Do you know any of the 12 conditions that are not suitable for extraction 1. Patients with cardiovascular disease have severe cardiovascular disease and high blood pressure of 180/100 MMHG or more.
The average heart patient can have a tooth extracted as long as there are no signs of cardiac insufficiency (such as mild activity or shortness of breath when lying flat).
But tooth extraction should be done: anesthetic do not add adrenaline, so as not to appear tachycardia, induced heart failure;
Complete anesthesia, light movement, as far as possible to reduce adverse irritation, bleeding or injury;
Before and after tooth extraction should be given anti-infection prevention treatment, because the resistance of heart disease patients is reduced, easier than normal people combined with infection.
2, hypertensive patients with hemorrhagic diseases: such as hemophilia, essential thrombocytopenic purpura patients, the body coagulation process has obstacles, so there is a bleeding tendency.
Bleeding after tooth extraction is difficult to stop, it will cause massive bleeding and life risk.
In patients with leukemia, because of the high incidence of infection, the wound after tooth extraction can also become a focal point of infection, resulting in serious systemic infection, and difficult to control.
Accordingly, when these patients suffer from dental disease, should make conservative treatment, contraindication pulls a tooth.
3. In principle, women during menstruation should avoid tooth extraction during menstruation, because compensatory bleeding may occur in the alveolar during menstruation.
However, the removal of loose teeth during menstruation does not have much effect on the patient.
Some “entrenched” teeth, such as impacted or ambushed teeth, should be removed after menstruation.
Data SHOWS, THE FEMALE IS IN THE 10TH DAY OR SO OF MENSTRUAL CYCLE EXTRACTIVE TOOTH IS MOST APPROPRIATE, RIGHT NOW WOUND HEALS FASTER, PRODUCE BACTERIUM INFECTION NOT EASILY.
4, pregnancy, some people think that pregnancy during the tooth extraction, because it may lead to abortion.
But a large number of clinical practice shows that in pregnancy 3-7 months of tooth extraction is relatively safe, there is no adverse effect on pregnancy.
During this period of tooth extraction, we should also pay attention to the following points: ¢Ù, the day before tooth extraction and tooth extraction day, intramuscular injection of progesterone 10 mg.
(2) Epinephrine can not be added in the tooth extraction anesthetic.
¢Û, anesthesia must be complete, analgesic effect is better.
For patients with a history of habitual abortion or habitual preterm birth, tooth extraction is prohibited during pregnancy.
5, lactation lactation period can be completely extracted teeth, some people say that this period of tooth extraction, will make milk secretion interrupted or reduced.
This argument is unscientific.
Clinical practice has shown no effect on milk secretion.
But do not take antibacterial drugs, drugs and their metabolites can be passed through the milk may have an effect on the baby.
During TAKING the contraceptive pill, the contraceptive pill can make the fibrin decomposition in the body increases, so that the wound can not form a good blood clot, bacteria easy to take advantage of the gap and cause infection, affect wound healing.
6. Patients with liver and renal diseases, such as chronic hepatitis and cirrhosis, due to poor liver function, reduce the content of prothrombin and fibrinogen involved in the coagulation process, and have the tendency to bleed. The wound after tooth extraction will bleed more than once.
Therefore, appropriate amount of vitamin K should be supplemented before tooth extraction for such patients to promote prothrombin synthesis and supplement the deficiency of fibrinogen, so as to avoid accidents.
Attention should also be paid to the following points: ¢Ù, the onset of malignant tumors and mental illness should avoid tooth extraction.
¢Ú, diabetes symptoms have not been controlled before.
¢Û, strenuous exercise, labor, drinking after the teeth should not be extracted.
(4) There is a history of allergy to procaine anesthesia (some can be changed to acupressure, anesthesia).
¢Ý, patients in the inflammatory phase of cold tooth extraction also need to be careful.
7, such patients with hyperthyroidism can be due to infection, surgery, anxiety together with thyroid crisis, severe cases can cause failure and even death, so it is not appropriate to pluck teeth hastily.
If MUST PULL A TOOTH WHEN SHOULD DO DETAILED EXAMINATION, MAKE ITS BASIC METABOLISM IS IN +20% BELOW, PULSE EVERY MINUTE 100 TIMES BELOW, DO NOT ADD ADRENALIN KIND VASOconstricTIVE AGENT IN ANESTHETICS, BEFORE AND AFTER OPERATION SHOULD TAKE ANTIBIOTIC.
8, acute infectious diseases, pernicious anemia, serious tuberculosis, malnutrition, excessive fatigue can reduce the body’s resistance, delay wound healing, combined with infection, so extraction should be postponed.
9. Patients with organic and functional neurological disorders may be induced by surgery. If tooth extraction is necessary, surgery should be carried out after consultation with a neurologist and treatment, and sedatives should be given before surgery.
10, oral mucosal ulcerative lesions such as acute gingivitis, stomatitis and so on should be postponed tooth extraction.
11, located in the malignant tumor area of the tooth is contraindicated alone tooth extraction, but should be in the resection of the tumor at the same time, together with the affected tooth whole excision.
Therefore, if there is a prolonged ulcer in the affected tooth area, the tumor should be biopsied first, and then the tooth is extracted after excluding the malignant tumor.
12. Teeth in the radiotherapy area should not be extracted during radiotherapy and within one year after the end of treatment to avoid radiation osteomyelitis.
If extraction is necessary one year after radiotherapy, antibiotics should be used to prevent postoperative infection.
