At the Line of Smile dental clinic there is no clear policy not to operate on “these days.” But we always try to take into account the cyclical nature of women’s physiology, since surgery during menstruation can negatively affect further wound healing. Therefore, it is important for the client to be honest during the consultation with the doctor and not be embarrassed to ask to reschedule the planned operation. However, if an x-ray shows that there is an infectious focus, removal is carried out on an emergency basis, regardless of what day of the menstrual cycle we are talking about.
Why is it undesirable to have surgery during menstruation?
When planning an extraction, a highly qualified dentist always finds out what stage the woman is in her menstrual cycle. Why is he asking this? It's simple. The quality and composition of the blood directly determines the effectiveness of the anesthesia used and the rate of formation of a blood clot in the socket.
On menstrual days, blood clotting is significantly reduced. That's how it should be. Its composition also changes. Therefore, whenever possible, planned surgical intervention is postponed to “safer” days of the cycle.
Dental diagnoses in which periods are not a hindrance
If you doubt whether it is possible to remove a tooth during menstruation, contact your dentist. If the doctor deems it necessary, he will postpone the operation until later.
Indications for emergency intervention are:
- Severe inflammation, a purulent process that can provoke the development of an abscess, phlegmon, infection of the maxillary sinuses, osteomyelitis.
- A retracted (not fully erupted) wisdom tooth that is completely or partially hidden under the gum tissue/bone. It should be removed as soon as possible if a woman suffers from severe pain, swelling and swelling of the cheek.
- A tooth root fracture resulting from an injury.
- An advanced form of periodontal disease, when it is no longer possible to save the unit.
The specialists at the Line of Smile dental clinic never prescribe removal if it is possible to do without it. They always try to save the diseased tooth and prevent its further loosening and loss. If the roots are in good condition, a pin is installed in them, onto which the crown is fixed on top. Surgery is a last resort.
Wisdom tooth - treat or remove?
Even with proper eruption, treatment of eighth teeth poses certain difficulties for the dentist. The reason is due to the fact that the root canals of the eighth molars are often severely curved. Therefore, the doctor needs longer time to process them, a greater variety of diagnostic methods to monitor the work, which naturally affects the price of treatment.
Despite the high cost, in some cases, treatment of wisdom teeth in the lower or upper jaw is justified, since their removal can lead to serious problems in the oral cavity.
Indications for wisdom tooth treatment:
The therapeutic regimen should be aimed at preserving the molar. The most favorable situation is the vertical position of the diseased tooth, straight root configuration, healthy periodontal tissue:
- the third molar is necessary as a support for prosthetics or implantation: at the same time, the sixth/seventh units are missing, the “seven” in front is lost, the sixth/seventh teeth are subject to extraction. In all these cases, you need to make every effort to preserve the wisdom tooth, since it will become the basis for attaching a permanent structure in the form of a bridge or clasp prosthesis. If the eighth molar is removed, then the only aesthetic type of restoration left is expensive implantation;
- the organ is involved in chewing and has an antagonist. The removal of one of the closing units provokes the protrusion of the other from the jaw, which leads to its loss. The reason for this situation is the lack of chewing load during closure of the units. After some time, the patient will still need the intervention of a dentist, but to correct the problems that have arisen against this background;
- pulpitis. If the nerve of the tooth is inflamed, and the root canals have good patency, then they can and should be treated and filled;
- periodontitis/cyst. In some cases, the disease can be cured. For a good result, direct canals and justification of the value of the molar are needed.
Indications for removal:
Any complication/disease of the skeletal system and the risk of developing such problems is a reason to contact a surgeon and extract a tooth:
- The dystopic “figure eight” has an inclination angle of more than 150 degrees and lies horizontally. There is no point in saving such a problematic tooth. Its significance for prosthetics and chewing tends to zero; constant trauma to the mucous membrane of the cheek can cause the development of oncology, which is why surgical intervention is necessary;
- little space for teeth to erupt. The jaw apparatus is a dynamic system, therefore the developing impacted molars contribute to the disruption of the integrity of the remaining organs and their displacement towards the central incisors;
- destruction of the crown. The hard tissue is fatally affected by caries or objective reasons are found due to which it is impossible to treat the canals (obstruction, severe gag reflex);
- detection of follicular cyst. Degeneration of the follicle occurs due to improper formation or defect of the epithelium that forms the tooth. A follicular cyst in the gum is characterized by an asymptomatic course, but it is dangerous for the health of the oral cavity: it can reach large sizes with the formation of pus, become inflamed, destroying the bones of the upper and lower jaw;
- the influence of wisdom teeth on the destruction of the seventh molar. Incorrect position during eruption puts pressure on the front tooth. The wisdom tooth compresses the neck of the neighboring unit with tubercles. In places of contact on the seventh molar, caries develops that are difficult to treat;
- The formation of pericoronitis occurs when the wisdom tooth is partially covered by the gum. Since the fit is loose, microbes get into the space between the tooth and gum tissue. Even careful hygiene will not help remove them from there due to their inaccessibility. The mucous membrane becomes inflamed, swollen, and purulent contents are released. The process is accompanied by pain. Treatment consists of either removing the wisdom tooth or excision of the gum fold.
If the surgery is successful, the patient experiences minor inconvenience for 3-4 days. During the recovery stage, there may be surges in temperature and blood pressure, pain, and swelling in the area of the extracted tooth. If serious complications occur - osteomyelitis, rupture of the bottom of the maxillary sinus, inflammation of the socket, allergic edema, it is recommended to immediately consult a doctor.
When to delay deletion
Any planned surgical intervention can be postponed for a couple of days until the menstrual bleeding stops.
So, you can wait if you need to delete:
- dystopic tooth located out of place;
- units that impede the implementation of prosthetics and the installation of orthodontic structures;
- wisdom teeth, which constantly injure the gums and mucous membranes of the oral cavity, cause chronic injuries and inflammation.
Chronic diseases often worsen on the eve of menstruation. This is due to a decrease in immune defense. If a woman knows that after menstruation she needs to go to the dentist and have a tooth removed, she should be especially careful about her health so as not to catch a cold. Otherwise, the procedure will have to be postponed indefinitely.
Prices for wisdom tooth treatment
Our dental clinic offers effective treatment of wisdom teeth using modern professional techniques using high-quality certified materials. Specialists perform all medical procedures and manipulations under anesthesia. The use of local anesthesia completely eliminates pain and discomfort.
To find out the cost of wisdom tooth treatment, fill out the application form or schedule a consultation with Dr. Razumenko’s dentistry by phone.
| Code no. | NAME OF PROCEDURES | Unit of measurement | Cost, rub. |
| 317 | Tooth restoration using a fiberglass pin and reinforced composite material (Sonicfil, Luxocor) | 5 500,00 | |
| 318 | Tooth restoration using a fiberglass pin and glass ionomer cement (reinforced) | 4 500,00 |
* The prices indicated on the website are not a public offer. The exact cost can only be determined by visiting a doctor.
Prices for treatment in Moscow full price list
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Article Expert:
Ustinova Elena Fedorovna
Doctor of the highest category. Root canal treatment (complex, repeated retreatment), microprosthetics with ceramic restorations.
Work experience 15 years
Use of anesthetics
All surgical procedures are performed by Smile Line doctors using highly effective modern anesthetics. This guarantees the absence of pain during tooth extraction and makes the procedure as comfortable as possible.
Usually, when working with the first to fifth teeth, infiltration anesthesia is used. The dentist gives an injection, after which a separate area of the oral cavity “goes numb” and becomes insensitive. If it is necessary to pull out the sixth, seventh or eighth molar, the roots of which are very large and deep, they resort to conduction anesthesia.
How are wisdom teeth formed?
Primary and permanent teeth are formed during the fetal development of the baby. The only exception to this is the formation of eighth teeth. Their rudiments form inside the jaw at the age of about 5 years. At this moment, the body is actively preparing to replace milk teeth with permanent ones, but if necessary, you can already consider the number of eighth molars.
Most people have one on each side of the jaw, but there are “lucky” people who do not develop such teeth at all. This is approximately 15% of patients.
The eighth teeth remain in the rudimentary state until about 12 years of age, then they begin to gradually form and take the shape of a tooth with a crown and roots.
While the eruption of other teeth is almost always painless for a person, the same cannot be said about wisdom teeth. In places where they grow, the mucous membrane is more thickened than in the rest. The tooth itself has reduced growth-forming characteristics in combination with a thick dental sac. Therefore, when cutting through it, there is so much inconvenience for a person.
Precautions after treatment
If the procedure is performed on menstruation, the dental surgeon tells the patient about possible complications and gives detailed instructions on how to behave to avoid them. To minimize the risk of bleeding, you should stop smoking a few days before surgery. This will have a positive effect on blood clotting. Also the day before, you need to exclude coffee-containing drinks from your diet, reduce the intensity of sports training, and avoid hypothermia and overheating of the body.
Immediately after removal, you need to spend about an hour in the clinic so that the doctor can make sure that a dense clot has formed in the hole. It is not recommended to go to work on the day of the procedure. The best option is to go home and rest.
It is extremely important to follow all medical instructions and take prescribed medications. If your body temperature rises, the wound begins to bleed, your health deteriorates sharply, dizziness and nausea appear, you should immediately seek medical help.
There is no need to rinse unless prescribed by your dentist. You should also not touch the hole with your tongue. This can lead to the clot breaking off and opening the wound, causing re-bleeding. In addition, an uncovered hole is a gateway for infection.
Only a doctor can clearly answer the question of whether it is possible to remove a tooth during menstruation. In our dentistry, experienced surgeons perform tooth extraction. We do everything possible to ensure that our patients become healthy as quickly as possible.
Recommendations after manipulation of wisdom teeth
Treatment of wisdom teeth is the most unpredictable process in dentistry. The risk of developing secondary caries is one of the highest among other types of diseases. Even if nothing bothers you after dental procedures on your wisdom teeth, a preventive visit to the dentist is recommended after 6 months.
After tooth extraction or periocoronitis excision, it is recommended to strictly follow the doctor’s instructions, as they are aimed at speedy healing. If pain persists for more than 5-7 days, contact the clinic for examination.
