Extraction of teeth

Moreover it would not be an exaggeration to argue that through anatomical, physiological and pathological connections between the body and its dental structures, with extractions came the beginning of Maxillofacial Surgery. In this connection, it should be remembered that post-extraction complications involving the performances of maxillofacial surgery could arise from the possibility of a diffuse cellulitis, osteomyelitis or a fracture osteomandibular.

The tooth extraction operation is basic and simple, but not simple in the pejorative sense of the word. The extraction should not pose a risk in terms of its realization nor postoperative. The usual complications of bleeding, infection and pain that accompanied any surgical procedure in the past have been overcome, making the extraction technique seemingly easy, without the slightest pain and with few postoperative complications.

However, we must not forget that they can appear at any time and in the most unexpected way, and that when presented, complications become genuine emergencies. It is the responsibility of the professionals to perform whatever is necessary and indispensable to resolve the problem. The dentist must therefore be prepared to continue until the end of the whole exodontia.

The extraction of teeth has been practiced since antiquity with unorthodox and very aggressive techniques, and “dentists” were a mix of healers, bloodletters and barbers. From P. Fauchard (18^th century), extraction technique takes on a new dimension that was subsequently consolidated with the advances of modern anesthetics and more refined surgical principles.

You can ensure that extractions, whether basic or involving a more major surgery, are the basis of Oral Surgery. This includes either a single extraction or surgical removal of a remainder root, and can be either be a tooth with anomalous position or a situation more or less ectopic.

We must consider that, despite preventive measures and modern preservation techniques and reconstruction, tooth extraction continues to be prodigal, and that in certain social contexts is the only dental treatment received. For example, the Spanish public health system, dental and otherwise, only covers care of surgical-type of character, thus the population is becoming increasingly population toothless. In Spain, of the treatments that a dentist performs at public or private dental practices, extraction represents over 90% of the business.

As important, and that requires reflection, is the historical relationship between abstraction and dental pain. There is no doubt that the anguish and fear have always been escorted to the practice of dentistry. In most cases there is a real basis for this due to poor techniques, the use of inappropriate methods of anesthesia, the low interest paid to professional intervention, and poor preparation to bring the treatment to a successful conclusion.

Unquestionably there are indications for extraction at the level of temporary and permanent teeth. All authors agree that the most frequent reasons for tooth extraction are caries and periodontal disease. There are other causes, such as: retained teeth, supernumerary, abnormal position and situation, teeth associated with cysts and tumors.