Examples of complicated tooth extraction cases include entangled roots, impacted teeth, very large sinuses and mouth infections. If one of the teeth that need to be pulled is already fractured, it is likely that it will fracture even more while being pulled, requiring the skills of a trained oral surgeon.
What is the most difficult tooth to extract? Impacted wisdom teeth are wisdom teeth that have failed to erupt properly. They are generally considered to be the most difficult teeth to extract. The higher the degree of impaction, the more difficult the extraction.
What is a Complex Extraction? You may need a complex or surgical extraction if you have a tooth that is impacted or has broken during a simple procedure. A complex extraction will typically require your dentist to cut through tissue and bone to access the tooth and remove it.
Two types of extractions can be performed. Simple tooth extractions remove visible teeth. They are usually performed by a general dentist. A surgical extraction is more complicated; it involves a tooth that is impacted inside the jaw and cannot be removed without making an incision.
Post-surgical risks
Tooth extraction is associated with several general post-surgical effects such as pain, inflammation, bruising, bleeding, and infection. Some pain, swelling, and bruising in the area can be expected for most patients, which will subside with time.
It can take up to 2 weeks to recover from the surgery for having your wisdom tooth or teeth removed. During this time, you may have: a swollen mouth and cheeks – this will be worse for the first few days but will gradually improve; gently pressing a cold cloth to your face helps reduce the swelling.
Fever or chills. Discharge, swelling, and/or redness at or near the extraction area. Nausea, vomiting, chest pain, cough, or shortness of breath. Bad breath.
Implants are one of the most complex dental procedures, but this doesn't mean bad news. The dentist will numb the nerves of the area with local anesthesia during the process. You may feel pressure at times, but it won't cause pain.
Wisdom teeth — the third molars in the very back of your mouth — may not need to be removed if they are: Healthy. Grown in completely (fully erupted) Positioned correctly and biting properly with their opposing teeth.
Complex dental
Includes periodontics (root canal planning, oral surgery for prostheses, jaw injuries or non-tooth related oral surgery) and endodontics (filling of a root canal).
What happens if my dentist couldn't pull my tooth? If you still have remnants of your tooth structure after your dental procedure, then you need to find a dental professional who is able to surgically remove whatever your previous dentist couldn't remove.
Extracting or removing a tooth that has died is a relatively simple relatively painless form of treatment. You should expect to receive either local or general anesthesia for the procedure, depending on your preference or the recommendation of your dentist.
Pain. It is normal for pain to get worse over the next couple of days. Most discomfort is seen on day 2 and 3. Once you get home and the bleeding has stopped, you should eat (soft foods, pudding, etc.).
For example, a lower incisor tooth has short, single roots and a smaller size overall. These teeth typically don't offer much resistance during the extraction process. On the other hand, molars are much larger and have multiple roots (lower molars have two roots while upper molars have three).
Also, the process itself can be traumatic to your mouth, especially for adults, because it can mean the tooth has to be broken down into pieces before it can be completely removed. If you need a more complex surgery, you will, mostly likely, be put to sleep during the procedure.
Your dentist will tell you how easy or difficult each tooth will be to remove after looking at the x-rays. Upper wisdom teeth are often easier to remove than lower ones, which are more likely to be impacted.
Many of the front teeth are round, so they can be removed without damaging bone quite easily. However most of your back teeth have two or three roots and cannot just be “pulled out” without breaking something.
The most commonly missing teeth are the third molars, mandibular second molars, maxillary permanent lateral incisors, and maxillary second premolars. In contrast, the least commonly missing permanent teeth are the maxillary central incisors, the maxillary and mandibular first molars, and the mandibular canines.
If you're trying to choose between the two options and wondering “which is more painful, a tooth extraction or a filling,” removing a tooth results in a longer period of discomfort compared to a filling procedure.
#1 Abscess Tooth:
When it comes to potentially serious and even critical oral conditions, the abscessed tooth takes the crown. Every tooth has a root protected by soft-tissue and that tissue can get an infection. For most people and abscess tooth comes with a considerable amount of pain.
Extractions and Root Canals
Your gums will heal in about two weeks and the bone beneath them will take about 3-4 months. Wisdom teeth are a bit different, and can take 20 minutes to an hour to remove, depending on how developed or compacted the teeth are and how many are being taken out at once.
The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration.
If you notice throbbing pain that does not subside with medication, prolonged bleeding, a low-grade fever that persists, or increased swelling of the face, jaw, or gums, you may have an infection. Further warning signs of infection may include tenderness of the gums or discharge .
Try inhaling deeply through your nose, then counting to five in your head. Exhale slowly through your mouth, counting to eight as you do so. Repeat this cycle a few times, or as often as needed to remain calm. Focus completely on your breathing and you will find yourself becoming less tense in no time.
There's No Need to Be Afraid of a Tooth Extraction
They'll use the latest advancements in anesthesia to ensure your mouth is completely numb before they begin your procedure. If you feel uncomfortable at any time, you can let them know with a wave and they will make the necessary adjustments.