lidocaine) and imported ones (drugs of the articaine series) can be used. Articains are recognized as the most effective today, however, the correct technique of anesthesia is also very important - much depends on the level of professionalism and experience of the doctor.

Today in dentistry, there are different options for anesthesia when removing a diseased tooth. During conduction anesthesia, a group of teeth is “frozen”. A good example is the torusal or mandibular technique: during its implementation, the patient does not feel the lip, the tip of the tongue and the cheek on the corresponding side.

Infiltration anesthesia is done in the projection of the root of the tooth on the gum: in this case, freezing occurs only in the removal zone: almost always this is enough for all the upper teeth, as well as the lower ones - from the first to the fifth. For the 6th, 7th and 8th lower tooth, infiltration anesthesia will not be enough, so a torus is done. If this conduction technique is not done or done poorly, then during the removal of the lower large molars it can be very painful.

Of the modern methods, intraligamentary anesthesia (intraligamentous) can also be noted. It is done with a special syringe and has a lot of advantages (does not cause facial numbness, comes on quickly, lasts for 20 minutes, which is enough for most outpatient removals).

For difficult removals, anesthesia is sometimes used. A characteristic difference between a complex tooth extraction and a simple one, in addition to the time it takes, is the use of a drill (for sawing a tooth into pieces, cutting out a bone), screws, ligatures and some other specific tools (sometimes a tooth is literally split into pieces with a chisel and hammer).

The photo below shows an example of a tooth sawn into three parts using a drill before removal:

On a note

It is not always possible for a dental surgeon to determine in advance whether a tooth extraction will be difficult or simple. In many cases, the doctor can only roughly guess which tooth should be expected to have difficulties, and which one will almost “jump” out of the hole during removal.

Sometimes a specialist immediately sees a potentially complex tooth (resorcinol-formalin, semi-retinated, impacted, with specific roots) and warns the patient in advance that the procedure will be difficult and slow.

“The day before yesterday I removed the lower wisdom tooth. It was a real nightmare ... For more than an hour they sawed a tooth, hollowed it out with a hammer, broke out the roots, almost broke the jaw. They cut the bone and turned everything there completely. The most terrible feeling is when the doctor tried to break out a tooth several times, I thought that he would dislocate or break my jaw. All four roots of the tooth stuck out in different directions, so it was removed badly. Now half of my face is swollen, the pain is terrible, I can’t swallow normally and open my mouth. The doctor said that he had not seen this for a long time ... "

Natalia, Moscow

Option to remove teeth without "terrible" forceps: ultrasound technique

In order to minimize tissue injury during tooth extraction, and therefore to speed up and make the subsequent healing process more favorable, there is a so-called atraumatic method of tooth extraction. Such removal could be classified as complex, but the use of additional tools (drill, periotome, etc.) in this context, on the contrary, simplifies the procedure, reduces its time and makes it minimally traumatic.

Suppose the patient has a severely damaged upper sixth tooth (at the level of the gum or even under the gum), however, the roots do not exist independently, but are connected into one whole. With the help of a drill, the crown part of the tooth in the middle is carefully sawn out: in this case, each root becomes independent. Periotome allows you to quickly and accurately remove them without damaging the septa, walls of the alveoli, as well as the gingival margin.

The photos below show the individual stages of the atraumatic method of removing three teeth at once with a preliminary cut:

On a note

If, however, only forceps are used in this case, then the cheeks of the forceps would have to be advanced deep under the gum in order to “loosen” and “dislocate” the soldered roots. In 50% of cases, this will work, but with varying degrees of breaking off the outer and inner wall holding the root. After such root removal, uneven or sharp bone tissue remains, creating new problems for both the doctor and the patient.

Often, with the help of forceps, the removal of complex teeth cannot be carried out at all, and the result is only a waste of time and useless “biting” with forceps of both the alveoli and the roots.

Atraumatic tooth extraction can also be accompanied by the use of ultrasound. It is this technique that modern clinics are currently actively using as a "know-how". The piezosurgical apparatus allows, using an ultrasonic scalpel, to separate the periodontal ligaments that hold the tooth bloodlessly and remove it from the hole.

The main advantages achieved by tooth extraction using ultrasound:

• Bloodlessness;
• Acceleration of work;
• Antiseptic effect;
• No overheating;
• Help in the removal of complex teeth (impacted, semi-retinated, dystopic, resorcinol-formalin).

This type of atraumatic tooth extraction is ideal for subsequent immediate implantation, when the implant is installed immediately in a fresh hole.

Features of the removal of potentially problematic teeth (impacted, semi-retinated and resorcinol-formalin) - should we be afraid?

To remove impacted and semi-impacted teeth (that is, not erupted or erupted only partially and largely hidden in the jaw bone), as well as resorcinol-formalin teeth (that is, previously treated with resorcinol-formalin paste and become brittle because of this), the doctor can apply as anesthesia, if there are indications for it, and local anesthesia.

Most often, these teeth are removed under local anesthesia.

The picture below shows an impacted wisdom tooth:

From the practice of a dentist

Some budget dentists (especially in small towns and villages) who work on a mixed basis (therapy plus surgery) are afraid to remove teeth from this category. Seeing a semi-impacted or, moreover, impacted tooth (according to the picture), they can immediately refuse to remove it and send the patient to maxillofacial surgery at the nearest regional clinic or dental center. The motivation for this can be both unwillingness to mess with these teeth (the procedure may take 1-2 hours of painstaking work), and the fear that the lack of experience and tools will not allow all roots to be removed - which means that the exhausted patient will still have to be referred to another a more qualified dentist.

Stages of complex tooth extraction:

1. Preliminary preparation (premedication, treatment of the surgical field, etc.)
2. Anesthesia (general or local);
3. Creation of access to the removed tooth;
4. Instrumental technique to improve the conditions for the "dislocation" of the roots of the tooth;
5. Extraction of roots;
6. Hemostasis;
7. Preservation of the hole to prepare for implantation (according to indications);
8. Suturing (according to the situation);
9. Appointment of recommendations.

Creating or improving access to a tooth involves the use of elevators, a periotome, trowels, a drill with a set of burs and cutters, and (rarely) chisels and a hammer. After access to the tooth to be removed is partially created (gingival retraction, flap detachment), the tooth is removed with an elevator, and if this is not possible (as with impacted ones, for example), then the alveolus bone is cut with cutters in the projection of the tooth location. At the same time, cooling is applied to the area being prepared, since the bone tissue should not overheat, otherwise necrosis will develop.

When the tooth to be removed becomes visible, the surgeon can immediately begin to use elevators to “pick up” it. Often, the tooth can be sawn (or split) into pieces to make work easier.

On a note

How long can such a complex removal take? Depending on the complexity of the procedure, the availability of the necessary instruments and the experience of the doctor, the procedure can take from 10 minutes to 2 hours.

After extracting the diseased tooth and removing the granuloma or cyst (if any) from the hole, suturing is performed and recommendations are made. In a number of situations, the hole is preserved before subsequent implantation so that there is no atrophy of the bone walls. For this, natural bone substitutes are used, or synthetic (inorganic bone matrix).

After a complex tooth extraction, the doctor necessarily prescribes home treatment to ensure the most comfortable postoperative period and prevent alveolitis, which may include preparations of various directions:

1. Painkillers (Ketorol, Ketanov, Nise, etc.) for pain relief in the first days after surgery;
2. Antibiotics and sulfa drugs (to eliminate a bacterial infection in the maxillofacial region);
3. Antihistamines (to reduce swelling and other manifestations of the inflammatory response);
4. Preparations for rinsing and treatment of the removal area (gels, ointments) with anti-inflammatory, wound healing, analgesic, antiseptic and antibacterial action.

On a note

Generally speaking, the list of recommendations that exists in the arsenal of dentists in Russia is huge, and each dentist adheres to his list of necessary postoperative treatment. Someone prescribes the same thing to each patient, while someone has an individual approach (which is the most correct).

But it should be borne in mind that some dentists may not say anything at all to the patient, even as parting words or advice. If you had a tooth removed and were not given recommendations, be sure to ask for them, or find out from another doctor, as this helps to avoid unnecessary anxiety and very unpleasant complications.

How to help your doctor so that a tooth extraction goes smoothly

Despite the fact that anesthesia is used in dentistry before tooth extraction, there is always a risk that the procedure may not go as smoothly and painlessly as we would like. Often this is due to the fact that the patient is not ready for the procedure and behaves not quite correctly.

Let's see how to prepare for tooth extraction, in order to at least help a good doctor to carry out the manipulation without any problems.

Firstly, surgical intervention on a “neglected” tooth, when the stage of the acute process has reached its climax (you can’t even touch the root because of pain, a “flux” has arisen) is tolerated in many cases much worse than the planned removal of a “calm” tooth. Moreover, in this context, it does not matter which particular tooth will have to be removed: the root (six, seven, eight) or some front tooth is to be removed.

It is not difficult to imagine what unforgettable emotions a patient (as well as a doctor) can experience when you have to remove a diseased tooth or its remains against the background of periostitis and other purulent complications, when anesthesia has almost no effect, and any touch on the tooth causes hellish pain. But the tooth needs to be loosened! At the same time, there is still a risk that the rotten crown part may break off, and you will have to separately “pick out” the roots ...

It is interesting

Often anesthesia is done in the projection of the root of the tooth, when pus is everywhere under the gum in this area. At the same time, the “sufferer” demands from the dentist-surgeon that everything be absolutely painless: “Give a strong injection, doctor, if only it doesn’t hurt!” However, it is immediately clear that where the pus is located, a priori they are “not happy” with the new solution: there is nowhere to put the existing exudate.

A bad doctor, as a punishment for such a patient who walked too long to the doctor's office, will simply inject the entire portion of the anesthetic at a time, and in terms of sensation, the procedure will be similar to the extraction of a tooth without anesthesia, when there are already "sparks from the eyes" from pain. A normal surgeon will gradually inject the gum with an anesthetic in 2-4 stages, release milliliters of purulent fluid to eliminate pain during the administration of the drug and try to achieve stable anesthesia for painless tooth extraction.

So the patient's excessive patience before going to the doctor can give rise to a lot of problems. Therefore, if it is known for sure that a badly damaged tooth is to be removed, then it is better to get rid of it as planned: make an appointment and, in the absence of contraindications, once and for all end the problem before the tooth gets sick.

For tooth extraction, the ideal option would be to sign up in the morning:

There are a few more practical tips that help the patient safely endure the tooth extraction procedure:

1. Before removing a tooth, you should eat well (unless anesthesia or sedation is planned). A well-fed person copes with stress better, faints much less often and blood coagulates better, which is important after the procedure;
2. Do not take alcohol for courage. The risk of edema and prolonged bleeding in drunk people is increased, not to mention inappropriate behavior;
3. In case of great fear of the procedure or fear, you can resort to sedatives (Tenoten, tincture of valerian, motherwort, Corvalol, etc.) 20-60 minutes before the operation, depending on the activity of the agent. At the same time, the choice of the drug must be coordinated with the attending physician or the local therapist and have an idea of ​​​​the measure (especially regarding alcohol tinctures, since their intake can smoothly turn into alcohol intoxication);
4. It's good to have a positive attitude. If you are initially set up for a successful outcome of the procedure, then almost always the removal goes well, and the healing time is as short as possible. The more a person tells himself that nothing will work out and the more he winds himself up, the more anxiety he causes to himself and the doctor, sometimes simply because of anxiety, doing the wrong things (using unnecessary ointments, rinses, dangerous folk remedies, etc.) ;
5. When planning complex operations (removal of a difficult impacted tooth, all wisdom teeth at once, etc.), it is recommended to consult with your doctor about starting anti-inflammatory, painkillers and even antibiotics before the intervention.

If the tooth is deemed unusable, then in emergency cases it is removed urgently. But there are situations when the patient is going to apply for a planned tooth extraction - in these cases, it sometimes makes sense to postpone the procedure.

1. SARS and acute respiratory infections in the active period;
2. Painful and heavy periods;
3. Cardiovascular diseases, when their treatment is accompanied by the intake of certain drugs (for example, anticoagulants - Warfarin, Xarelto, etc.);
4. Pregnancy (on some terms - an exclusively individual approach);
5. Acute diseases (acute appendicitis, acute pancreatitis, etc.).

It is not difficult to guess that after the disappearance of many of the listed conditions, you can safely consult a doctor about a planned tooth extraction.

What to do if you need to urgently remove a tooth at night, on weekends or holidays?

You can often observe panic among residents of large cities and metropolitan areas, when a badly damaged tooth suddenly starts to hurt on weekends or holidays. That is, emergency surgical care is required, and a person is squeezed within four walls and does not know where to go for a tooth extraction and what, in general, to do.

Meanwhile, it doesn't matter what day it is (Sunday, March 8, New Year or another holiday), because in cities there is a round-the-clock emergency dental care with a duty schedule of dental surgeons. It is enough to contact the regional dental clinic or the regional hospital with the department of maxillofacial surgery.

But not only in large cities there is an "ambulance" in dentistry. Even in the district center at night, on weekends and holidays, as patients say, it is possible to “pull” teeth after a preliminary call to the post. Usually it looks like this: you call an ambulance or a paramedic's post, find out the possibility of urgent tooth extraction. The specialist contacts the duty dentist, and he comes to the office within an hour to help you (if on holidays the dentist keeps his appointment on schedule until a certain time, then at night he most often has to be called).

As for the private sector, everything is much simpler here. There are dentists that are open 24/7. Doctors in such clinics work in 3-4 shifts, and are ready to remove a tooth at any time when required.

On a note

The night shift is popular not only with people caught off guard by pain, but also with late-night parents of toddlers who have toothaches. In addition, many people employed in business have free time only after 22:00, and some even after 00:00.

Is it possible to remove teeth in hospitals today for free?

But what about those people who do not have money to extract teeth in a private clinic? Moreover, the price for such services today varies, depending on the region and the complexity of the procedure, from 500 rubles. up to 20,000 rubles

Someone may even be surprised by such a high price - pulling teeth for 20 thousand rubles for one pulled tooth? Isn't it too expensive?!

On a note

The fact is that 20 thousand rubles is also not the maximum for tooth extraction, since there are complex clinical cases that require increased time and materials.

Usually, an additional mark-up is made for the following types of removal (the following are the wordings from the price lists of the clinics):

• "Atypical tooth extraction" (that is, complex);
• "Laser" (using a laser scalpel);
• "With the use of ultrasound";
• "Without tongs";
• "In a dream" (anesthesia or superficial sedation).

The list can be continued and expanded. Moreover, for example, under atypical removal in clinics, they often mean not only complex extractions of teeth, but also the removal of any wisdom tooth in general, even if the removal is simple. This is most often done for commercial purposes, as a kind of fear-mongering in patients about wisdom teeth allows you to set a higher price in the price list for getting rid of them.

So is it still possible to remove a tooth cheaply?

Firstly, given the great competition, private dentistry sets different prices for the same service, and the price can be very democratic, regardless of what kind of tooth it is: a canine (or, as patients often call it, an “eye tooth”) , wisdom tooth or any other chewing. It happens that in one clinic you can remove a wisdom tooth for 1000 rubles, and in another they will offer a price of 5000 rubles.

And there, and there, the removal is paid, and the main question that confronts the patient is whether it is possible to trust a more budget option?

According to the recommendations and reviews of relatives, friends and colleagues, you can almost always find a professional doctor who removes teeth well. Whose office wall, though not hung with dozens of certificates and letters, but who knows his job well and is attentive to the patient. There are small private offices where they can remove a tooth for 500 rubles painlessly and efficiently without cheating for coffee, magazines, leather chairs and other surroundings.

Another thing is that you need to go to such a specialist on the recommendation of trusted people, and not just go to remove a tooth in the first clinic that comes across, where they will offer the lowest cost of the service.

Is it possible to remove a tooth qualitatively, but for free?

Free cheese (especially in dentistry) can only be in a mousetrap - perhaps this is the first thing that can come to mind in such a case. However, hundreds of thousands of citizens receive free surgical care every year under a regular CHI policy.

The principle is as follows: a person who is attached to this institution applies to a hospital or clinic at the place of residence for the purpose of removing a tooth. He gets a ticket to the dentist, and he removes one or more decayed teeth for free using this coupon. If there is no attachment, and the coupon does not pass through the computer, then, of course, you can also remove the tooth, but for a fee.

If the dentist cannot perform the extraction (for example, we are talking about an impacted or resorcinol-formalin tooth, or there is a diffuse edema that threatens life, pediatric specialization is required, etc.), then the patient has the right to receive a referral to free care, where the medical institution, the referral diagnosis according to ICD-10 and the need for this or that manipulation will be indicated.

On a note

There is also a list of free medicines that a dentist under the CHI policy can provide to the patient at the stage of assistance. This is especially true for anesthesia.

Not all hospitals (especially in villages, settlements, small towns) are regularly and in full allocated the necessary materials. Most often, they are supplied with domestic drugs for anesthesia (Lidocaine, for example), although today there are even anesthetics of the articaine series on the list under compulsory medical insurance, which, however, practically do not reach the addressee. In order to work as comfortably as possible and be able to give high-quality anesthesia to the patient without risking his health, dentists are forced to extract a tooth for a fee, where a person pays money for a “good injection”. Of course, this is cheap compared to a private clinic, and costs about 100-400 rubles, depending on the region.

But this does not mean at all that free tooth extraction “under lidocaine” will necessarily be painful. Free removal in many public institutions can mean increased risks, ranging from the fact that the anesthetic injection will be done in haste and will not work as expected, and ending with a long many hours of the same sufferers in the corridor, with the likelihood of getting from a tired surgeon for any an inaccurately spoken word with a three-story obscenity over the ears.

So here everyone chooses where to apply for a tooth extraction and how much he is willing to pay for this service. In conclusion, we can only note that having decided on the budget, you should not look for a clinic, but first of all for a good doctor - this will be a guarantee that tooth extraction will most likely be almost painless and without unnecessary problems.

Be healthy!

An interesting video with an example of atraumatic tooth extraction by ultrasound

What to do after tooth extraction to avoid complications

Sometimes it becomes necessary to remove a tooth at home. Therefore, it is necessary to know how to extract a tooth without pain and in what cases it is possible. Some people are afraid of dental procedures, sometimes it is simply not possible to get an appointment with a specialist. And every time you go to the dental clinic with a child whose milk teeth are loose, there is simply no point. Therefore, each person, just in case, should know which of the bone processes can be removed on their own, and which are not worth it. There is one sign that helps determine which tooth can be pulled out on its own so that it does not hurt. Without special devices and special equipment, only staggering ones can be pulled out. In all other cases, the probability of success of this operation drops significantly.

Removal in children

How to pull a tooth without pain in a child? The natural replacement of milk teeth with permanent ones is not always without problems. Sometimes the milk staggers a lot, but does not fall out in any way. It happens that the root has already erupted, and the milk one interferes with its growth. Often, in recent years, due to the addiction to sweets in children, by the age of 6, milk teeth are already in a deplorable state. It happens that chips injure the tongue or cheek of the child, causing him considerable discomfort. You should know in which cases it is possible to remove a tooth from a child, and in which it is better to treat it. Absolute indications for removal are:

• severe loosening;
• significant destruction of the crown;
• displacement of growing permanent teeth due to the presence of milk teeth;

Relative indications for removal are:

• his soreness;
• the presence of pathology (caries, pulpitis, periodontitis)
• little mobility.

Many children are afraid of doctors. One sight of people in white coats makes many children cry. And what can we say about the menacing appearance of dental instruments and the specific smell of medical institutions! Therefore, in order not to injure the child's psyche once again, many parents decide on their own removal. It is for them that the question of how to painlessly pull out a tooth becomes the most relevant.

First of all, you need to calm the child. Explain how and why you need to remove this tooth, but do not intimidate. You can tell your child about the mouse and the golden tooth or about the tooth fairy. It is desirable to turn the whole process into a game. If the child trusts and is not afraid, this will greatly facilitate and speed up the treatment. It is important that the baby is full, because after removal it is better not to eat for 2-3 hours.

Then you need to carefully examine the tooth to be removed, and the gum around it, you need to try to shake it. If it is firmly held in the gum, is significantly destroyed and hurts: it is better to refuse self-removal. In this case, tooth extraction without pain is hardly feasible. And an unsuccessful attempt will only bring unnecessary suffering to the baby and cause mistrust and resentment.

You can not pull out a tooth at home even if there are signs of inflammation around: redness and swelling of the gums, purulent discharge. In this situation, it is better to try to persuade the child to go to the doctor. Only a dentist, with the help of professional anesthesia, will ensure painless tooth extraction in a child, if this is really necessary.

In the event that the tooth is very loose, and there are no signs of inflammation, you can try to pull it out on your own. To do this, the parent must be calm and confident. The easiest way, which may work in some cases, is to give the child a carrot, cracker or hard toffee to chew on. If the tooth is really loose, it may fall out on its own during chewing.

To remove, use a sterile gauze pad. Grasp the base tightly with a gauze pad or sterile bandage and pull vertically away from the gum with a sharp movement. When pulling out, you should not make great efforts, as in this case, excessive trauma to the gums and damage to adjacent teeth may occur.

There are other ways to remove, each one rips out according to their physical and psychological capabilities. This can be done with thread. It must first be treated with an antiseptic. Diluted medical alcohol, Chlorphyllipt or Furacilin solution will do. Then you need to tightly tie the loose tooth. You can simply pull the thread strongly or tie it to the door handle and pull it sharply. After extraction, you need to ask the child to rinse his mouth with a pre-prepared antiseptic solution and put a swab of gauze soaked in it on the wound.

After the successful completion of the operation, do not leave the child alone. He may be frightened at the sight of blood by pulling out a tampon. If, after removal, the bleeding does not stop within half an hour, it is urgent to go to the dentist. If after a day the gum is still swollen and painful, the child should also be shown to the dentist.

Removal in adults

In adults, as well as in children, only loose teeth can be removed at home. Easier to remove incisors. Chewing teeth have 2 to 3 roots that sit deep in the gum. Pulling them out is much more difficult than a tooth with one root. The fangs have the longest roots. It's hard to pull them out too. Dentists strongly recommend not to torture yourself and find a way to visit the dentist.

Don't be fooled by pain either. No painkillers will help pull out a molar tooth absolutely painlessly. And making an injection in the gum is not for everyone. And the likelihood of various complications during removal is quite high. Therefore, it is better to find time to deal with this problem in a dental clinic.

Modern professional anesthesia will completely anesthetize even the most complex dental surgery. In some cases, general anesthesia may be used. So it won't hurt, and it won't hurt. But you should not abuse general anesthesia, since by itself it can cause various complications, up to cardiac arrest. In general, an injection into the gum is the most painful part of the removal operation. If, nevertheless, it is not possible to get to a dental surgeon, it is necessary to have a minimum level of knowledge on how to remove a tooth without pain.

Before deciding to tear out the bone process, a person must be aware of all the consequences and risks of this operation. There are many cases when it was not possible to stop the bleeding after removal, and the person still got to the dentist. Insufficient disinfection of the oral cavity can lead to the development of an inflammatory process, up to sepsis. And this, again, is an inevitable appeal to doctors. An unsuccessful attempt can lead to the fact that the crown of the tooth will break, and the roots or part of them will remain in the gum. It is almost impossible to remove the remains from the gums at home without special tools. But in this case, purulent inflammation will inevitably occur. So it's better to think seven times before removing a molar at home.

If it staggers, then you can try to remove this tooth yourself. It is best to gradually loosen it to such an extent that removal is not difficult.

But even before removing such a tooth, you need to prepare. You need to have painkillers on hand. These can be strong analgesics or anti-inflammatory nonsteroidal drugs (Nalgezin, Melbek, Dicloberl). For local anesthesia, you can use a gel or spray with lidocaine. You will also need: a sterile bandage, gloves and an antiseptic solution (Furacilin, Chlorphyllipt). It is important to eat before a tooth extraction. After the operation, you can not eat for 3-4 hours. Pain medication should be taken half an hour before removal.

Before starting a painless extraction of teeth, it is necessary to thoroughly clean the oral cavity with a paste and an antiseptic solution. Good vodka will do too. It is necessary to thoroughly wash and disinfect hands and prepare a sterile gauze swab. Then the loosened tooth must be tightly clasped with a gauze napkin. The cutter can be scrolled in different directions, then it will be easier to pull it out. Pre-painters and painters cannot be scrolled. After the mobility of the tooth in the gum increases, you need to pull sharply.

With the right jerk of blood, there should not be much. The wound at the site of the extracted tooth must be closed with a sterile swab. It should not be removed within half an hour. If everything went well, usually by this time the bleeding has practically stopped. During the day after tooth extraction, you can not drink hot liquids and eat hot food. Everything must be warm. You can rinse your mouth with an antiseptic solution no earlier than two days after removal. Decoctions of chamomile, sage, St. John's wort and other anti-inflammatory herbs are well suited. Decoctions should also not be hot. If there is a strong swelling of the gums, which does not begin to subside on the second day, the temperature rises or severe pain develops at the site of the pulled out tooth, you will have to visit a dental surgeon.

Moscow has more than 316 dental clinics employing more than 10,000 dentists. Among them, there will definitely be someone who will remove any tooth absolutely painlessly.

In most children, at the age of 5-6 years, a change of teeth begins, during which the milk teeth fall out, and the permanent teeth erupt instead. As soon as the roots of the milk tooth have resolved and the root began to “push” it from below, the tooth begins to stagger. It’s good if it falls out on its own, but it happens that it staggers for a long time and is in no hurry to fall out.

The best way out in such a situation would be to visit a dentist, but sometimes it’s impossible to go to the doctor, so parents think about pulling out a child’s tooth at home. In what cases are such actions at home acceptable, and when are they dangerous? And if it can be pulled out, how to do it right? Let's figure it out.

When can you vomit at home?

It is permissible to tear at home only a strongly loose milk tooth, since its roots have resolved. The more it staggers, the less painful it will be to extract it from the gums, therefore, if you want to pull out a milk tooth at home, you must definitely wait for the time when it staggers very much. Then the process of pulling out will bring the crumbs a minimum of discomfort.

When not?

• If you are trying to loosen a milk tooth, but it does not move, you will not be able to pull it out at home.
• Also, you should not remove it in a situation where loosening it with your hands is very painful for the child.
• The gums should not bleed while pulling out. If you notice the appearance of blood, the tearing process should be stopped.
• If a child protests against pulling out a tooth at home and is afraid, there is no need to force him and try to manipulate by force.
• In no case should you try to pull out molars at home. Because of the large and strong roots, this procedure should only be done in a dentist's office.

Training

Tell the child why he needs to vomit. Explain that this milk clove has already done its job, and a healthy and very beautiful new tooth will grow in its place. You can resort to the story of the Tooth Fairy or a mouse that is waiting for a tooth and is ready to exchange it for a coin or a sweet. Your goal is a positive attitude of the child before the procedure and the absence of fear.

Feed the baby shortly before the manipulation, and then make sure that the baby thoroughly brushes his teeth. It is important that there are as few bacteria in the child's mouth during removal as possible. For this reason, the hands of the parent who is about to rip it out should also be thoroughly washed. It is also a good idea to use sterile gloves.

Action List

The simplest option to extract a tooth at home is to entrust this task to a child. Ask your baby to actively shake his tongue or give the baby some solid food, such as a carrot or an apple. If the child is unable to remove it on their own, proceed as follows:

• Take a piece of sterile bandage or gauze.
• Wrap the bandage around your child's tooth.
• Shake it to the side.
• Gently pull it down (if it is on the upper jaw) or up (if it is the lower tooth), making twisting movements.
• Remove the tooth that has separated from the gum.
• Close the wound with a gauze pad and ask the child to bite it briefly.

You can also pull it out using a thread. Just do not tie it to the door with a thread, as this will pull the tooth to the side, which will form a rather extensive wound. Having tied a high-strength silk thread to a loose tooth, pull it up or down depending on the position in the oral cavity. In this case, the thread should be pulled sharply and quickly. To distract the baby, you can keep a toy plane or your favorite soft toy at the end of the thread.

How to remove a tooth yourself with threads can be seen in the following video.

What to do after removal?

Do not give the child food for two hours after pulling out, allowing the wound to tighten well. Also, you should not eat too hot dishes for the next three days. The child can rinse his mouth with plain water or water with salt added. At the same time, warn the baby that he does not touch the hole with his tongue. Taking a hot bath on the day of tooth extraction is not recommended.

• To reduce pain during a tooth extraction at home, you can lubricate the nearby gum with an anesthetic gel or give the child an analgesic tablet, such as ibuprofen, shortly before the procedure.
• If more than 5 minutes have passed since you pulled out, and blood continues to ooze from the wound, or a large amount of blood is immediately released, immediately take your child to the doctor.
• If the first attempt to pull out the tooth did not work, do not torture the baby and do not try to repeat the manipulation again. It is better to wait a bit and move it to another day.

Is it possible to pull out a tooth in a dream, or does this only happen in films (horror or science fiction - the choice of the reader)? Professional dentists can tell you the most in detail. In fact, you can get rid of a diseased tooth. Children with dairy are easier, adults with indigenous ones are more difficult. But let's think about it: once upon a time there were no dentists at all, and people got rid of sick teeth themselves.

Do I need it?

Perhaps this question is the most important. It is necessary not only to have an idea of ​​​​how to pull out a tooth without pain at home, but also to realize that there is a considerable risk associated with this. As you know, in a modern hospital, tooth extraction is a surgical operation performed with anesthesia and disinfection. At home, it is impossible to provide yourself with this.

For example, sometimes a tooth can be removed without pain, but as for antiseptic treatment, everything is very difficult here. If careful decontamination and protection of the site is neglected, flux will most likely develop in the near future. And it will not be easy to get rid of him - you will have to go to the doctor and undergo a very unpleasant and lengthy treatment. At the same time, sometimes situations are such that the tooth hurts so that there is no strength at all, and there is no possibility to go to the doctor in the near future. In such a situation, you should be able to give yourself first aid on your own.

A special case

Modern parents should know how to pull out a tooth at home. The fact is that baby teeth fall out quite often. With each such tooth, making an appointment with a doctor is often pointless. There are cases when a child himself took out a tooth with his fingers - and there is no danger of inflammation, because there is practically no wound as such.

True, you should be careful. Knowing how to pull out a baby tooth, you can not abuse these skills: at least twice a year you need to take your child to the dentist for a checkup. By the way, he will also explain, using an example, which teeth will soon fall out, how to remove them at home, with what problems there may be, and by what signs one should suspect that urgent dental care is needed.

What to do?

So, how to pull out a tooth for a child: if the tooth is loose enough, but stubbornly does not want to fall out, you just need to ask the child to gnaw a cracker or carrot on this particular tooth, you can give toffee to chew. In most cases, this is enough for the “process to start”.

However, before that, you need to carefully examine the baby's oral cavity. If inflammation, swelling or redness is observed, the tooth hurts or damage is visible on it, you should not try to extract it yourself, it is better to consult a doctor. On their own, they get rid of a disturbing staggering tooth only when it is perfectly white, even, nothing around hurts, there are no ulcers and stomatitis.

Relevance of the issue

It is important to know how to pull a tooth at home, because many kids are terrified of dentists, and begin as early as the age of six. Chips can cause injury to the surface of the cheeks or tongue, which will provoke inflammation and can lead to serious problems. However, even without health consequences, the situation itself is accompanied by unpleasant sensations.

When is it necessary?

The tooth must be removed on its own or with the help of a doctor if:

• reeling is strong;
• the crown is noticeably destroyed;
• permanent teeth begin to grow with an offset due to milk teeth.

Sometimes the reasons to learn how to pull out a tooth are:

• pain;
• dental disease;
• tooth mobility.

Proper preparation

When figuring out how to pull out a child's tooth, you need to start from the very beginning, namely, with an examination of the oral cavity. So that the baby does not worry, they tell him a thematic fairy tale - about a fairy, a golden tooth or a mouse. If you manage to present the whole process in a playful way, the child will get involved and be obedient. If the baby is not afraid and trusts the adult, the process takes less time and is easier. Before checking, it is necessary to make sure that the child has eaten tightly - for the next three hours after getting rid of the disturbing tooth, eating will be prohibited.

The tooth is carefully examined visually, they try to shake it with a finger. Sometimes destruction is observed, while the tooth is held tightly, and the baby complains of pain. In such a situation, you need to go to the doctor, attempts to put into practice the instructions on how to remove a tooth will end in failure, you should not even start.

Removal features

Before you pull out a tooth, you need to take care to have sterile gauze on hand. If the toffee trick didn't work, then they grab the tooth through gauze and pull it sharply upwards. The force should not be too great, otherwise the teeth in the neighborhood and the gum will be damaged.

Is it possible to pull out a tooth in another way? Indeed, there is an alternative approach: they use a thread treated with an antiseptic medication (alcohol, furacilin, chlorhexidine). A thread is tied around a problematic tooth and pulled (or tied to a door handle). As soon as the operation is completed, you need to give the child an antiseptic for rinsing the mouth, and then cover the wound with a gauze pad soaked in this composition.

And then what?

After completing the event, it is necessary to closely monitor the baby for some more time. There are cases when children panicked when they took out a tampon on their own and saw blood. If half an hour after the event, the blood is still oozing, you need to urgently take the child to the doctor. The need for the help of a dentist arises if a swelling of the gums is observed a day after the operation, the baby complains of pain.

What about older patients?

If you need to pull out a wisdom tooth or another tooth from an adult, in the general case, the rules are approximately the same - even a fairy tale as a distraction will not be superfluous. You must understand that you can only get rid of those teeth that are already loose. The situation is easiest with incisors, but chewing ones have a complex root system - two or three canals deeply fixed in the gum. It is extremely difficult to remove such a tooth on your own.

The longest root system is at the fangs. Getting rid of such a tooth at home is problematic. Doctors say that trying to extract such a tooth on your own at home will be too painful and unsafe - there is a possibility of infection, so it's not worth the risk, it's better to seek professional help.

Will it hurt?

Others believe that just a couple of tablets of analgin or other painkiller - and you can already pull out a wisdom tooth without suffering from pain. In fact, this is an absolute fallacy. Not a single root tooth can be painlessly pulled out on its own. To save yourself from unpleasant sensations, you can give yourself an analgesic injection, but not everyone is capable of this: others are afraid of needles, syringes, blood, others are afraid of the injection itself, others simply do not know how to inject correctly.

All sorts of incorrect movements, operations when trying to remove a tooth on your own lead to numerous complications. It is much easier, more effective to immediately contact the clinic. It will be more profitable both in terms of money, and in terms of time spent, and in terms of unpleasant sensations that will have to be experienced.

What to expect from a doctor?

Professionals have access to modern equipment and very effective analgesics. Even complex and lengthy operations are imperceptible for the patient. Of course, after a few hours, when the frost goes away, this area may whine a little, but the sensations are not comparable to those that could be disturbing when trying to get rid of the tooth on your own. A big problem for many is the panic fear of the dentist, because of which the visit to the doctor is delayed, and in the end it is necessary to remove the tooth that could easily be cured in a quarter of an hour, if the patient turned on time.

From practice, there are many cases where an independent attempt to get rid of a tooth led to prolonged bleeding, inflammation, flux, and even sepsis. Another option is that the crown may break when you try to pull out the tooth, but the root will remain inside the gum. At home, it is completely impossible to remove it, you will have to urgently contact the doctor to perform the operation. You can’t pull: purulent inflammation develops almost immediately.

Yes, it's simple for me!

The only option when you can take a chance and try to get rid of the tooth on your own is if it is already very loose, and objectively there is no way to go to the doctor. In such a situation, experts advise first to carefully loosen the tooth - it will take a lot of time, but the more efficiently everything is done, the easier and more painless the process itself will be.

Before pulling out directly, strong painkillers, non-steroidal medicines are used to combat inflammation. As a local anesthesia, a gel containing lidocaine will come to the rescue. On hand you need to have a bandage (strictly sterile), antiseptic, gloves. Before the operation, you need to eat tightly - after it you will not be able to eat for another four hours. Painkillers are taken 30 minutes before the start of the event.

What to do?

The first step is cleaning the mouth. Use paste, antiseptic, you can rinse your mouth with high-quality vodka. After that, the hands are washed and treated with a disinfectant solution, a swab is prepared from sterile gauze (it is also impregnated with an antiseptic).

Having completed the preparation, the tooth is wrapped around gauze. If you have to work with a cutter, you can first twist it in different directions - this will simplify the process of excavation. As soon as it was possible to achieve maximum mobility, the tooth is sharply pulled out of the gum.

It seems to work!

If everything is done correctly, the blood will not go. The place where the tooth used to be turns into a small wound, to protect which a sterile swab is placed for 30 minutes. During this time, even slight bleeding stops completely.

A day after the operation, it is forbidden to eat and drink hot - only warm food. Two days after the event, you need to treat the oral cavity with an antiseptic composition. Not only ready-made medicines will come to the benefit, but also herbal infusions and decoctions - on chamomile, sage and St. John's wort, in a word, any herbs that can fight inflammation. Use only warm decoctions. If the gum begins to swell and it lasts a day or more, you should immediately go to the doctor. The probability of soreness of the damaged area is high, the temperature may rise. In any of these cases, qualified assistance from a surgeon in a dental clinic is needed.

It is important!

Teeth are important for a person, both milk and molars, so you should not rush to remove them. It must be understood: premature pulling out of milk teeth provokes an improperly developed bite, which will ruin the whole future life of a person.

If something grows in the place of the removed milk tooth in the future, then it is not possible to restore the molar tooth, therefore it is necessary to carefully protect this given by nature. Of course, implants can be placed in the future, but their sensitivity is much less, and you won’t end up with problems. In addition, it is quite expensive, from time to time you will have to change artificial teeth. In order not to face this for as long as possible, you should visit the dentist regularly, check the quality of your teeth and treat all diseases in a timely manner, without starting them to the point where the only way out is removal.