Many people are afraid of tooth extraction, and fear of pain is the most important factor. With the improvement of oral medical level, easy extraction is not recommended for the teeth that can be preserved by treatment, but for the affected teeth that have no preservation value and will affect oral health, tooth extraction is still the final treatment.
As long as the doctor technical clearance, the realization of painless tooth extraction is not a problem.
But for some people, tooth extraction is not casual, such as blood disease, liver disease, diabetes and other patients are temporarily unable to pull teeth.
In fact, only about 15 percent of patients meet the requirements of tooth extraction, and most patients can recover as long as they are treated.
Even if extraction is necessary, it should be situational and very cautious if the patient has other systemic diseases.
Many elderly people have certain problems with their teeth, so many elderly people choose tooth extraction treatment, but the elderly also have a lot of cardiovascular disease, so special attention should be paid to tooth extraction.
Tooth extraction is an injurious surgical procedure. Tension, fear and pain can lead to increased blood pressure and heart attacks. Therefore, patients with cardiovascular diseases should be cautious about tooth extraction.
Has the following situation: half year happened myocardial infarction, stroke, and a half year recently frequent angina attack, cardiac function level ¢ó ~ ¢ô orthopnea, violet, purple, double leg edema, heart disease, hypertension, three or two degrees ¢ò type atrioventricular block, double bundle branch block, blood pressure higher than 180/100 MMHG, tooth extraction taboo contraindications.
1, blood diseases can cause blood coagulation reduction and postoperative bleeding, such as hemophilia, leukemia, aplastic anemia, thrombocytopenic purple disease and scurvy, to avoid tooth extraction.
2, liver disease for acute hepatitis or liver function damage should be delayed tooth extraction, because this kind of liver disease can be due to prothrombin and fibrin deficiency, or liver inability to use vitamin K synthesis of coagulation factors and lead to postoperative bleeding, must be improved after tooth extraction.
To CHRONIC hepatitis, liver function does not have apparent damage person can pull tooth, but preoperative SHOULD make prothrombin time determination.
In order to prevent postoperative bleeding, hemostatic drugs such as vitamin K and hemostatic sensitivity should be used after tooth extraction.
3, kidney disease with serious renal function damage can not be extracted, so as not to cause renal failure.
General kidney disease is relatively minor, before tooth extraction should be injected with antibiotics to prevent the temporary bacteremia caused by tooth extraction, prompting the acute onset of nephropathy.
4, diabetes mellitus patients are prone to postoperative infection because of reduced resistance.
Severe cases should delay tooth extraction, for tooth extraction must be, should ask a physician consultation, control blood glucose is not too high, then tooth extraction (early morning fasting blood glucose does not exceed 6.8 millimolar/liter that is 160 mg %).
Antibiotics should be used before and after extraction to prevent co-infection.
5, such patients with hyperthyroidism can cause a sudden increase in thyroid poisoning due to infection, anxiety and various operations, that is, the emergence of “thyroid crisis”, the severe can quickly cause failure and even death, so it is not appropriate to hastily pull teeth.
If extraction is necessary, a detailed examination should be performed, with a basal metabolic rate of less than 15% and a pulse rate of less than 100 beats per minute.
Epinephrine should not be added to anesthetics.
Anti-inflammatory drugs are also used after surgery.
6, organic or functional mental, neurological disease patients with this disease, should take into account the possibility of disease onset during and after surgery, so should be in the neurologist consultation and treatment before extraction, and should take sedatives before surgery.
7, other diseases for acute infectious diseases, pernicious anemia, severe tuberculosis, malnutrition, excessive fatigue can reduce the body’s resistance, delay the healing of wounds, but also easy to complicated with infection, so extraction should be postponed.
For patients with other cardiovascular diseases, tooth extraction is relatively contraindicated.
If the condition is stable and you feel good, you can take drugs such as Xiaotongxin before operation, sedation by laughing gas, painless anesthesia under computer control, and pre-extraction treatment under ECG and blood pressure monitoring.
According to the patient’s condition and monitoring situation during pretreatment, the decision of tooth extraction or delay tooth extraction was made.
