Description

Firm teeth extraction, often called surgical extraction, is more complex than simple extraction as the tooth is firmly anchored in the jawbone with healthy roots and may require additional techniques for removal. The procedure typically involves the following steps:​ Procedure for Firm Teeth Extraction Assessment and Anesthesia: The dentist takes a thorough history, conducts clinical and radiographic examinations to assess the tooth's position and root shape, and administers local anesthesia to numb the area.​ Incision and Flap Creation: If the tooth is difficult to access, the dentist may make an incision in the gum tissue and create a flap to expose the tooth and surrounding bone.​ Bone Removal and Tooth Sectioning: Sometimes, a small amount of bone around the tooth is removed using a drill. If necessary, the tooth is sectioned (cut into smaller pieces) to allow for easier removal with minimal trauma to surrounding bone.​ Use of Elevators and Forceps: Elevators are utilized to loosen the tooth by severing the periodontal ligament. The tooth or its sections are then removed using forceps or elevators with controlled movements to avoid damage to surrounding tissues.​ Suturing: After tooth removal, the flap is repositioned and sutured to promote healing.​ Hemostasis: Pressure with gauze is applied to control bleeding.​ Post-Extraction Care Patients are instructed to avoid eating hot foods or using straws for 24 hours because the negative pressure could dislodge the blood clot, impairing healing.​ Pain management, oral hygiene guidance, and follow-up visits may be recommended to ensure proper healing and deal with any complications.​ Summary Firm teeth extraction often requires surgical intervention such as flap elevation, bone removal, or tooth sectioning to safely remove teeth that are firmly fixed in place. This method minimizes trauma and optimizes recovery, often performed by experienced dental surgeons or oral surgeons.​ This procedure is distinct from simple extractions used for loose, easily accessible teeth and tends to be more involved and time-consuming