Before tooth extraction, take photos to observe the root morphology. The tooth development is different, and the root shape is also different. Taking photos can observe the root shape and bending direction, and guide the force and the direction of tooth dislocation during tooth extraction. In clinical work, I met a patient who had his upper right tooth pulled out. He said that he hadn't pulled it out for a long time, and the pain was obvious, so he came to our department for tooth extraction. Oral X-ray shows that the root is S-shaped, and the root tip inclines upward in the distal direction. After analyzing the shape of the root, divide the root, remove the fangs after bone removal.
Take photos before tooth extraction to observe the relationship between root and adjacent tissues. Taking photos before tooth extraction can observe the situation of root and adjacent tissues, predict the possible risks and guide the whole tooth extraction operation. For example, the root of the tooth is located in the maxillary sinus or jaw cyst, and no photos are taken after extraction, and the extraction wound has been oozing blood for a long time, which affects the operation of the dental inlay. For example, the mandibular wisdom teeth are low, and the apical curvature is entangled with the inferior alveolar nerve tube, which may tear or even tear the inferior alveolar nerve when the wisdom teeth are removed, and the lower lip has been numb and uncomfortable after surgery. If the root bifurcation is large, the root tip is obviously bent, and the adhesion of adjacent bone tissues is unclear, you can choose a high-speed mobile phone to remove the root after taking pictures to understand the situation, so as to avoid the risk of root breakage!
Take a photo before tooth extraction and analyze the resistance during tooth extraction. Take a photo before tooth extraction and analyze the resistance that needs to be lifted when tooth extraction. If the wisdom tooth leans forward, it needs to be removed from the proximal crown and then removed; If the eruption of wisdom teeth is limited, the root bifurcation is serious, and the back part is covered by bone tissue, it is necessary to remove part of the bone resistance and pull out the root after splitting. If it is extracted blindly, it may cut off the root, damage the nerve, and even the root will fall into the pterygomandibular space and the floor of the mouth. Severe cases can cause obvious local swelling and pain, difficulty in opening the mouth and unbearable pain. Roots can be removed under general anesthesia.
Conclusion: The tooth development forms are various, so it is impossible to evaluate the root embedding in bone. Therefore, before tooth extraction, we need to take photos to understand the shape of root and its relationship with adjacent structures, so as to realize informed tooth extraction and minimize the risks during and after tooth extraction. Hello, everyone, I'm the imaging doctor Tiger Jun, and I'm glad to answer this question. I hope my answer can give you some help.
In our daily clinical work, especially in the comprehensive department of imaging center, we often meet dental patients who come to take dental films, and 80% or 90% of them come to have their teeth extracted. Some patients understand that tooth extraction requires filming, while others don't. In the process of setting up our position, they kept complaining to us: "The dentist in your hospital is really dark. I just pulled out a tooth and asked me to take a picture." Isn't it just taking out a pair of pliers? " Do you still need to spend so much money? "
When I meet such a patient, I will explain to him the necessity of tooth extraction and filming, and try my best to make him understand that most patients also understand. Ok, today we will talk about tooth extraction and filming.
Those things about tooth extraction
As the saying goes: "Toothache is not a disease, it hurts like hell", which vividly shows the pain caused by dental diseases. Because of China's development level and living habits, people don't pay much attention to teeth, unlike in foreign countries, dentists are always the busiest and hottest occupation. From our cognitive perspective, toothache is not a big problem, and people don't want to spend too much money and energy on their teeth. Most of us will take some painkillers when we have a toothache, and forget it when it doesn't hurt. However, painkillers often treat the symptoms rather than the root cause, and can only relieve temporary symptoms, but toothache is still not solved at all. Time and time again, when the painkillers stopped working, we had to go to the hospital to see the dentist. Since going to the hospital, according to the condition, the patient has to have his teeth pulled out. You should check your teeth before pulling them out, just like abdominal pain. First of all, we should do B-ultrasound and tooth extraction. We should take a dental film.
About patting your teeth
Everyone still doesn't know much about dental patting, and thinks that dental patting has radiation. Dental tablets are indeed imaged by X-ray principle, but don't worry about these, because the dose of dental tablets is very small, which will hardly have any impact on our human body.
Images are clinical eyes. We can see the condition of organs invisible to the naked eye through images, which is very important for our next treatment. Because I can't see the condition inside, I can't provide accurate and personalized treatment.
Taking dental films can help us to see the shapes of roots, periodontium and teeth, which can guide our dentists to extract teeth.
Take myself for example, my wisdom teeth have never grown out, and my gums are always red and swollen when I am angry. I went to take a dental film and found that my wisdom teeth are horizontal, completely horizontal. My dental brother told me that such horizontal wisdom teeth are difficult to treat and cannot be treated by conventional methods. Finally, with the help of dental tablets, my horizontal wisdom teeth were successfully pulled out. Because the film was taken before the operation, the doctor quickly fixed the position, and the operation was accurate, which did little harm to the gums, and the face was not very swollen the next day, which was also good for postoperative recovery.
Taking photos during tooth extraction is for our doctors to locate the teeth more accurately, and it is also a kind of protection for patients to avoid hurting the surrounding gums and teeth. This is really the embodiment of "accurate medical care, image first".
Before tooth extraction, we need to take a photo, mainly because it is dangerous to pull it out blindly. Oral examination can only see the exposed part of the teeth, and taking a photo can give you a detailed understanding of the root and the surrounding alveolar bone.
Through filming, dentists can learn about-
Teeth themselves: growth direction, number of roots, whether the roots are bent or swollen, etc.
Relationship with important anatomical structures, such as the relationship between maxillary molars and maxillary sinuses; The relationship between mandibular molar and mandibular neural tube; Relationship between permanent teeth and deciduous teeth embryos in children during dentition replacement. Can reduce the risk of tooth extraction.
Predict other lesions, such as whether there are embedded teeth, supernumerary teeth and cysts in the jaw.
In a word, dental tablets are of great significance for dentists to diagnose dental diseases, design treatment plans, take treatment measures and judge prognosis. For any disease, diagnosis is the first step and the most critical step in treatment, and filming is an important imaging examination method for auxiliary diagnosis!
Therefore, a good dentist is a dentist who takes pictures of you before tooth extraction, and a blind dentist is not a good dentist who really considers you.
By shooting, you can understand-
Teeth themselves: growth direction, number of roots, whether the roots are bent or swollen, etc.
Relationship with important anatomical structures, such as the relationship between maxillary molars and maxillary sinuses; The relationship between mandibular molar and mandibular neural tube; Relationship between permanent teeth and deciduous teeth embryos in children during dentition replacement. Can reduce the risk of tooth extraction.
Predict other lesions, such as whether there are embedded teeth, supernumerary teeth and cysts in the jaw.
In a word, dental tablets are of great significance for dentists to diagnose dental diseases, design treatment plans, take treatment measures and judge prognosis. For any disease, diagnosis is the first step and the most critical step in treatment, and filming is an important imaging examination method for auxiliary diagnosis!
The purpose of filming is to observe the situation around the root, whether there is periapical periodontitis, the degree of alveolar bone recession, and the shape of teeth, such as the strange position of impacted wisdom teeth. The length direction of each tooth is different, so the risk of direct extraction is high. Some are close to the neural tube, and it is difficult to take it out because it will damage the neural tube after surgery. X-rays can provide accurate location, and even ct can be taken to make a treatment plan.
What role does tooth extraction play in filming? 1, determine the tissue around the root tip.
Some only have residual roots. After the pulp necrosis, it will gather in the apical part, which may infect the tissue to form pus, which will spread later and grow pustules on the gums. There will be a black shadow on the X-ray, indicating that the bone tissue is infected. If inflammation still exists during tooth extraction, the pulp will be drained, and the inflammation will deteriorate into cysts for a long time, and it will have to be removed after tooth extraction.
2. Determine whether adjacent teeth are broken.
For example, the impacted wisdom teeth near the middle may be inclined to the adjacent teeth, and food residues are embedded, so the location is remote, and the degree of decay of pathogenic bacteria is relatively fast, which is difficult to see clearly with the naked eye. The neck condition of the adjacent teeth can only be known after the film is taken. In addition to pulling out impacted teeth, we need to fill them.
3. Determine whether the root is bent.
Some roots have different shapes, mostly in the posterior teeth and wisdom teeth. The film can reflect the degree of bending, so that various feasible schemes can be designed. If it is uprooted blindly, it will be cut off and it will be more difficult to take it out. The deeper the difficulty, it may also touch the nerves, leading to minor injuries, numbness of lips, jaw fracture and unconsciousness. It is suggested to use minimally invasive method to extract root.
What are the common types of filming before tooth extraction? 1, panorama
The shape of the whole oral teeth can be seen at a glance, including the upper and lower jaws, temporal joints, etc., and can be displayed on a piece of film at the same time. This kind of imaging belongs to two-dimensional imaging, which is basically taken before tooth extraction.
2. Root tip film
The caries degree, apical inflammation and bone destruction of a single tooth were photographed respectively.
3、CBCT
Can three-dimensional imaging, clearer, can accurately observe the tooth position, such as the distance from the embedded wisdom tooth to the neural tube, and even the size of the cyst can be displayed by data, without worrying about the radiation amount, which is equivalent to the radiation amount of your computer screen in one day.
Before tooth extraction, you must take a picture and know the situation before pulling it out, otherwise the risk of blind tooth extraction is too great.
Welcome to pay attention to Shaoge Dental Association and Shaoge Dentist to answer your tooth extraction questions! Hello, the main purpose of tooth extraction is to avoid some unnecessary surgical risks, so that dentists can know well before tooth extraction, know how to pull out the best choice, judge and evaluate the possible problems when wisdom teeth are pulled out in advance, and formulate solutions. Especially when the impacted wisdom teeth are removed, the growth state of wisdom teeth is different, and everyone is different. Taking dental films can clearly understand the growth and morphology of wisdom teeth and avoid some unnecessary surgical risks.
When I pulled out my wisdom teeth, the doctor asked me to take a film first. Personally, I think this is a responsible and good doctor, because you can only see your basic situation after filming, so that the doctor can handle it smoothly.
No, where did the hospital get the money? Not only shoot, but also take the general exam. Are there any other unexpected gains, heart disease, phobia, myocardial infarction, and so on?
The naked eye can only see the top (crown part) of the tooth, but not the root?
What if your root "looks askew"? "Rooting"? Does the dentist have to know before tooth extraction?
So, is taking an X-ray of the teeth just to get a comprehensive understanding of the "panorama" of the teeth? Relationship with "neighbors"? Can it be more "accurate and healthy" when pulling teeth?
Wisdom teeth must be photographed, especially the lower wisdom teeth, some of which have five! Spiral, it can't be pulled out at all, so it can only be cut surgically.