Is it possible to remove a tooth if you have a cold? Which symptoms are more expressive: toothache or cold?

Indications for tooth extraction

Extirpation is done when therapeutic treatment is impossible or before prosthetics. It can be planned or emergency. It is carried out using a simple or complex method. In the first case, the dental unit is removed from the socket using forceps, and in the second, dissection of the gums, alveolar bone, and sawing of the roots into fragments may be required.

Indications for emergency surgery:

• the presence of purulent inflammation, fistula, cyst;
• acute pain that is not relieved by medication;
• fracture of the crown, root.

Planned extraction is done if:

• advanced caries, if the area of ​​the carious cavity of the crown is more than 70 percent, the pathology has spread to the root part;
• pulpitis in a complex root system, when it is impossible to properly clean the canals (usually in a figure eight);
• periodontitis with stage 3 or 4 mobility;
• third molars that interfere with neighboring ones cause changes in bite, facial asymmetry, neurological pain, pericoronitis;
• supernumerary, dystopic, impacted teeth, which cause various disorders in the dental system;
• orthodontic indications for prosthetics, installation of braces.

Experienced dentists always strive to preserve the integrity of the dentition, so radical measures are usually taken in the absence of a positive result of therapeutic treatment. After the procedure and recovery period, acute pain goes away, but chewing function worsens when removing molars or aesthetics when extracting incisors or canines.

How to relieve toothache during a cold

There are a hundred ways to relieve toothache, but only a dozen methods will be effective. Common control options include:

• non-steroidal anti-inflammatory drugs (NSAIDs) . When people have a cold, they resort to Fervex, Theraflu, Antigrippin and other drugs containing paracetamol. So why not replace the old and harmful paracetamol with a modern, soft and effective nimesulide or meloxicam? Both of the latter substances easily reduce temperature, block pain and fight inflammation;
• local anesthesia . Novocaine or lidocaine is applied to a cotton swab and applied to the diseased area. A sophisticated method suggests crushing 1 tablet of No-shpa (drotaverine) and pouring the resulting powder onto the affected area in the mouth. In both cases, the treated area becomes numb for 2-3 hours;
• traditional methods . The pulse is found on the arm on the opposite side and a clove of garlic is tied. The mechanism is not clear, but the pain subsides;
• warming up The method is effective, but dangerous: purulent inflammations cannot be heated, because this provokes the melting of surrounding tissues by pus enzymes. And only a doctor can tell about the nature of the inflammation.

The listed methods only relieve symptoms, which shortens the time of an attack of acute pain, but do not treat teeth.

And one last thing. Toothache only seems like a trifle at first - people endure it for days because of fear of dentists - but it is fraught with many dangers, just like a cold that is not cured in time. Take care of yourself and take care of your health. You are alone!

Moscow metro station Zvezdnaya, Danube Avenue, 23

Anesthesia for tooth extraction

There are several types of pain relief:

• local anesthetics that are injected into the gums;
• drugs for general anesthesia injected into a vein;
• inhalation anesthesia;
• nitrous oxide sedation.

The choice of method depends on what kind of operation is being performed: simple or complex. Removing the front teeth is considered the easiest. They have one root and are easily dislocated with forceps. For pain relief, a simple “freezing” with a local anesthetic is sufficient.

Removing lower wisdom teeth is the most difficult procedure, especially if there are abnormalities in growth and location. It will require cutting the gums, cutting off part of the bone, sawing and step-by-step removal of root fragments. The operation can last more than 1 hour, so it is often performed under anesthesia.

Sedation with nitrous oxide does not exclude local anesthesia. It relaxes well, puts the patient into a state of half-asleep, and reduces fear. Often used in pediatric dentistry to remove baby teeth.

Drugs injected into a vein completely turn off consciousness for a certain period of time. The duration of anesthesia is adjusted by the dosage of the medication.

Inhalation anesthesia allows you to control the dose of the drug directly during the procedure. This ensures high-quality and safe general anesthesia and minimizes the risk of side effects.

Is it safe to visit the dentist during a pandemic?

Let us answer right away - yes, it is completely safe! At the MediLine clinic, we pay special attention to sterility: we use a personal set of instruments for each patient. This set includes both disposable consumables and reusable instruments that undergo a full processing cycle. We have a separate sterilization unit with disinfection devices, including a modern German autoclave DAC UNIVERSAL. After sterilization, instruments are stored in special ultraviolet cabinets, which guarantees the safety of their use.

The doctor conducts the consultation only wearing a disposable mask and gloves. Several times a day we carry out quartz treatment in each office to disinfect the air in the room. Appointments are carefully scheduled to minimize the number of patients in the waiting area. We work according to the highest international standards, so treating teeth during a pandemic at MediLine is as safe and comfortable as always.

Stages of the procedure

Simple extirpation is carried out using forceps, consisting of cheeks, a handle, and a lock. It is performed if the coronal part is well preserved and there are no various complications. Incisors and canines on the upper jaw are removed with straight forceps, on the lower jaw - curved at an angle of 90 degrees. S-shaped instruments are used to extract premolars and molars.

Removing an upper wisdom tooth is easier than on the lower jaw, since it has an even, small root, so a simple operation is performed if there are no complications. The lower jaw bone is denser and more massive, and the root part of the figure eight is complex.

A simple extraction consists of several steps:

1. local anesthesia;
2. antiseptic treatment;
3. application of forceps followed by advancement of the cheeks under the gums and fixation;
4. rocking, dislocation and extraction of a dental unit from the socket.

Complex extirpation requires the use of several different instruments, takes a longer time, injures nearby tissues, is dangerous for complications, and the rehabilitation process lasts longer. Pain relief during tooth extraction, especially eights, can be general. The surgeon uses a scalpel or laser, drill, elevator, excavator, and other instruments.

Step-by-step complex removal:

• local or general anesthesia;
• antiseptic treatment;
• dissection of the gums, separation of the flap from dental and bone tissues;
• if necessary, drilling or cutting off part of the bone, dividing the root into several fragments;
• extraction of a dental unit in whole or in parts;
• bleeding stop;
• application of antibacterial and anti-inflammatory drugs;
• suturing the gum.

To stitch soft tissues, self-absorbing or non-absorbable threads are used, which are removed after 7-10 days.

Is it possible to get infected at a dental clinic?

Effective measures can ensure proper safety and eliminate the possibility of infection:

• Inlet filter – patients’ temperatures are measured to detect abnormalities;
• Proper distance between visitors is ensured;
• The air is disinfected and disinfected;
• The temperature of medical workers is measured twice a day.

Possible complications

When using an elevator, an adjacent molar or premolar may be displaced or even broken. In the upper jaw, it is possible to push a fragment into the maxillary sinus. Fractures of the lower jaw are very rare.

Immediately after surgery, swelling occurs, and after the anesthetic wears off, pain occurs. Such phenomena disappear within one or several days, depending on the complexity of the procedure performed. Temporary numbness of soft tissues in the operated area, increased temperature, and bleeding are possible.

Pus in the hole after tooth extraction appears due to alveolitis. When a blood clot, which protects against the entry of bacteria and food, falls out of the socket, the pain intensifies and inflammation develops. In this case, you need to contact the doctor who performed the operation.

Why a tooth might start to hurt

• Toothache can be a consequence of periostitis, periodontitis, pulpitis or caries. The affected pulp begins to increase in size, presses against the walls of the tooth, and the nerve endings are compressed. Painful symptoms can only be eliminated with painkillers.
• Inflammation of the gums can also provoke toothache. Difficulty in the eruption of wisdom teeth can cause not only inflammation, but also severe swelling, and pain can radiate to nearby teeth, the ear and throat.
• Toothache can trigger a migraine if it radiates to the head. In this case, it is necessary to get rid of the wisdom tooth. Typically, the migraine will go away quickly after this.

Care instructions

Before the socket is tightened, you should not overheat the body, drink or eat hot or cold drinks, food, or chew on the operated side. You should not smoke, as nicotine constricts blood vessels and impairs wound healing. It is forbidden to lick a blood clot from the socket.

Antibiotics are prescribed for tooth extraction if the procedure was complicated. They are necessary to prevent tissue infection and the development of inflammatory processes. For the same reason, it is recommended to rinse your mouth with antiseptics. In this case, there is no need to rinse intensively, since it is possible to wash out the blood clot from the socket. Analgesics can be used to relieve pain.

Diagnosis of perforation

Having an accurate understanding of the situation in the sinus, the maxillofacial surgeon chooses the correct tactics and method of eliminating the problem

As part of diagnostic activities, our Center carries out:

• X-ray allows you to assess the condition of the causative tooth and the quality of canal treatment
• Computed tomography in ENT mode allows you to get a complete picture of the condition of the maxillary sinuses

The modern Sirona Gallileos CT scanner guarantees high quality images , in which you can determine the location and size of the perforation, identify the presence and localization of foreign bodies, cysts and polyps (if they form), and assess the size of the inflammatory process.

FAQ

• Is it painful to remove a tooth?

Painless tooth extraction using local anesthetics is carried out by absolutely all dental clinics. But if “freezing” is not enough, then it is better to go to a private clinic that provides all types of pain relief.

• How do you know when a tooth needs to be removed?

If it is very loose or the crown is completely destroyed, then most likely it will be removed. In other cases, accurate diagnosis is necessary.

• Is it possible to have a tooth removed if you have a cold?

Surgical intervention is unacceptable in the presence of an acute infection, including acute respiratory infections or influenza. This is due to the high probability of infection of injured tissues.

• Is it possible to remove a tooth if you have sinusitis?

The operation is not performed during exacerbation of the disease.

Expert opinion

Lyubov Ivanovna Kopylova

dentist-therapist

Experience: more than 10 years

What to do if you are not in quarantine and have ARVI symptoms? For those in need of help, dental services will be provided at home or at the place of hospitalization. In Moscow there is a line for dental issues - 8 (499) 842-4-112 (24 hours a day). There is no need to register in advance. Dental teams are on call around the clock. Treatment is carried out on the day of treatment.

The arsenal of visiting dentists includes:

• special equipment;
• protective equipment;
• sets of special equipment.

Departure is free.

The patient will need:

• insurance policy;
• passport or birth certificate.

Toothache during quarantine - what to do?

While you are in quarantine, you are prohibited from visiting municipal dentists and private clinics. If there are no symptoms of infection, you still can’t do it; administrative liability and fines are provided for violating quarantine.

Calling a dentist to your home will also not work. Doctors are not allowed to come to you. How can you get to the dentist during quarantine?

Option 1: Get it BEFORE quarantine

In April, a complete self-isolation regime was established in Omsk. But Omsk residents are allowed to visit medical institutions to receive emergency care. While you are able to move around and have no signs of ARVI, take care of your teeth so that you do not have to have your teeth treated during quarantine.

Inspection. Attention! During the period of anti-epidemiological measures in Omsk, until April 30, Omsk residents are recommended to reduce their time away from home. Clinics are switching to providing emergency and urgent care only. We cancel the recommendation to undergo a preventive examination. If nothing bothers you, there is no redness or bleeding of the gums, swelling, etc. - stay at home. If there is a problem, do not delay treatment. Call 40-45-00 and make an appointment.

Planned treatments. During the period of self-isolation in Omsk, planned treatments must be suspended. If your temporary filling has fallen out, or a temporary orthopedic structure has broken, or temporary cement has crumbled out from under it, call CosmoStom and get further recommendations.

Delete. If the tooth does not bother you, postpone removal until the end of anti-epidemiological measures. However, if pain has already appeared, do not delay removal. It is these problematic “sentenced” teeth that often become the cause of periodontitis, swelling, suppuration, and also an increase in temperature, due to which we will not be able to see you.

Toothpaste. A spare tube in case of quarantine won't hurt. Don't forget to add it to your cart when you buy buckwheat!

Important! Recommendations for pre-quarantine measures were updated on April 2. If the epidemiological situation in Omsk changes, we will inform you about current safety measures.

Option 2: You are not in quarantine, but you have ARVI symptoms

Contact your local dental clinic that provides emergency dental care.

If acute toothache is accompanied by fever and weakness, if you cannot move independently, call the emergency team by calling 03 or 112 (extension 3). From mobile phones: 003 (for Beeline subscribers), 030 (for MTS subscribers), 103 or 030 (for Megafon subscribers).

Option 3: You are ALREADY in quarantine

How to treat a tooth if you have been in contact with a potential carrier of coronavirus and have been sent to quarantine?

It is important to understand that enduring toothache is pointless and dangerous. During quarantine, a dentist in an infectious diseases hospital will help you. How to get to him? Call the clinic that issued you a sick leave certificate and placed you in quarantine. There you will receive recommendations for further actions.

In specialized hospitals, such as Infectious Clinical Hospital No. 1 named after. D.M. Dalmatov (Sergeya Lazo St., 2) has its own dental office. The patient is delivered there in compliance with maximum safety measures.

They do not provide turnkey treatment here. The dentist can remove the problem tooth or put medicine into the canals and place a filling.

Timely emergency care will relieve pain, avoid complications and calmly wait for the end of quarantine. Then the patient will be able to contact his dentist and complete the treatment.

IMPORTANT! If you have swelling of the mouth or face, visible discharge of pus, or unbearable pain, call 03 and call an ambulance. Be sure to list these symptoms and tell them you are in quarantine.

How to reduce discomfort while you wait for the doctor? Follow the recommendations:

• Brush your teeth every time you eat.
• Use not only a toothbrush and toothpaste, but also a irrigator or dental floss and a brush.
• Between meals, rinse your mouth with a warm or cool (not hot!) herbal infusion: chamomile, sage or lemon balm. You can also use oak bark, propolis or soda solution.
• Avoid very hot and cold foods, refrain from sweets.

If necessary, take pain medication strictly as directed. It is important to use a proven medication that your doctor has prescribed to you before and that you tolerate well. Quarantine is not the time for experiments.