Simple tooth extractionThe essence of the removal of the tooth is to separate it from the alveolodental ligament and to pull the tooth out of the tooth - socket. It is sometimes necessary to apply stitches. The use of anesthetics, dentist's medical skills and cooperation of the patient allow the proper execution of the surgery and prevent the occurrence of complications. Extraction of a tooth is the extreme and every effort should be made to prevent this from happening. Using the latest advances in endodontics we are able to save a lot of teeth which had poor prognoses.
Surgical tooth extractionThis type of extraction is reserved especially for remaining teeth roots and unerupted teeth. Unerupted tooth is the tooth which despite of finished development remains unerupted (can be totally or partially invisible in patient's mouth). This problem relates most commonly to the wisdom teeth. Surgical removing of the tooth is more complicated than a simple tooth removal and requires more time than simple extraction. In the end of the surgery the wounds are dressed with the stitches which speeds proper healing process up.
Apex root resectionResection of the root, also called apitectomy consists in cutting off the tooth root apex with simultaneous removal of inflammation and retrograde root filling, which makes the tooth protected from re-establishment of inflammation. In this way, it provides the conditions for proper bone reconstruction at the place of removed lesion. The bone regeneration process can be assisted with use of bone graft material.Resection of the root in most cases, allows to save a tooth from removal (Effectiveness of about 98%).In connection with the enormous progress of dentistry including endodontics (use od endodontic microscopes and modern tools to develop channels), the resection is used less frequently.Apex root resection is indicated if:
- root canal treatment has not eliminated the inflammation around tooth root apex,
- there is no possibility to perform correct root canal treatment until the end of the canal, eg due to obliteration of the root canal,
- it is necessary to perform root canal re-treatment, while the canal is filled with a hard material - such as glassionomer cement
Daniel Uryga DDS, MD PhD
Since 2006 assistant at the Dental Surgery Clinic at Collegium Medicum Jagiellonian University in Krakow. Has taken part in many conferences and trainings in the field of periodontology, implantology and general dentistry. He has obtained MD PhD degree in 2012. He is a certified specialist in dental surgery.
Paweł Namysłowski DDS MD PhD
Doctor Namyslowski has taken part in many courses and dentistry confrences in Poland and abroad. He is a member of Duchlan Gesellschaft fur Orale Implantologie (DGOI), International Congress of Oral Implantology (ICOI), Ankylos Scientific Group, Polish Association of Dental Implantology (OSIS), European Association of Dental Implantology (EDI), Polish Association of Temporomandibular Disorders , Polish Implantological Association (PSI).
Doctor Pawel Namyslowski specializes in dental surgery, implantology and implantoprosthetics.