Periodontal disease: those with advanced
periodontal disease exhibit tooth mobility and the presence of periodontal
abscesses, which preclude the conservative treatment, and extraction is often
necessary. Once convinced of this need, it is most important to make
withdrawals immediately to prevent the disease from producing greater bone
resorption of the alveolar ridge.
Embedded teeth: they can be included or locked away. The most common are lower
third molars, superiors, the upper canine, and premolars lower and upper incisors.
These teeth, in their inclusion or attempts at eruption, can produce a series
of infectious accidents; sometimes exodontia practiced at an early stage
prevents the emergence of this phenomenology.
Temporary teeth: the same infectious and
destructive consequences of decay may require the extraction of teeth before
their physiological exfoliation to avoid the disruption of adjacent teeth.
Sometimes there is a delay in the replacement tooth and there are sufficient
signs to proceed with extraction.
Determining factors include the process of eruption and chronological
age of the patient, study of the same tooth contralateral, level lower occlusal
plane, and if at least two-thirds of the root of the tooth is permanently
underlying as ascertained by radiography.
On this point, when there is a delay in the exfoliation of deciduous
teeth, it is important to make a radiological exploration to detect a possible
replacement tooth agenesis. In this case, the tooth should be kept temporarily
in the arcade.
Dental diseases are
caused by extensive decay that has become too destructive for conservative
treatment. Other alterations are
sometimes periodontal by the progressive development of caries and periodontal
with pulp necrosis, which causes a periapical abscess, osteitis, cellulitis or
sinusitis not solvable by endodontic treatment (because the passages are
inaccessible) or conservative surgical treatment (apical or apiceptomia
curettage).
Periodontitis may be due to causes independent of
decay, such as trauma or physicochemical reactions. The repeated failures of root canal
treatment, conservative surgery and the persistence of fistulous tract are
conditions equally leading to extraction.
At times a careful evaluation, both clinical and
radiographic, ventures to allow that the tooth will erupt normally. On other occasions, a combination of therapy
and orthodontic surgery will lead the tooth to its final accommodation.
Supernumerary teeth: the most frequent are at the upper incisor, with the
presence of two supernumerary, or one located in the midline (mesiodens) by
distal third molar or higher level of the canines. These teeth are an embryology aberration of
the blade tooth in the training of dental follicles and must be diagnosed early
to make their extraction and thus avoid problems of delay in permanent teeth.
Teeth erupted with abnormal position and situation: they are teeth in mesi,
disto, lobby, or lingua giroversion, located at its usual venue at the
vestibular or ectopic, or palatal tongue. The teeth most affected by these
causes are the canines and the upper and lower premolars. The extractions, in
these cases, are due to aesthetic reasons.
When extraction is
necessary and happens at an early age, the placement of a maintainer is
required to keep the space open to accommodate the eruption of permanent teeth.
Teeth related cysts: teeth causing inflammatory root cysts can be treated
conservatively through conducting a proper endodontic treatment,
pre-enucleation of the cystic capsule.
However, when bone tissue, or periodontal root is greatly affected by
the cystic process, the tooth or teeth involved must be removed. Desmoplastic cysts, such as follicular or
dentigerous, are often eliminated in the same treatment. When it comes to
younger individuals, the tooth can evolve spontaneously or aided by an
orthodontic traction.
Teeth related tumors: very often those teeth involved in tumors, whether benign
or malignant, must be taken together with the removal process of the
neighboring tumor. These tumors are
ethnically diverse and have varied prognoses. Thus, tumors of the soft tissue
of hyperplastic inflammatory origin, such as epulides, require the extraction
of the responsible teeth to avoid recurrences.
Malignant tumors of bone origin, fibroids, myxomas,
and osteomas osteoclastomas, of benign nature, include teeth in their growth
and will need an extraction. Malignant
tumors, epithelial or jointly, at the jaw or the mucous lining that are, in
general, carcinoma, sarcoma, lymphoma or myeloma, will be treated with radical
surgery including the teeth involved in the tumor process, and with the margin
of security required in these types of interventions.
Disease in temporary and permanent Teeth
