Sometimes fainting or collapse can occur (see), shock (see). When fainting, the patient should be given a horizontal position or tilt the torso forward and down, free from tight clothing, sniff the tampon with ammonia, inject caffeine solution under the skin. Extraction of teeth can complicate a fracture of a crown or root, dislocation of adjacent teeth, sometimes with a break in the alveolar jaw, gum rupture , a violation of the integrity of the bottom of the maxillary sinus (sometimes pushing the root of the tooth into it), dislocation of the lower jaw. To prevent these complications, you need to follow the rules of the technique of tooth extraction . In case of dislocation of adjacent teeth, it is necessary to impose a splint (see. Tires, splinting, in dentistry ). Dislocation of the lower jaw - see Jaws .
The perforation of the bottom of the maxillary sinus occurs most often when the second premolar and first molar are removed - the entrance to the well should be immediately closed with an iodoform tampon, which is fixed with a ligature bandage to the adjacent teeth. The tampon is removed after 7-8 days, when the upper sections of the hole will be filled with an organized blood clot. If the root of the tooth got into the sinus during perforation, it is necessary on the same day or no later than in 2–3 days to perform an operation of sinus surgery and to extract the root.Go
Bleeding from the hole after the removal of the tooth usually stops after a few minutes, the hole fills with a blood clot. However, sometimes the bleeding does not stop or recurs after a few hours or days. Causes of bleeding: a violation of the blood coagulation system, gross, traumatic removal of teeth with extensive damage to the soft and bone tissues, inflammatory processes. When bleeding after tooth extraction, depending on local causes, conduct a revision of the wound and tamponade wells. The well is completely filled with a strip of iodoform gauze, starting from the bottom and to the edges. If the soft tissues of the gums are bleeding, it is advisable to put the catgut sutures, thus bringing the gum edges together. The tampon from the hole is removed after 6-7 days.
Pain after removal of the teeth (alveolar pains) is observed with gross surgery or joining the inflammatory process. The pains are usually sharp, radiating to the temple; body temperature rises; purulent fusion of a blood clot occurs (the hole is not filled with a clot), the walls of the hole are covered with a gray bloom that emits a putrid odor.
Treatment : under anesthesia, the well is washed from a syringe with hydrogen peroxide solution , a warm solution of furatsilina or ethacridine ( rivanol ) and loosely filled with a strip of iodoform gauze. The patient is prescribed analgin, sulfa drugs , rinsing the mouth with a warm solution of potassium permanganate , dry heat.