Tooth extraction

Gingiva and periodontium grown around the tooth are loosened after anaesthesia. The tooth is then loosened with various instruments through careful luxation or rotation. Once the tooth is loosened it is relatively easy to remove it.
After every extraction of a canine, premolar or molar, the upper jaw is examined for possible maxillary sinus cavities. Such a mouth-antrum connection must be plastically closed. Antibiotics should be prescribed as prophylaxis against maxillary sinus infection.
Delayed blood clotting and secondary haemorrhage (after hours or days) may occur as a complication after an extraction. Causes may be:

• Reduced blood clotting caused by drugs (as prophylaxis against heart attack or stroke);
• Blood diseases with delayed clotting (haemophilia); coagulation does not take place;
• Hypertension;
• Patient's postoperative misconduct.