How to extract an impacted tooth causing inflammation

Inflammation caused by impacted teeth can generally be managed through methods such as conventional tooth extraction, flap and bone removal extraction, sectioning extraction, turbine-based extraction, and minimally invasive tooth extraction. It is recommended to seek timely medical attention and receive treatment under the guidance of a qualified dental professional.

1. Conventional Tooth Extraction

This method is typically suitable for partially erupted impacted teeth. Local anesthesia is first administered, followed by using a periodontal scaler or elevator to separate the gum tissue from the tooth, fully exposing the crown. A dental elevator is then used to loosen the tooth. Next, forceps are correctly positioned according to the shape and location of the tooth, firmly gripping the cervical portion. The tooth is removed through rocking, twisting, and traction movements. After extraction, the integrity of the root should be checked, and the socket should be cleaned.

2. Flap and Bone Removal Extraction

This technique is commonly used for completely bony-impacted teeth. Local anesthesia is administered first. Then, a trapezoidal or angular incision is made on the buccal side or distal aspect of the impacted tooth, cutting through the mucosa, submucosal tissue, and periosteum. A periosteal elevator is used to lift the periosteum off the bone surface, fully exposing the alveolar bone. A dental drill or chisel is used to remove part of the overlying alveolar bone to expose the crown. The tooth is loosened with an elevator and then extracted with forceps. After surgery, the soft tissue flap is repositioned, the wound is sutured, a drainage strip may be placed, and gentle pressure is applied to control bleeding.

3. Sectioning Extraction

This method is generally used for multi-rooted impacted teeth. After anesthesia, the gums are incised and reflected to expose the tooth. For multi-rooted impacted teeth, a dental drill is used to section the tooth along the interradicular bone into individual single-root segments. Each root is then individually loosened with an elevator and extracted with forceps. This approach reduces the difficulty of extraction, especially for teeth with curved roots or wide root divergence.

4. Turbine-Based Extraction

After local anesthesia and appropriate gingival incision, a high-speed turbine handpiece equipped with a suitable bur is used. The high-speed rotation of the turbine cuts the crown or root, dividing the impacted tooth into smaller, easily removable pieces. During use, copious amounts of saline irrigation must be applied to cool the area and prevent thermal damage to bone and pulp tissues. Once sectioning is complete, the separated portions are removed using standard extraction techniques.

5. Minimally Invasive Tooth Extraction

This method uses specialized instruments such as minimally invasive elevators, which can be precisely inserted into the periodontal space. Gentle lifting and rotational movements are applied to sever the periodontal ligament and loosen the tooth. The procedure aims to preserve the integrity of the alveolar bone. Post-extraction wounds are relatively small, potentially leading to faster healing. After extraction, the socket should be cleaned, and suturing is performed based on clinical judgment.

After tooth extraction, patients should maintain a light diet and avoid spicy or irritating foods such as garlic, hot pot, and wasabi. Adequate rest is important, and excessive physical exertion should be avoided to prevent adverse effects on recovery and overall health.