How to extract tooth root rot in gums

Many people will have bad teeth in their lives. Often in such cases, the tooth roots will rot in the gums. At this time, the tooth roots need to be pulled out. If the tooth roots are not pulled out in time, it will have some impact on the health of the teeth. Now tooth extraction is a relatively common oral surgery. Before tooth extraction, the tooth should have some understanding of the steps of tooth extraction so that you will not be nervous during the process.

1. Separate the gums. The gums are tightly attached to the neck of the teeth. There is a gingival groove of 0.1 to 0.2 cm deep around the tooth surface. Insert the gum separator into the gingival groove, extend it close to the tooth surface to the bottom of the groove, and push it along the neck of the tooth, first the labial side and then the lingual side, to peel the gums off the neck of the tooth. If there is no gum separator, a probe can also be used to separate the gums. If the gums are not separated carefully, they may be torn when placing forceps or extracting teeth, resulting in postoperative gum bleeding.

2. For impacted teeth, strong teeth that are difficult to extract, residual crowns, residual roots, misplaced teeth and other teeth that cannot be clamped with dental forceps, you should first use a dental elevator to loosen the teeth before extraction. The method of using a dental elevator is to hold the elevator handle in hand, and insert the elevator blade from the mesio-buccal side of the tooth to be extracted into the space between the tooth root and the alveolar socket. The inner concave surface of the elevator blade is close to the root surface, and the alveolar ridge is used as a fulcrum to wedge, pry and rotate the tooth to loosen and remove it. 3. Placement of dental forceps: Select dental forceps correctly and place the beaks of the forceps on the lip (cheek) and tongue (palate) sides of the affected tooth, with the longitudinal axis of the beak parallel to the long axis of the tooth. When placing the forceps, the concave surface of the inner side of the beak should be close to the tooth surface, first placed on the lingual and palate side, then on the labial and buccal side, to avoid clamping the gums. The tip of the beak should extend under the gums and reach between the cementum surface of the tooth root and the alveolar ridge. Hold the handle of the forceps and clamp the affected tooth firmly near the end. Check the tooth position again and make sure the forceps beak will not damage adjacent teeth when extracting the affected tooth.

4. To extract the affected tooth, place the dental forceps, clamp the affected tooth, and then use three kinds of forces to extract the affected tooth: shaking, twisting and traction. The shaking is mainly used for the mandibular anterior teeth with flat roots, the upper and lower premolars and the molars with multiple roots. The teeth are shaken slowly on the lip (cheek) and tongue (palate) sides and the amplitude is gradually increased to expand the alveolar socket to both sides and completely loosen the teeth. When shaking, do not move too quickly or too violently. More force should be applied in the direction of the bone plate where resistance is less to prevent root breakage or alveolar fracture.

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