Name of the Procedure:

Extraction (D7111)
Common Name: Tooth Extraction, Tooth Removal
Technical/Medical Terms: Simple Exodontia, Non-Surgical Removal

Summary

Extraction (D7111) is a dental procedure that involves removing a tooth from its socket in the bone. It's a relatively simple and common procedure that helps alleviate dental pain, prevent further oral issues, and maintain overall oral health.

Purpose

Medical Conditions:

• Severe tooth decay
• Advanced periodontal disease
• Impacted teeth
• Overcrowded teeth
  ##### Goals/Outcomes:
• Relief from pain or infection
• Prevention of further oral health issues
• Creating space for orthodontic treatment

Indications

• Persistent toothache not relieved by other treatments
• Visible decay or infection reaching the tooth's pulp
• Teeth causing crowding or misalignment
• Preparation for orthodontic treatments
• Broken or damaged teeth beyond repair

Preparation

• Follow your dentist's instructions on eating and drinking before the procedure.
• Inform your dentist about any medications, allergies, or medical conditions.
• Complete any prescribed diagnostic tests, such as X-rays.
• Arrange for transportation if sedation is planned.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the area around the tooth. General anesthesia or sedation may be used for more anxious patients or complex cases.
2. Loosening: The dentist uses special tools like an elevator to loosen the tooth.
3. Extraction: Forceps are used to extract the tooth from its socket.
4. Post-Removal Care: A gauze pad is placed to control bleeding, and instructions are given for post-procedure care.

Tools and Equipment:

• Elevators
• Forceps
• Gauze pads

Anesthesia Details:

• Local anesthesia is typical.
• Options for sedation or general anesthesia are available based on patient needs and anxiety levels.

Duration

Typically, the procedure takes about 20-40 minutes, depending on the complexity and number of teeth being extracted.

Setting

The procedure is performed in a dental clinic or outpatient surgical center.

Personnel

• Dentist or Oral Surgeon
• Dental Assistant
• Anesthesiologist (if sedation is used)

Risks and Complications

Common Risks:

• Pain and swelling
• Bleeding
• Infection ##### Rare Complications:
• Dry socket (alveolar osteitis)
• Damage to surrounding teeth or structures
• Nerve injury

Benefits

• Relief from dental pain and infection
• Improved oral health
• Proper alignment for orthodontic treatments ##### Onset of Benefits: Typically, benefits are realized within a few days to a week post-procedure.

Recovery

• Apply ice packs to reduce swelling.
• Take prescribed or over-the-counter pain medications as directed.
• Avoid strenuous activities for 24 hours.
• Eat soft foods and avoid using a straw.
• Follow up with your dentist as recommended. ##### Recovery Time: Typically, 1-2 weeks, with immediate relief from acute symptoms after the first few days.

Alternatives

• Root canal therapy (if the tooth can be saved)
• Dental fillings or crowns for less severe decay
• Orthodontic adjustments for alignment issues ##### Pros and Cons:
• Alternatives like root canals preserve the natural tooth but may not be suitable for severely damaged teeth.
• Extraction is definitive but results in the need for future dental prosthesis like implants or bridges.

Patient Experience

During the Procedure:

• Expect to feel pressure but no pain due to anesthesia.
• Possible mild discomfort depending on the complexity of the extraction. ##### After the Procedure:
• Manageable pain and swelling with prescribed medications.
• Some bleeding and minor discomfort for a few days. ##### Pain Management:
• Over-the-counter or prescribed pain relievers.
• Ice packs and soft foods to aid comfort.

By following these guidelines and working closely with your dental care team, you can ensure a smooth and successful extraction experience.