EXTRACTION OF TEETH

An ideal extraction of tooth is defined as painless removal of tooth or root of tooth from its bony attachments with minimal injuries to surrounding investing structures such that there will be minimum post operative complications.

INDICATIONS

1. INDICATION FOR EXTRACTION OF PERMANENT TEETH

• Grossly decayed teeth which cannot be saved by conservative procedures.
• Teeth that are foci of infection.
• Teeth with non-vital pulp, where root canal is not possible.
• In case of severe periodontoclasia in which excessive bony support of the teeth is destroyed.
• Teeth in line of radiation therapy.
• Teeth mechanically interfering with placement of restorative appliances.
• Impacted or unerupted teeth.
• Supernumerary teeth.
• Retained deciduous teeth.
• Tooth with fractured roots.
• Malposed teeth not amenable to Orthodontic treatment.
• Roots and fragments.
• Teeth traumatizing soft tissuses.
• Teeth associated with cysts and other pathologies.

2. INDICATION FOR EXTRACTION OF DECIDUOUS TEETH

• Extensive decay resulting in death of the dental pulp.
• Extensive decay which makes pulpotomy and pulpectomy impossible.
• When the deciduous teeth interfere with the normal eruption and alignment of their permanent successor.
• When there is sinus opening through mucoperiosteal membrane.
• When roentgenogram reveals evidence of periapical infection.
• When the root is fractured as a result of subsequent infection.
• Supernumerary teeth.