How is the formation of blood clots after removing the tooth? A blood clot after removal of the tooth, after how much clot is formed after removing the tooth.

16.06.2020

After removing the tooth, blood goes from the wound, then a bunch appears and the wound begins to slowly delay. Blood clots - this is a natural phenomenonwhich doctors are not classified as pathology.

Blood clutch in the well after the removal of the tooth

After removing the tooth from the wells there is blood 20-40 minutes, less often an hour. Then during the day Begins to form a bunch. What it is? In essence, it is a dark red thrombus. It can be compared with a red ball or bag that sticks out of the gums.

Thromb well protects against infections and harmful bacteria. In addition, he accelerates wound healing. If it is not, that is, it is not formed or damaged, then the gum is inflamed and develops a disease, for example, alveolit, which arises in 3-5% of cases After falling out tooth.

Important! Trombus cannot be touched, move, try to pull out or deepen it even more. Otherwise bacteria will fall into the body through the well And the process of inflammation will begin.

An important role of blood clot plays when the tooth is removed wisdom. If the thrombus was not formed or fell, the blood would not be able to stop for a long time, which is quite dangerous for the body. In such cases alveolol arises with 30% probability.

Healing of the wells: how many days the thrombus holds

Healing of the wells occurs for 5 months. In the process of overgrowth, Trombus wound plays a big role.

1 day - There is a blood clots on the place of the well.
2-3 days - A new epithelium begins to appear on the thrombe. As a rule he white color. but if the epithelium of gray-green or yellow shadeThis is a reason to visit the dentist.
3-4 day - Granulation appear. They cover the blood cloudy. This is normal, you should not be afraid and try to somehow affect the healing process. Usually such a phenomenon looks like a red ball, covered with white threads.
8 day - Granulation almost completely replaced blood clots. At the same time, bone tissue begins to develop.
2nd week - Bush completely disappears, as the wound has already been tightened with a new cloth. Therefore, the thrombus is no longer needed.
2nd month - The well is almost all filled with bone tissue.
5th month - The bone tissue becomes more dense and merged with the jaw.

Reference! These stages inherent only to normal, natural healing. In the event of the development of any deviation, the hole will be delayed on another scheme characteristic of a certain pathology.

What does alveolite and other complications look like: photo

Photo 1. Alveolit \u200b\u200b- dry well without blood clot. You can also see a gray or yellow raid.

Photo 2. After removing the tooth, the gums can be swollen and even cheek. You can see swelling or bump on the site of the remote molar.

Photo 3. Bleeding from the well after removal of the tooth - reason to immediately appeal to the doctor.

What to do if blood clots fell on 3 days, washed away or not at all formed

The thrombus falls out for various reasons: if the patient rinsing the oral cavity, accidentally threw a fork or a spoon, the language moved him from the scene, if for any reason the bunch was not fixed in the well and so on.

If the bunch fell, consult a doctor as quickly as possible. For treatment in such situations, dentists apply the re-appearance method of thrombus.

Important! In no case you can not repeat this method Alone. This can lead to a strong inflammatory process or damage to the gums. In any case, it will only worse.

The dentist is obliged to confirm or refute the bleeding loss.

If he fell, then the doctor will handle the wound and deletes food particles from there. And then fill the wound with iodoform turtle. Also, the dentist can simply treat the wound and leave to heal.

If the inflammatory process has not yet begun, then the doctor special will cause blood from the wellThereby, starting the process of healing from the very beginning. After the blood almost stops, a new clock will begin to form.

If it was formed too big

If the overall health is good, then you can not worry. But it is still better to visit the dentist, he will examine the oral cavity and calls an accurate diagnosis. If the wellness is often bleeding, hurts or swell, then this is a direct reason to consult a doctor.

The main thing - perform all recommendations and instructions of the doctor. You also need to maximize yourself from the thrombus. For this do not rinse the oral cavity for the first few days. The place of the wound should not touch any language nor other objects.

You can not attend saunas and baths, and also better not to apply hot compresses to the cheek.

If wound healing brings strong pain, the place is often bleeding and swell, even even do not try to engage in self-medication. So you only damage the gums and make even worse.

Useful video

Look at the video, which tells about possible complications, sometimes emerging after the removal of the tooth wisdom.

What can not be done?

Blood clots - an important component in the healing of the well after the removal of the tooth. It protects the wound from various kinds of infections. therefore do not try to somehow influence him without the permission of the attending physician.

How is the formation of blood clots after removing the tooth?

Extraction is accompanied by damage to tissues and abundant bleeding. Normally, it stops after 30 - 90 minutes. And in the well, blood clots are formed after the removal of the tooth is formed. It fills the wound on 2/3, promotes healing and prevents infection.

The mechanism of the formation of a bunch

Immediately after removal of the tooth, strong bleeding opens. To stop it, the patient is asked to bite a gauze tampon. This manipulation helps to stop bleeding and speeds up the formation of a thrombus.

After half an hour, blood clots begins to form in the rink.

Blood clutch begins to form in about 15 - 30 minutes. But his complete formation lasts about a day. At this time, it is important to prevent the thrombus of the thrombus from the alveoli - deepening in the jaw, in which the roots of the tooth are located.

Important! Sometimes bleeding opens several hours later. Accordingly, the appearance of the thrombus is delayed. This is due to the introduction of large doses of anesthesia - adrenaline in its composition temporarily narrows the vessels.

The tomb function is to protect the tissues from the penetration of infection and accelerate healing. If he did not appear, they talk about the "dry hole" syndrome. In this case, it is impossible to avoid inflammation and suppuration of the wound - Alveolitis.

If the operation was complex, a large area is damaged, the edges of the gums are strongly spontaneous, the doctor imposes seams. They will help keep clocks in Alveole.

Stages of healing of the wells

After extraction, the healing process begins (reparation). Looking after removing the tooth as a deep wound with torn edges. The direct restoration of vessels, nerve endings and soft tissues lasts 2 - 3 days. The formation of a new epithelium ranks 14 - 21 days. For complete recovery bone structures It takes 4 - 6 months.

Important! The duration of reparation depends on the type of extraction (simple, complex), degree and volume of damaged tissues. So, the healing happens faster if the fang was removed, the cutter, the wound is tightened longer after extracting chewing, retinated teeth.

Reparation takes place in several stages:

1st day. In the alveolo, a dark red thrombus is formed, sometimes border color.
2 - 3rd day. Blesley films appear - a young epithelium. Such a color is due to the washing of hemoglobin and the formation of fibrin. It is worth alert, if a gray-green, yellow shade is placed, a rotten smell is heard.

The fullness of the wound is delayed in about 2 weeks.

Important! The patient feels pronounced pain only 2 - 3 days. Minor unpleasant feelings are saved a couple of weeks until the wound will not delay epithelial cloth. The remaining processes proceed asymptomatic.

The listed stages are characteristic of normal healing. If the removal was complex, or the bunch fell at some stage, the reparation is delayed.

How to prevent bunch dropping?

The formation of thrombus is extremely important for normal reparation. To prevent its loss, the following recommendations comply:

do not butt the mouth 2 - 3 days - only baths are allowed by antiseptic solutions;
do not try to feel the hole with the language, clean out of it with toothpicks;
clean the teeth with a soft brush in the morning, in the evening and after each food intake, carefully passing by it next to the operated site;

Blood cluster protects the wound from infection.

After extraction, blood clots are formed normal. If the formation of blood closure did not occur, complications are developing in 100% of cases: dry hole, inflammation, suppuration, alveolit. Full reparation continues until six months, but the main healing occurs in 2 - 3 weeks.

Blood clutch after removing the tooth

The presence of a blood clot after the operation carried out as the removal of the tooth is considered to be a normal phenomenon. After all, abundant sources from the blood wound will always be accompanied in such cases by tightening. It will occur after the discharge of a certain amount of blood substance. Therefore, the bunch is not classified by the doctors of pathology. However, each surgeon in the field of dentistry is obliged to observe the patient, after a couple of days to examine how the hole looks like after removing the tooth, whether the blood flow stopped, whether the hole is delayed on the site of the operation. On the clutch, its condition, conducting preventive procedures, and special attention is also drawn on the absence of complications.

First day after removal

Every person who has lost its tooth by removing it in the hospital, in dentistry, is interested in the question of how long how long the hole is delayed after removing the tooth? In general, it is necessary to answer this question that all people have different people. In many respects, it all depends on the specifics of blood coagulation, regenerating tissue functions capable of growing, the necessary activity of the growth of new cells with the fracture of old and other features inherent in the body of each person and manifest themselves in each case.

But there are norms adopted at the Health Level of the Russian Federation or the International WHO Level (World Health Organization). In general, the figures in practice register that the hole is tightened slowly, during the period - from several hours to several tens of hours. But if, in addition, the procedure for the rehabilitation of the operated area of \u200b\u200bthe gums is still competent, then in order for the hole to begin to slowly delay enough and several hours. In order for the blood clot after removal of the tooth in time formed, without negative consequences, and the whole process was successful, on the very first day after the operation, the patient needs to carry out the following procedures appointed usually in such cases by the surgeon dentist:

The soft gauze napkin, which is superimposed on the bleeding hole, should be tightly bought, thus pressing the wound.
It is impossible to keep the tampon from the band for a long time - enough to hold half an hour.
It is necessary to clean the tampon very slowly, gradually, and not jerks and very carefully.
If blood is still soooed, then you need to hold the tampon for another half an hour. It is permissible.
If after an hour, the bleeding will not stop, urgently should turn to your doctor, the same surgeon that the tooth ripped.
If blood stopped, then it should periodically rinse with chlorhexidine's mouth or another disinfectant. Especially need for 5 minutes to keep this solution in the wound.
Approximately an hour or two recommended nothing and not drink.

Why is it so important to form a bunch?

The presence of a blood clot, which looks great, without signs of inflammation or the beginning of the guncrow, is the necessary formation after the tooth has been burned. Blood must have to curl over time and form a small bunch covering the entire wreck. This is one of the most important steps with a normal biological process of tightening an open wound - blood clot protects the wound from the microbes and pathogenic bacteria inwards. If further teeth treatment is required, it is best to wait until the ring is delayed, at least half (50%) or more (70-85%). And for this, there will be no one day, until the frozen blood plugs itself gradually disappear and disappears from the protracted pit.

Additional information: On average, the wound should be pretty tightened for 3 days, even though the hole immediately also touches, she needs more time. And the bloodstream should be ceased after a few hours to form the appropriate bunch.

Restoring therapy after removal

All the dentistry of surgical specialization agree that before removing the tooth, the patient would be better to pour any antibiotics over several days, antibacterial drugswho will appoint a doctor. In case of acute pain, strong painkillers are used, the main thing is to use which, not to get involved in their use. Doctor can register some painkillers and antibiotics and after removing the tooth. It is done to relieve inflammation, if it were found - you need to follow all receptions that the doctor prescribed.

In the recovery process after operational intervention The patient examines the attending physician to determine how the hole looks like, is there any infection, there is no excessive disclosure of the wound and so on. Meetings for such an inspection are appointed by the expert himself, but the patient can come to examine 2-3 days after removal of the tooth. If the wound continues to hurt much, or the gums frightened, it may be damaged to the dental nerve, or something else that can identify only an expert in this area.

For reference: to inspect how the clot looks like, after removing the tooth, the house can be the patient itself, if the wound is available for viewing. However, it will be better if the doctor does it. Because if you have a hard food you damaged the wreck, it can be badly tightened, the bunch can shift from pieces of food. Therefore, it is recommended in the days of restoration to eat something softer.

What will help to recover faster?

All medicines that were appointed by the dentist surgeon should be used by the medical instructions.
Cleaning the teeth should be carried out with a soft toothbrush in the area of \u200b\u200bthe tissue damage zone. You need to buy a brush with silk vesicles.
Hot food is excluded from use for a period of several days.
Three days should not have dairy products. They cause a large number of bacteria in the mouth.
It follows should be done physical Loads For 30 days, so as not to create the intensity of blood flow.
It is impossible to warm the jaw until the fossa is completely delayed.
Smoking and use durable or alcohol substances is prohibited - this sharp weakens immunity.

For reference: Hot food causes bleeding, so it is necessary to eat warm meal. To understand how much blood clots are holding after the removal of the tooth, it should also be remembered about solid food, it can scratch the gums and shift the saving lump of dried blood aside, opening partially to the Rank. You will have about a month trying to eat soft and warm.

Normal indicators

And it is also necessary to take into account the testimony of the patient's state, which are registered by doctors as normal. Normal indicators need to remember the following:

Switching gums.
Sweeping cheek.
Pain characteristic syndrome.
Mothering sensations in the area of \u200b\u200bthe ex.
Loge from bunch of blood small pieces in a few days, or a week.
Sleepiness in the first few days.

After the patient comes to a doctor on the third day to check how the hole looks like after removing the tooth, the cheek can be swollen, even if this recurrence and there were no first 2 days. It is not scary, this happens after the complete cessation of anesthetics. It is also believed that pain symptoms should even be necessarily, only they are injected with painkillers so that the quality of the patient's life is not reduced during the recovery period. Only if the new or acute pain It does not pass for too long (more than 3-4 days). If you want to sleep on the first day after the operation, it is better to sleep.

If someone does not know how the hole grows after the removal of the tooth, then we can draw his attention also to the fact that saliva will have a glazon and pinkish shade for some time. It is also not necessary to scare, gradually the blood substrates will go out with saliva, which can be neatly spitted. But ingesting such saliva, you do not really harm yourself. It can simply give itself to know the unpleasant light nausea - the reaction of the stomach on the unusual inclusion in saliva. Now, when the reader is already known how many holes after removing the tooth, it is possible to focus on these data and in case of some deviations from the norm - timely access to the doctor.

Sharp complications after removing the tooth

One species of complications that can happen to the patient who lost tooth is alveolit. It is he who can provoke swelling of the cheeks, swelling and inflammation of the gums. And such processes are usually always accompanied by a strong headache, high body temperature, nausea, weakness and severe general condition of a person. Of course, all this happens when the inflammation has not been eliminated by the doctor. Or the patient himself after visiting the dentist-surgeon neglected his recommendation, did not rinse the oral cavity within a few days to a row.

For reference: Alveolit - This is the local fitting, sampled in the well after removing the tooth due to insufficient disinfection of the oral cavity or its processing with antiseptic materials.

Other complications, when, after removal of the tooth, the blood clutch acquires non-standard characteristics, may be in the following manifestations:

Abundant amount of scarlet (pure) blood for 12 hours in a row without stopping.
Acute pain that may be able to sign up, which touched upon a triple nerve.
Exit from the wounds of some dark brown and even black "threads", "pieces".
Active numbness of jaws for 4-5 days, which also indicates a violation of nerve endings.
High body temperature - from 38 degrees.
Swelling when touching extremely hurts and does not allow the mouth normally to open or eat.

In all of the above cases, and with such symptoms, it is necessary to either cause the attendant dentist's doctor to the house, or to go in urgent order to the surgeon that removed the tooth. Blood clutch is the natural protection of an open wound from microbes from entering it until it is delayed, as well as a natural "tampon" to stop blood flow. If someone from the patients discovers that for a long time the hole is not overgrown after the removal of the tooth, and the blood flows and flows and flows, then then it should be immediately addressed to the doctor for help.

Useful video: Care of the oral cavity after the removal of the tooth

The consequences of the removal of the tooth: how much is blood clot lasts and how to be, if it fell, what does granulation tissue look like?

Deleting the tooth is a serious surgical procedure, especially if the wisdom tooth is removed. In order for the operated place to heal the correctly and without complications, it is necessary to strictly observe the recommendations of the dentist's doctor and respond in a timely manner to deviations from the norm.

After removing the tooth, the blood clutch fills the hole immediately after the procedure and plays an important role in healing. For what he needs, how much does it hold, how to keep it in the hole and what to do if he fell - read in our article.

How is blood clots formed in the well and why is it needed?

The deletion of the tooth in brief can be represented in four stages:

cooperating treatment around the tooth: cleansing, disinfection;
local anesthesia or general anesthesia;
directly removal of the tooth;
wound processing, possibly imposition of seams.

After removing the tooth from the wound, the blood inevitably begins to go, and the patient is asked to bite a tampon or a marble napkin (see also: how does the gums usually look like after removing the tooth?). Abundant bleeding lasts 20-30 minutes, in rare cases - about an hour. While the blood does not stop, the tampon must be changed periodically to not provoke the development of harmful bacteria. Fully stop the bleeding will not work: the wound will continue to allocate a small amount of blood and sucrovitsy about a day.

Important! If a large dose of anesthesia was introduced, then due to the narrowing of the vessels, the bleeding can begin after a few hours - this is normal, but slows down the entire healing process as a whole.

After stopping bleeding at the place of a remote tooth, a dark red or burgundy thrombus begins to form. On its full formation takes 1-2 days.

The absence of blood cloth in the wound is called a dry well syndrome, which leads to a serious inflammatory process - alveolitis. Distinguish the usual consequences of a remote tooth from the symptoms of the alveolitis, comparing appearance Wells in the photo or the following signs:

Paints and swelling in the operated region usually last 1-2 days, have a good character and gradually weaken. In the Alveolitis, pain becomes acute, increases and goes to neighboring sites, and edema can capture most Oral cavity, make it difficult to move.
After removal of the tooth, the temperature may be slightly climbed (more in the article: what to do if the temperature rose after the removal of the tooth of wisdom?). With alveolitis, the heat rises above 38 degrees, and other symptoms of intoxication are manifested: weakness, lubrication in limbs, dizziness.
The first days of the hole may unpleasantly smell due to the accumulated blood. In the alveolite, the smell becomes stronger and gives rot.

Normal healing of wells: process description, photo

In normal conditions, the well heals all over 4-6 months. The healing stages are defined approximately, since the duration of the process depends on the set of factors: the states of the teeth and the gum, the experience and qualifications of the doctor, the characteristics of the body and the patient's action after the operation. The healing process can be traced in the photo.

First day: Thromb is formed at the place of remote tooth. It serves as a kind of barrier from bacteria and mechanical influences. Further healing of the wells depends on the formation of the bunch.
The first week: the formation of granulation tissue begins. Within two days, the thrombus is covered with a whitish film, which can alert the patient, but it is not necessary to consider this flight. If the film acquires a green or yellow shade and smells a lot of rot, it is necessary to contact the dentist.
The first month: the formation of epithelium and bone structures begins. Blood clutch is absorbed, and the wound is tightened with a new cloth. Bone cells become visible, which completely fill the well for 1-2 months.
After 4-6 months, the bone tissue is fully formed, compacted and finally merged with the jaw. The healing process is significantly complicated and slowed down, if in the first stages from the wells shifted or washed out of blood clots.

How to save a clutch in the well and what to do if he fell?

Alveolitis on average occurs only in 3-5% of cases, however, when removing wisdom teeth, the probability of complications reaches 30% (we recommend reading: how many days the pain in the gums is preserved after removing the tooth of wisdom?). The place of remote tooth is inflamed and fastened, because of which the patient is experiencing acute pain and symptoms of intoxication of the body: weakness, dizziness, heat.

To the clutch does not fall, you need to follow the following rules:

Do not rinse the oral cavity for the first 2-3 days (see also: Do \u200b\u200bI need to rinse your mouth after removing the tooth?). According to the recommendation of the doctor, it is permissible to make antiseptic baths, holding a slightly warm liquid in the mouth and neatly touching.
Do not touch the place of remote tooth. Try not to touch the thrombus for a fork, toothpick or tongue. On the first day it is recommended to not even clean this area with a toothbrush.
Exclude active physical exertion. It is also recommended to limit your facial expressions and extremely carefully moving the muscles of the mouth. If the seams are applied, they may dispense from sharp movements.
Eliminate the effects of heat. Do not attend the sauna and bath, do not eat hot drinks and food.
Refrain from alcohol and smoking at least 1-2 days.
Observe a diet. For the first 2-3 hours after surgery, do not eat at all, then use only soft warm food.
Observe hygiene. Use a soft brush in the morning, in the evening and after each meal. Near the thrombus, clear especially neatly.
Do not drink through the tube. It is widespread that after removing the tooth, food and liquids are better to use through the tube, but the absorption can shift the thrombus.

If the thrombus still fell, then you need to turn to the dentist. The doctor will clean the well from the rest of the clot and food, treats the antiseptic and fill it with a special means - iodoform turtle, which will need to be changed every 4-5 days. There is also a secondary clot method: if the inflammatory process has not yet begun in the hole, it is processed (scratching) so that bleeding began and a new bunch has been formed.

The removal of the tooth can be represented as an operation, because it is impossible to do without surgical intervention. Naturally, such a procedure cannot pass without a trace, there are always "side effects" that appear during the recovery period.

One of them is blood clots after removing the tooth. What it is? Is it dangerous? What measures should take when it appears?

What is blood clots?

Blood clutch is a few glued together blood plates. After removing the tooth, it is formed on the well for 1-3 days. First, the bunch has a fairly large form, after which it decreases and disappears at all.

The formation of this "protective shell" is a very important point in the process of wound healing. He must occur anyway. There are several features, why it is so important that blood clots still have been formed.

Why is it important to form a bunch?

The cluster becomes a kind of "barrier" for the newly formed wound. He will protect the hole from penetrating foods, bacteria and other malicious factors into it.
With it decreases the likelihood of the deformation of the gums.
The dried blood formed after the removal of the tooth is capable of preventing irritation of the mucous membrane.
After removing the tooth, the gums may be sick for several hours and even days. Especially, discomfort will appear when foreign substances appear in the well. The pain will begin to retreat immediately how the protective "barrier" is formed

Blood clots should form for several days after removal of the tooth - this is the first stage in the process of wound healing, it will be further impossible without it.

How should the well look like a hole after removing?

so the hole should look after removal

There are several characteristic features of how the hole should look after the removal of the tooth:

As soon as the dentist seized the root from the gum, there should be a small bleeding from the well. In most cases, this happens immediately after removing the tooth and lasts a few minutes. An exception is use, they contribute to the narrowing of the vessels. Accordingly, the well after operational intervention will remain dry. Bleeding will occur after the end of the medical preparation. This may happen a few hours after removing the tooth.
The first stage of the healing of the wells is the formation of a pronounced bunch having a rich red shade. Its size is approximately equal to the size of the wounds (it must completely overlap the hole in the gum).
If the healing process occurs normally, it must change the color for several days, becoming yellowish-pink. Depending on the characteristics of the body, the age of a person and the availability harmful habitsThis stage can last from one day to three weeks.
Next, the head of the healing of the wells should come. That is, blood clots will begin to pull the gums. This process passes gradually, starting from the edges, gradually turning to the center.
2-3 months after the removal of the tooth, the wound must fully recover. That is, there should be no trace from the well. Bone tissue must be formed.

During the healing of the wells, some side effects may appear, such as the formation of pus, small swelling and unpleasant pain.

the process of healing of the wells

All these ailments are the norm, it is possible to reduce their manifestations with the help of special painkillers dental gels and other medications.

However, there are several complications, with the appearance of which it is recommended to immediately consult a doctor.

Possible complications

Pain is the natural component in the process of healing tooth. Without her restoration is possible only in rare cases. However, it should be lowered and undergoing an anesthesia. If the pain is acute, does not pass for several days and does not reduce medication - this suggests that the healing process is not correct.
Dentists assure that in the norm, bleeding from the wells should last from 3 to 30 minutes. Maximum - 1 hour. If it lasts longer than three hours, it means that an open threat to health has appeared. It is worth paying attention to her color. Alay Blood is not the most pleasant sign.
The jaw may, as if, on the period of several hours after surgery. However, it should not continue more than a day.
Most dangerous symptom - This is an increase in body temperature up to 38 or more degrees. Normally, when the healing process should not be.
Another type of complication is the formation of plenty of edema, because of which even becomes problematic to open the mouth.

If it appeared, at least one of the above signs, then it is necessary to immediately consult a doctor. Many patients do not betray such complications and make a mistake, since the process of restoring the gums is incorrect, and this can lead to unpleasant consequences.

As mentioned earlier, after removal of the tooth for a few minutes, the gums will bleed. To prevent this unpleasant symptom, you need to use a disinfected napkin. It should be applied to the area of \u200b\u200bthe well and tightly press until the blood stops.
Do not neglect medical preparations prescribed by a dentist. They contribute not only to a decrease in pain, but also a full healing of the wound. Take them should be strictly according to the instructions, observing the dosage, temporary intervals and course of treatment.
Brushing your teeth only with a soft toothbrush. Do it you need to do the most accurately.
It is recommended to temporarily abandon solid and hot food, any heating of jaws is not allowed. In the minimum quantity you can eat dairy products. It is desirable to eat through the tube.
If possible, physical exertion should be reduced, especially for swimming in the pool. It is best to spend the next three days after operating interference in a calm rhythm.
The most negative factor during the restoration of the well is the presence of bad habits. It is recommended to refuse and receiving nicotine.
Also, you should not try to "sink" educated clot and touch the gum with hands or tongue. The first time, the new wound will cause discomfort, but it is necessary to endure it. Anyone, even the most minimal intervention, can adversely affect the process of restoring the tooth.

If you follow all the recommendations, the process of healing tooth will occur almost painlessly. You should also visit the dentist so that it determines the correctness of the recovery of the wound. Especially, this should be done if the operation was complex.

Such surgical intervention, as the removal of the tooth, seems insignificant. However, he can bring a lot of trouble to the patient. To this not happen, it is recommended attentively to take care of your health.

How is blood clots formed in the well and why is it needed?

The deletion of the tooth in brief can be represented in four stages:

cooperating treatment around the tooth: cleansing, disinfection;
local anesthesia or general anesthesia;
directly removal of the tooth;
wound processing, possibly imposition of seams.

After stopping bleeding at the place of a remote tooth, a dark red or burgundy thrombus begins to form. On its full formation takes 1-2 days.

The absence of blood cloth in the wound is called a dry well syndrome, which leads to a serious inflammatory process - alveolitis. You can distinguish the usual consequences of a remote tooth from the symptoms of the alveolitis by comparing the appearance of the well in the photo or the following features:

Paints and swelling in the operated region usually last 1-2 days, have a good character and gradually weaken. In the Alveolitis, pain becomes acute, increases and goes to neighboring areas, and edema can capture most of the oral cavity, making it difficult.
After removal of the tooth, the temperature may be slightly climbed (more in the article: what to do if the temperature rose after the removal of the tooth of wisdom?). With alveolitis, the heat rises above 38 degrees, and other symptoms of intoxication are manifested: weakness, lubrication in limbs, dizziness.
The first days of the hole may unpleasantly smell due to the accumulated blood. In the alveolite, the smell becomes stronger and gives rot.

Normal healing of wells: process description, photo

First day: Thromb is formed at the place of remote tooth. It serves as a kind of barrier from bacteria and mechanical influences. Further healing of the wells depends on the formation of the bunch.
The first week: the formation of granulation tissue begins. Within two days, the thrombus is covered with a whitish film, which can alert the patient, but it is not necessary to consider this flight. If the film acquires a green or yellow shade and smells a lot of rot, it is necessary to contact the dentist.
The first month: the formation of epithelium and bone structures begins. Blood clutch is absorbed, and the wound is tightened with a new cloth. Bone cells become visible, which completely fill the well for 1-2 months.
After 4-6 months, the bone tissue is fully formed, compacted and finally merged with the jaw. The healing process is significantly complicated and slowed down, if in the first stages from the wells shifted or washed out of blood clots.

How to save a clutch in the well and what to do if he fell?

To the clutch does not fall, you need to follow the following rules:

Do not rinse the oral cavity for the first 2-3 days (see also: Do \u200b\u200bI need to rinse your mouth after removing the tooth?). According to the recommendation of the doctor, it is permissible to make antiseptic baths, holding a slightly warm liquid in the mouth and neatly touching.
Do not touch the place of remote tooth. Try not to touch the thrombus for a fork, toothpick or tongue. On the first day it is recommended to not even clean this area with a toothbrush.
Exclude active physical exertion. It is also recommended to limit your facial expressions and extremely carefully moving the muscles of the mouth. If the seams are applied, they may dispense from sharp movements.
Eliminate the effects of heat. Do not attend the sauna and bath, do not eat hot drinks and food.
Refrain from alcohol and smoking at least 1-2 days.
Observe a diet. For the first 2-3 hours after surgery, do not eat at all, then use only soft warm food.
Observe hygiene. Use a soft brush in the morning, in the evening and after each meal. Near the thrombus, clear especially neatly.
Do not drink through the tube. It is widespread that after removing the tooth, food and liquids are better to use through the tube, but the absorption can shift the thrombus.

Blood clots after removal of the tooth: what you need to know the patient

Blood clots after removal of the tooth appears on the first day and plays an important role in the process of wound healing. What does a hole look like after extraction, what is needed, and what is not recommended to do in the postoperative period?

Briefly about the procedure

Deleting tooth - a serious full-fledged operation passing in several stages:

processing area that will operate,
the introduction of anesthetic drug.

Modern anesthetics are in Karpulakh - these are special ampoules, in which there is a hydroofing agent with an anesthetic drug. Such a combination of drugs helps to reduce the amount of blood, which is distinguished from the wound after the operation.

After anesthetic begins to act, the surgeon moves to the removal of the tooth from the well. To do this, we need to weaken the bundle that captures the tooth. Sometimes a scalpel is used for this.

The final stage is the processing of the wound. The seams are superimposed on the ribbon wounds. If you do not need to sew the wound, the doctor imposes on top of it, moistened in the hemostatic drug. It must be clamped with teeth for 20 minutes.

What happens after surgery?

After 3-4 hours after the operation, anesthetic continues to act, the patient either does not feel pain at all, or it feels weakly. From the wounds for several hours there is blood, and then exudate with blood. After removal of eights, the exudate may be released throughout the day, since the operated area when the wisdom detection is extensive to the rest.

Do not worry, if in the first few days after the operation you will have nasty smell from the ranks, it normal phenomenon. Blood accumulates in the well, it is impossible to rinse the wreck, so bacteria accumulates in it. This provokes the appearance of the smell. Worry about this is not worth it if general state Normal, body temperature is not increased and there are no other disturbing symptoms.

To talk about the uncomplicated flow of healing of the wells, if:

from the wells does not stand out exudate, if you press it,
pain wears a good character and gradually disappears
the general condition and body temperature is normal,
the swelling of the cheek does not increase
after 2-3 days, blood is stops from the wound.

How does the wound heal?

After the extraction of the tooth, the hole heals a long time even without complications. This is a long process that can delay from a few weeks to several months:

on the second day after the operation, a blood clot appears in the wound, which ensures the protection of tissues from infection and damage,
if the recovery process passes without complications, granulation tissue is formed by 3-4 days,
the next week is the active formation of the layers of the epithelium in the hole, the blood clots is measured with a granular tissue. There is a primary formation of bone tissue,
after 2-3 weeks, the clutch is completely replaced by the epithelium, the bone tissue is clearly visible along the edges of the wound,
the formation of young fabric takes 30-45 days,
approximately two months later, the hole completely overcomes bone (osteoid) tissue saturated with calcium,
by the end of the 4th month after extraction, young bone fabric "grows up", its structure becomes porous,
after the end of the formation of the bone of the wound is absorbed by 1/3 of the root length.

After the operation, the gum sends (atrophy), this process lasts from 6 months to a year.

What affects the healing speed?

The above-described terms are relative and individual, since the set of tissue is influenced by many factors:

surgeon qualifications,
root system status,
hygiene quality
state of periodontal tissues.

After extraction of the patient's tooth (in the stage of aggravation of dental diseases), the recovery is delayed. The healing process is also delayed after ripped wounds, which often happens when the eights are removed.

It is important that the surgeon thoroughly processes the wound after the operation and cleaned it from the tooth fragments. Otherwise, the wreckage of enamels will prevent the formation of blood clot, which ultimately the cause of the development of inflammation and significantly derete the healing of the wounders.

Some patients can open well bleeding. This happens because of problems with blood clotting, as well as with arterial hypertension. In this case, it is necessary to normalize arterial pressureto stop bleeding.

Alveolit

All of the above adverse factors lead to the development of complications - Alveolitis. This inflammatory process in the well, which develops due to the penetration of infection in it. Most often, alveolit \u200b\u200boccurs after leaching from the tombrba. In some cases, the clot is not formed at all.

Usually inflammation begins for 1-3 days after the operation, if the patient has a mouthpiece. Under the pressure of the liquid of the bunch is washed out of the wound, leaving it without protection. In this case, inflammation occurs almost always. Symptoms Alveolitis:

increasing pain, which gradually applies to nearby fabrics,
as the inflammatory process progressing, the symptoms of general intoxication of the body are manifested: lubrication in body, weakness, the temperature may increase,
evenum with gums applies to adjacent fabrics,
the gum mucosa blushes, after can acquire a blue shade due to blood stagnation,
due to falling into the rink, food residues often arises an unpleasant smell of mouth.

How to care for the well after surgery?

The main condition for normal healing is the formation of a full blood bunch in it that protects the well from infection and damage. The main task of the patient is to preserve blood clots on the spot. For this you need:

not blow around
it is extremely gently brushing the teeth near the operated area,
refrain
instead of rinsing makes mouth baths,
comply with a diet
avoid contact with the wound (not touching it with tongue, brush, toothpicks),
refrain from cleaning teeth on the day of extraction.

Other complications

In most cases, all complications after extraction are developing due to an infection that has fallen into the well for various reasons. It can be:

A blood clot is not formed in the well, which drags the lifting deadlines and can cause alveolitis. In most cases, such a complication is developing due to the fact that the patient actively pokes the mouth after surgery and simply flushes a thrombus from the wound. If you find a dry well, consult your doctor as soon as possible.

This is a serious complication of Alveolitis, when the inflammatory process goes to the jaw bone. Treatment is carried out in a hospital.

You can damage the nerve when removing the teeth with a bulk root system. In this case, the area of \u200b\u200bthe cheek, the sky, the tongue, which adjacent to the place of remote tooth, is neme and lose sensitivity.

Treatment involves the reception of the vitamins of the group B and drugs that stimulate the transportation of signals from the nerves to the muscles.

Complication is rarely developed, treatment involves excision of the neoplasm.

After removing the tooth, do not pull with the choice of prosthetics method, since the absence of even one tooth negatively affects the state of the entire tooth row.

Blood clutch after the removal of the tooth: the features of the healing of the well

The removal of the tooth is surgical intervention with the formation of a wound after extraction, therefore, as after any intervention, in the wound formed on the tooth, there should also be a healing process, and its fabrics to recover and fill the voids. This process lasts for 4 months. Tooth hole healing stages:

immediately after removal, blood clots are formed;
2-3 days - the epithelization of the wells begins;
3-4 days - the first signs of the formation of granulation tissue appear;
7-8 day - the part of the blood clot is replaced with granulations, the gums begin to form the epithelial layer; The process of formation of bone tissue begins;
14-18 day - the granulation tissue completely fills the hole, and the well itself is completely covered with a new epithelium. On the walls of the wells, new bone cells are actively forming;
1-2 months - an active process of bone formation;
2-3 - filling the well bone tissue; saturation of cloth calcium;
4 month - the formation of bones ends, the structure becomes spongy.

See also: Removal 8 tooth from above: uncomplicated cases and retinated wisdom teeth

If, when removing the tooth in the hole does not form a blood bunch, the process of healing the wells is due to its walls - it is they who contribute to the development of granulation tissue. Otherwise, further stages of healing are the same as described above.

Healing after removing the inflamed tooth

We have described a 4-month tissue recovery process, however, they are so rapidly restored only if there were no injuries, inflammation or infections in the teeth and the surrounding tissues. If the listed processes take place, tissue regeneration takes place not so quickly. As a rule, it is hampered by the formation and course of the inflammatory process, the timing increases and the stages of healing look like this:

epithelialization and formation of granulation tissue occur in 10-15 days instead of 3-5 days;
the formation of bone tissue begins only for 15-16 days instead of the 7-8th.
the closure of the hole with epithelium passes 2 times slower and ends only on the 30th or 50th day;
only for 2 months, the hole is completely filled with osteoid cells, which then become a full bone;

The process of formation of the epithelium and bone can be even longer if the walls of the well and / or the tissue of the gums were strongly damaged during the tooth.

Since the removal of the tooth is surgical intervention, after it may occur unpleasant consequences - complications of various kinds. At the same time, the causes of such complications can be both the negligence of the patient for hygiene after surgery and the incorrect actions of the surgeon. Another category of the etiology of adverse consequences is a complex flow of operation (with increased bone strength, non-standard form or the size of the tooth root).

Alveolit It is often formed in the case when after removal in the well for some reason, blood clots are not formed. Without a bowl of the hole, a protective barrier is deprived of external influence and therefore susceptible to the appearance of the inflammatory process. The first and main symptom of this disease is pain immediately after removal or after 2 days. There is a swelling of the gums, inflammation of the edges of the wells, due to the fact that blood clot was not formed, the cavity is filled with food, which further contributes to the development of the inflammatory process. Other characteristic features: Temperature, unpleasant smell from wells, poor well-being, pain and swelling of the mucous in the place of extraction.

The etiology of the development of Alveolitis is considered an infection caused by the mouth of the oral cavity in the well. The body is not capable of forming a protective barrier in the hole, so inflammation is rapidly developing in it.

There are such causes of alveolitis:

chronic flowing of inflammation in the tissues of the oral cavity, its exacerbation;
high degree of tissue traumatization due to complex tooth removal;
blood clutch was not formed during the operation or after it (for example, due to the violation of patients specified by the doctor of recommendations);
disorders in the immune system, the state of chronic fatigue, chronic diseases;
long removal process (longer than 40 minutes).

Depending on the severity of the flow of the alveolitis, both local and general treatment can be appointed. Local methods are usually used using antiseptic washing and well-treated by antimicrobial means. In addition to such treatment, vitamins and antibiotics can be appointed.

In the case of general treatment, physiotherapy is also added, and the overall treatment and healing of the wells increases.

Bleeding may occur as immediately after the operation, and after some time after the operation: from 1 hour to 24 hours and more. The period of manifestation of moon bleeding varies from the reasons for its causing. An earlier manifestation may be caused by the extension of the vessels, later - due to the injury to the hole by the patient after the operation. However, the etiology of complications may also include injuries during removal (gums, alveoli, vessels) and organism diseases (sepsis, hypertension, leukemia, the first 2 days of the menstrual cycle in women, receiving aspirin and its analogues, diabetes).

The process of preventing bleeding depends on what causes it: local causes are eliminated by imposing seams to the place of breaks or the application of the cold, using a tampon. If bleeding is caused by low blood coagulation, medications that contribute to increasing coagulation are used.

Sometimes after removal, the patient's tooth complains about numbness in the oral cavity. Symptoms can be expressed in a period of 1 to 30 days and even more. The cause of paresthesia lies in nerves damage. Accelerate the restoration of damaged tissues, dentists can by appointing the patient with vitamins B and C in the complex with the injections of galantamine and dibazole.

Neighboring teeth change position, Popov-Gordon's effect

The body does not tolerate emptiness, so after removing the tooth and a long lack of analogue in its place, neighboring teeth (and tooth on the opposite jaw) seek to fill the resulting space, leaning towards the well. Obviously, with such a situation, a dentition is changing, which leads to curvature, a change in chewing load and bite.

The problem can be solved by replacing the missing tooth an analogue after healing the wells and the restoration of fabrics: the implant, prosthesis.

Message of the cavities of the mouth and nose

When extracting the molars and premolars of the upper jaw, the bottom of the sinus of the upper jaw may be injured, which will lead to the occurrence of the connection between the oral cavity and the cavity of the nose.

It is noteworthy that this complication arises, even if, from the side of the dentist, all actions were performed correctly. Its reasons are usually:

lack of a bone partition or close fit of the roots to the sinus;
bone destruction due to chronic inflammation flow in the top of the tooth root area;

The complication requires the operational intervention of the specialist, since the ingress of food and drinking into the nose through the oral cavity as a rule leads to inflammation in the sinus (sinusitis), which in itself is a very unfavorable consequence and requires a long and complex treatment.

Intervention is not carried out only if the acute purulent sinusitis of the upper jaw has developed.

The emergence of other complications leads: incorrect actions of the doctor and the characteristics of the patient's body.

improper use of forceps and, as a result, the defeat of the ridge of alveolar tissue;
erroneous extraction of the incarnation of the tooth for knowing the doctor by the extraction of dairy;
injuries of neighboring teeth due to the careless work of the dental surgeon;

weak or defective teeth, located near, can break during the operation on the causal tooth;
low strength of the causal tooth, which is the cause of its fracture and the need to remove parts;
weak jaw tissue, which increases the risk of its fracture and the emergence of complications;
individual features of the structure of the roots, jaws and the location of the nerves.

To prevent the occurrence of complications due to the patient's fault, it is very important to observe all the prescriptions of the dentist's doctor, namely:

First day after surgery: Mounted tampon hold in the mouth for 30 minutes, 2 hours do not eat food; Do not load food and not touch the tongue and toothbrush area of \u200b\u200bthe well;
2-3 days after the operation minimize the load on the teeth, located in the extraction zone, limit the reception of solid and hot food, giving preference to soft and liquid;
Refrain from smoking (in order to prevent the occurrence of a vacuum in the well) and try not to take alcoholic beverages;
Purchase soft toothbrush For sparingly cleaning the remote tooth zone a few days after the operation, in the first days it is better not to clean the injured zone at all;
The day after the operation makes the mouths for the wells (in no case rinse) from warm salted water (but not special rinsers).
Do not play sports within 2-3 days;
Do not take a hot bath on the first day after removal;
Do not take aspirin and its analogues.

Alveolite after the removal of the tooth: treatment

From this article you will learn:

why hurts a hole after removing the tooth,
what is alveoli: photo and video,
how the treatment of alveolitis is carried out.

The article is written by a dentist's surgeon with experience over 19 years.

Alveolit \u200b\u200bis a classic complication arising from the removal of the tooth, and is to develop the inflammation of the well-removed tooth. Often, alveolit \u200b\u200balso refers to the term "dry hole" (this is due to the fact that the alveolar bone is exposed in the depths of the well, due to the loss of blood clot).

On average, alveolitia after removal of the tooth is developing in 3-5% of cases, but this concerns the teeth of any localization with the exception of the teeth of wisdom. When removing the latter, alveolol arises already in 25-30% of cases, which is associated with greater complexity and trauma of the removal process.

Dry well after tooth removal: photo

About how normal healing of the wells should look like (on different timing From the moment of deletion) - you can see in the photo in the article:
→ "How should the hole look like after the removal of the tooth"

Alveolit \u200b\u200bafter the removal of the tooth: symptoms

Concerning common symptoms, since alveolit \u200b\u200bis not an acute inflammatory process - it usually does not occur with fever or inflammation. submandibular lymph nodes. However, with its long-term flow, patients often feel weakness, quick fatigue, and a temperature may be raised (but not higher than 37.5 degrees).

With the development of Alveolitis, pain usually occurs on 2-4 days from the moment of removal, and can continue from 10 to 40 days - in the absence qualified treatment. Sometimes pains are so strong that even very strong analgesics are not saved. In addition, almost all patients celebrate an unpleasant smell of mouth, an unpleasant taste in the mouth.

By the way, if the alveolar bone is naked, then it is usually extremely painful when tapping, as well as in contact with cold or hot water. In some cases, the edges of the mucous membrane converge towards each other above the hole, which is absolutely not visible what is happening in its depth. But when washing such a well from a syringe with an antiseptic - fluid will be muddy, with a large number of food residues.

Dry well after removing the tooth of wisdom -

Alveolit \u200b\u200bafter removal of the tooth wisdom may in addition to have several other symptoms (to the above). This is a difficult disclosure of the mouth or painful swallowing. Also, due to the fact that the hole of the 8th tooth is usually in the depths of soft tissues - there is more often the fosterness from the wells (see Video 2).

Alveolitis: video

On video 1 Below you can see that there is no blood clots in the hole, the bone is naked there, as well as in the depths of the well filled with foodstuffs. And on video 2 - alveoli of the lower teeth of wisdom, when the patient presses the finger on the gum in the region of 7-8 of the teeth, and an abundant purulent separated from the wells.

Dry well after tooth removal: Causes

There are many reasons because of which the alveolius develops. It may also arise due to the fault of the doctor, and by the fault of the patient, and for not dependent reasons. If we talk about the patient's responsibility, then alveolit \u200b\u200bmay occur when

poor oral hygiene,
the presence of unbearable carious teeth,
due to smoking after removal,
when ignoring the recommendations of the doctor,
if you strongly rinsed the mouth and just fed the blood clots from the well.

Also Alveolit \u200b\u200bmay occur in women due to increased content estrogen in the blood during the period of the menstrual cycle or as a result of taking oral contraceptives ( contraceptive tablets). The large concentration of estrogen leads to the fibrinolysis of the blood cloudy in the hole, i.e. To the degradation and destruction of the clock.

It is because of the fibrinolysis that the blood clots are destroyed and with poor oral hygiene, and in the presence of carious teeth. The fact is that pathogenic bacteria living in large quantities in the composition of dental sediments and in carious defects are distinguished toxins, which, as well as estrogens, lead to the fibrinolysis of blood clot in the well.

When Alveolit \u200b\u200barises due to the fault of the doctor –

If the doctor left a twist of the tooth, bone fragments, minor bone fragments, which lead to injury to the blood clot and its destruction.

Large dose of vasoconstrictor in anesthetic -
alveolit \u200b\u200bmay arise if, during anesthesia, the doctor introduced a large amount of anesthetic with a high content of vasoconstrictor (for example, adrenaline). Too much of the latter will lead to the fact that the hole is simply not filled with blood after removing the tooth. If this happened, the surgeon must raise the bone walls to the tool and cause moon bleeding.

Due to the big bone injury during removal -
as a rule, this takes place in two cases: firstly, when the doctor cuts the bone bone, without using water cooling of the bone in general (or with its insufficient cooling). Overheating of the bone leads to its necrosis and the launch of the process of the destruction of the bunch.
Secondly, many doctors are trying to remove the tooth for 1-2 hours (using only tongs and elevators), which cause such injury to these tools that Alveolit \u200b\u200bis simply obliged to develop. An experienced doctor, seeing a complex tooth, sometimes immediately breaks the crown into several parts and removes the tooth in fragments (spending it only 15-25 minutes), and will reduce the injury.

If, after complex removal or removal against the background of purulent inflammation, the doctor was not prescribed antibiotics, which in these cases are considered mandatory.

Conclusions: Thus, the main reasons for the destruction (fibrinolysis) of the blood clot are pathogenic bacteria, excessive mechanical injury of bones, estrogens. The reasons for the other character: smoking, loss of a clot during the rinsing of the oral cavity, and the fact that the hole is not filled with blood after removing the tooth. There are not dependent on the patient, nor from the doctor's causes, for example, if the tooth is removed against the background of acute purulent inflammation - in this case it is stupid to accuse the doctor in the development of Alveolitis.

Alveolitis treatment -

If alveolo is developing in the hole after removal of the tooth, treatment at the first stage should be carried out only at the dentist surgeon. This is due to the fact that the hole can be filled with the necrotic breakup of the blood clot, there may be low-lifting fragments and bone fragments or tooth. Therefore, the main task of the doctor at this stage is to scream all this from the wells. It is clear that in no patient to do it yourself - it will not work.

Antiseptic rinsing and antibiotics (without cleaning the wells) - can only temporarily weaken the symptoms of inflammation, but do not lead to the healing of the wells. But at a later stage, when inflammation in the hole will subscribe - patients will already be able to independently handle the well with special epitheliasis to accelerate its healing.

Thus, the main method of treatment will be the mains of the wells, but there is also a second technique - by creating a secondary blood clots in the well of a remote tooth. Read more about these methods ...

1. Kyuptage tooth hole with Alveolitis -

Under the anesthesia, the injected blood clots, food remains, necrotic bloody fall from the walls of the wells are removed. Without removal of necrotic plaque and decay of the blood clots (containing a huge amount of infection) - any treatment will be useless.
The well is washed with antiseptics, sucked, after which it is filled with an antiseptic agent (iodoform turf). Usually every 4-5 days, Turund must be changed, i.e. You will have to go to the doctor at least 3 times.
The doctor will appoint you antibiotics, antiseptic baths, as well as painkillers - if necessary.

Appointment of a doctor after a keget of the bowl of the tooth –

NSAID-based analgesics (pain),
0.05% chlorhexidine solution for antiseptic rinsing (2-3 times a day to 1 minute),
Antibiotics: Usually, the amoxiclav 625 mg tablets are usually prescribed (2 times a day 5-7 days), or Unidox-Soluteab 100 mg (2 times a day 5-7 days). These antibiotics are better, but not cheap. From inexpensive - Lincomycin capsules 0.25 (2 capsules 3 times a day), but note that after this antibiotic problem with the stomach and intestines develop more often.

2. Method of creating secondary blood clots -

However, there are 2 situations in which another treatment method can be applied. This method involves the creation of a secondary blood clots in the well and, accordingly, in the event of the success of the hole, it will be healed much more rather than after constant laying of iodoform turbors within 2-3 weeks. Use this method preferably only in the following two situations ...

First - when you turned to a doctor immediately after, for example, you mooded a clush from the well or he fell (i.e., when the hole is not yet filled with infection and foodstuffs, and there is also no necrotic breakdown of a bunch or Thinking). Secondly - when the patient has a sluggish alveolite for a long period of time, and the hole is filled with inflammatory granulations.

How this technique is held -
if the hole is empty, then under the anesthesia, the bone walls of the wells screamed by a curetable spoon to create bleeding and well filled with blood (video 3). If the hole is filled with granulations, they scrape them carefully, i.e. Make the same Cureager (video 4). Further in both cases, after the hole is filled with blood - an anti-inflammatory drug (alvoworn) is placed deep into the wells, and several seams are superimposed on the mucous membrane to bring the edges of the wound. Antibiotics are immediately prescribed.

Curetzh to create a secondary blood clock: video 3-4

Summary: those. And at the first, and with the second methods, the keystegger of the wells is equally carried out, but in the first case, the hole heals slowly under iodoform turtles, and in the second case, the blood clot is formed in the well, and the hole heals, as and should do it under normal conditions. .

What can be done at home -

After an element of acute symptoms of inflammation, the need for antiseptic tours inside the wells is absent, because They do not help the wound faster to heal (epithelision). At this stage, the best method of treatment will be filling the well to a special dental adhesive paste (solkozeryl). This drug has an excellent painkillery effect (after 2-3 hours, pain will almost cease, and after 1-2 days they will be completely), as well as many times accelerates healing.

Scheme of Use -
in the washed with an antiseptic and slightly dried by a dry gauze swab hole - this paste is made (completely filling the hole). The paste is perfectly fixed in the well, does not fall out of it. It is not necessary to clean the paste from the well, because She herself slowly absorbed, giving way to growing gum tissues. The only thing that may be required is to periodically report it to the hole.

How to wash the well from food residues -

In some situations (when Turunda dropped from the well, and there is no possibility to apply to the doctor immediately) - it may be necessary in washing the wells. After all, after each intake, the meal of the hole will be clogged by foodstuffs that will cause new inflammation. Rinse here will not be able to help, but you can easily rinse the well with a syringe.

Important : Syringe from the very beginning must be bored with a sharp edge of the needle! Next, be a little belling the needle, and fill 5.0 ml of the syringe with a solution of chlorhexidine 0.05% (it is sold ready in each pharmacy for 20-30 rubles). Tightly screw the needle so that it does not fly when you press the syringe piston! Place a stupid end of a boried needle in top Well (do not enter too deep to not injure fabrics), and rinse the well under the pressure. If necessary - do it after each meal.

In principle, after that, the well can be heated with a gauze tampon and treat solkosyril. We hope that our article on the topic: Alveolit \u200b\u200bafter the removal of the tooth symptoms, treatment - it turned out to be useful to you!

Sources:

1. Higher Prof. The formation of the author by surgical dentistry,
2. Based on personal experience work surgeon dentist,
3. NATIONAL LIBRARY OF MEDICINE (USA),
4. "Ambulator surgical dentistry" (Bezrukov V.),
5. "Propaedeutics of surgical dentistry" (Solovyov M.).

Hemostasis and bowls after removal of the tooth

Successful tooth removal operation or root is not enough for successful outcome operation. Many complications are developing with improper care of the well and oral cavity in the postoperative period. The dentist is obliged to make recommendations to the patient and with a lack of information to train the patient with some elements of self-like, and also to prevent possible complications in non-compliance with the recommendations of the doctor.

The extracted tooth or the root should be carefully examined and make sure that it is completely extracted. Therefore, everything extracted from the wells should be added to a separate napkin or in the tray, rather than throwing into a caulient. Then follow the inspection of the wells. A smaller surgical spoon is very gently examining the bottom and walls of the wells, not traumating the fabric. Freely lying alveoli fragments or tooth fragments are removed.

When softening at the day of the Alveola is detected, which indicates the growth of granulations, they are scraped from the walls by very cautious movements and removal from the wells. The sharp edges of the alveoli and protruding the gum edges of the bone well are busting with nipples, as they will interfere with healing and bring painful sensations to the patient.

The use of adrenaline is more than necessary, can lead to periodontal vessels. In such a situation, bleeding in the well is practically absent and blood clot is not formed. In this case, it is possible to carry out lightweight walls of the holes of the well or in the hole to pour a bit of penicillin powder, which will provoke bleeding.

After revising, the wells inspect the gum in the field of surgery. With coarse removal, with non-compliance with the removal technique, the gums may occur during accidental slipping tool. The detached fabrics gently laid in place and, if necessary, strengthen the simple node seam. Highly well-smelled fabrics are expediently excised.

After inspecting the holes of the edge, it is brought together with a small force and overlap the sterile gauze ball over the holes. The patient is offered to bite the ball and hold it for 10-15 minutes. More than this ball is not held, since he has intimidated by saliva and separated from the well, it interferes with the formation of blood clot and is a source of infection. If, after removing the ball of bleeding, there is no bleeding, the patient can be released, giving him recommendations for the care of the oral cavity and assigning a re-visiting after 3 days.

In the first 24 hours:

if there is bleeding:
- take a clean wet piece of gauze, minimize, put on the well from above, bite on 45 minutes;
- do not touch, do not move and not remove the blood clots from the wells. Otherwise, the "dry hole" may form;
- do not rinse the mouth and do not spit;
if, after that, the bleeding will not stop for 2 hours, then you should appeal to the doctor again;
do not cozy the wound, even if the taste of blood in the mouth is unpleasant, except that the doctor himself recommends to do this;
avoid hot soups and coffee;
do not smoke, do not take alcohol and not expose yourself to heavy physical exertion for 48 hours;
with moderate pain, taking painkillers - analgin, Ketorol, Nace, etc.;
before going to bed, add an extra pillow under the head so that the head remains raised;
take advantageously semi-liquid, fret food. Chew another side of the mouth. Avoid hot liquids - can cause blood clots;
do not brush your teeth next to the hole. On the second day, resume the correct hygiene, but very carefully. Do not use rinsers for the mouth;
if there is a tumor, apply cold and warm gauze napkins for 20 minutes;
if on the third day after surgery, there is a sudden again with pain or swelling will appear, you should immediately turn to the dentist.

In the following days:

after receiving food and rinse the oral cavity with a warm solution of antiseptics (breeding to carry out boiled water): 1-2% sodium bicarbonate (1 hour l. On a glass of water); Potassium permanganate (1: 1000); Furatcilina (2 tablets for a glass of water) and others;
if there are seams - do not touch! Some seams are self-dissipating, others will remove the dentist in 7 days;
over time, the shape of the well is rounded and fill with bone tissue. For complete healing, you will need a few months, but you will stop feeling inconvenience in the mouth after 1-2 weeks.

The patient needs to be warned about some complications!

"Dry well" - This is the most frequent complication. "Dry well" appears when the blood clutch was unable to form it or was washed. Since the formation of a blood clot is an important part of the healing process, tightening the wells is postponed. Usually the patient is experiencing a stupid pain, which takes place on the 3-4th day after removal. Power of pain varies from average to strong. Often there is a repulsive smell. In the case of a "dry hole", visiting the dentist must. The doctor will put a gauze impregnated with medicine in the wound, which will help reduce pain. Gauze Tampon will need to change every 24 hours until the symptoms decrease. This complication occurs more often from people over 30 and in avid smokers.

Paresthesia. During the removal process, the nerves may be damaged. As a result, there is numbness of the tongue and chin (paresthesia), cheeks and lips. The perception of paresthesia is similar to a feeling that the dentist makes you anesthesia, with the only difference that it will not disappear in a few hours. Parentesia is a temporary phenomenon, lasts from 1-2 days to several weeks. However, if the nerve was seriously damaged, the paresthesia can become permanent.

Bleeding. Currently, the problem of hemostasis after the removal of the tooth did not lose its relevance, despite the sufficient number of hemostatic agents.

The cause of moon bleeding is more often a bone injury due to complex dental removal or removal of atypical teeth roots.

With moon bleeding, thrombin, hemostatic sponge, caproofen, hemostatic sponge, caproofen, hemostatic, Honzurid, Tamponade iodoform Torund and other means are used. Gelevin and Honsurid are used according to the following procedure: after removal of the tooth, the revisions of the well and filling it with blood in the hole, 0.3-0.5 g of geeline or 0.1 g of Honzuride is brought. Then the gauze ball is compressed the edges of the wells. With the ineffectiveness of geeline or Honsurida or in the presence of strong moon bleeding, it is advisable to introduce oxycetex to the bleeding hole, prepared according to the instructions, or the dental pin "TRACOM"; For the rapprochement of soft tissues at the edge of the wells, one or two sutures can be applied. This allows you to achieve a stopping of moon bleeding in 100% of cases.

Healing of the well after removing the tooth. Normably after removing the hole is filled with blood. As a result of spasm of vessels and thrombosis, bleeding is stopped after 3-7 minutes, and in the future the blood clots are formed. More observations of the Great Russian Surgeon N.I. Pirogova showed that the presence of blood clot is favorably reflected on the healing of the bone wound (the pain quickly pokes and fully passes on the 2-3rd day, rarely arise in inflammatory complications), and in the absence of a bunch, healing flows slower and arises a number of complications.

Blood clutch performs the role of a biological bandage, protecting the walls of the well from infected saliva.

Research A.E. Verlotsky showed that the healing of the operating wound after removal flows as follows. From the bottom side and the edges of the wells and the subepithelial layer of the gauze, a granulation tissue is formed, which grows in the blood cloudy and replaces it. On the 7-8th day, granulation tissue completely fills the well and ends with epithelization. At the same time, the formation of bone tissue and dissolving damaged bones begins. By the end of the 3rd week, the epithelium has a normal thickness. By the end of the 4th week in the region of a remote tooth on a radiograph, a wide-strained network of bone beams is visible. By the end of the 2nd month, the border between the wall of the well and the bone regenerate is barely visible, the space between the bone beams is filled with the red bone marrow. After 6 months, the remote tooth hole is no different from the surrounding fabric. But there is a decrease in the height and thickness of the alveolar edge of the jaw approximately 1/3 of the initial value.

This circumstance must be taken into account when replacing the defect defect with the dentures.

With complicated flow postoperative wound The period increases significantly.

"Practical Guide to Surgical Dentistry"
A.V. Vyazmitin

Healing of the well after removal of the tooth

The removal of the tooth may seem like a simple procedure, for which it is enough to pull the sore crown with forceps. In fact, it requires careful preparation and compliance with a certain algorithm for action. The quality of the extirpation of the teeth is affected by the force that the dentist and the overall condition of the oral patient is applied.

After removal, the bleeding wound remains on the gum - the gum hole, which first hurts and swells.

Painful sensations and bleeding on the first day after the procedure are a normal reaction, but when the well after removal of the tooth does not heal for a long time, the flare is formed and inflammation is defined, it is defined as alveolit \u200b\u200bthat requires medical treatment. Normally heals the hole after removing the tooth in a few days. But there are a number of reasons that may disrupt this process by proving complications in the area of \u200b\u200bthe eliminated tooth.

Restoration after removal of the tooth

For normal healing, the tooth's wells after extraction should be followed by certain rules. postoperative care. The list of recommendations for all patients is standard, may differ only to the names of the drugs that should be prescribed an exclusively attending physician. To eliminate dental pain after the tooth has been pulled out folk recipesUnless they can cause allergies or irritation of the mucous membrane.

Normally, after extraction, the tooth should form a blood clutch that protects the well from pathogenic microorganisms and warns bleeding. But this process may violate for various reasons, and the dry hole after removal of the tooth increases the risk of infection in the deep layers of periodontal and bone tissue.

What to do for the normal healing of the gums after the removal of the tooth:

refuse smoking at least a few hours after surgery;
take antihistamine and anesthetic medicine appointed by the doctor;
while cleaning the teeth to bypass the hole, in order not to damage the blood clots;
for several days to refuse too hot food;
try to chew on a healthy side;
rinse with antiseptic solutions;
it's hard not to rinse your mouth so as not to wash the clock.

Why hurts hole

Healing of the well after removal of the tooth for some time accompanied by pain. In dentistry, good painkillers are applied, because during the operation the patient does not feel anything, but after a few hours there is a moderate butting pain. The duration of this symptom will depend on the degree of traumatization of the gum during the extraction of the teeth.

In case of difficult removal, the mucosa can be significantly damaged, because during the recovery period you have to use painkillers of dental gels and take anti-inflammatory pills. It also concerns the removal of the tooth of wisdom to which it is difficult to get to, so the removal occurs in several stages with significant damage to the soft tissues.

Pain for 1-3 days after treatment is normal. If the symptom is preserved within a week and longer, you need to urgently go to the doctor for appointing treatment.

The main cause of pain will be the development of Alveolitis - inflammation of the wells of a remote tooth. This complication may proceed with a slight degree of expression of symptoms, less often occurs abundant education and the selection of pus from the wound, swelling the cheek strongly and signs of general intoxication appear.

Alveolit

After removal of a native tooth, you can face such a problem as Alveolit. The condition is characterized by inflammation of the gums, the absence of blood clots, edema and pain. The violation is accompanied by the infection of tissues, the color of the well is changing, the temperature of the body is raised less often and bleeding from the wound.

Why, after removing the tooth in the hole, there is no clutch and inflammation begins:

the injury of the walls of the wells, which often happens when removing the teeth of wisdom;
thermal impact on the gums immediately after the operation;
active rinsing of the mouth, flushing a clock;
too diligent cleaning of teeth on the first day;
weakened immune defense, acute infection At the time of operation;
blood coagulation disorders;
ignoring the rules of care for the well after treatment.

The first manifestations of the alveolitis are more often observed for 2-3 days after the extraction of the tooth. The resulting wound can start bleeding, but not always. Most often, the main symptoms are strong pain, the edema of the gums and the general weakness due to intoxication of the body.

How else alveolitics manifests:

Serous form. Permanent pain in the area of \u200b\u200bthe remote crown, an increase in temperature to subfebrile. Overall health is not much. In case of examination, the doctor sees the absence of a blood clock, hyperemia of fabrics, food remains in the well. This stage occurs within 2-3 days, then complicated.
Purulent form. Pronounced pain, rotten smell of mouth, increase temperature to febrile. Weakness, indisposition, no appetite is accompanied for 1-3 days, then the process goes into a chronic current.
Chronic form. The general condition is normalized, but there is weakness and body temperature of 37-37.5 degrees. Fabrics elaborates, there is a good pain and sensation of the gums. The isolation of a pus from partially overgrown wells. The color of the well becomes shiny. There is pain in the chewing and opening of the mouth.

For the treatment of Alveolitis, the doctor will appoint anti-inflammatory drugs, analgesics, antibacterial agents and antiseptics for washing the inflamed well. When there are neurological pains, the reception of Finlepsin is shown, with long-term treatment antibacterial agents Additionally, messenger or omeprazole is prescribed. A surgical surgery may be required when the pus is accumulated in the hole does not stand out outward, and squeezes the surrounding tissues. It threatens its exit inside, infection of periodontal tissues and bones.

Other complications

Alveolitis can accompany bleeding, hematoma, tissue infection, cyst and flux formation. Each state is dangerous in its own way and requires a separate approach in treatment. Their self-treatment at home is permissible, but only after inspecting the dentist and the appointment by a drug therapy by a physician. The risk of developing consequences increases when the tooth was diverged in the background of acute inflammation and purulent focus.

Features of various complications after extirpation:

cyst - formed as a result chronic inflammation without treatment initial stage It is eliminated by drugs, later it may be necessary to surgical removal;
flux - arises due to infection of tissues in the process or after extraction, first amazed soft fabricsand then the periosteum;
hematoma - occurs when injuries of the vessel during surgery, fabrics become bluish, swell, there are sensations of cutting;
bleeding - Also the result of the injury of the vessel and problems with blood clotting, the condition is not dangerous, it arises immediately after treatment and the doctor quickly eliminates the problem.

The gums in the norm can be exhausted about a week, after extraction of the eight - up to 14 days, with a complex removal of indigenous teeth - 10-14 days.

How long heals the gum after the operation will affect the condition immune system. The weakened organism reacts poorly to any surgical interventions, and may not cope with the infection.

What to do with dry hole

The first thing to be done after the accidental removal of blood clot is to consult a doctor. This will give a guarantee of the lack of severe complications that require immediate operation. After that, you need to follow a prescribed treatment with a doctor, additionally resorting to recipes. folk Medicinethat will help to improve the overall well-being and anesthesize the gums.

When the serous stage passed, and the dentist is already observing the purulent process, the keget of the wells will be carried out.

Under local anesthesia, a suction of the gums, removal of purulent contents and washing the wound is carried out. In Lunke, the doctor leaves an antiseptic agent, therefore it will be necessary to go to the reception to change Turundas every 3-5 days. After the procedure, the dentist will prescribe medications that will need to take at home.

To create a blood cluster, the doctor provokes bleeding with the scraping of the well. If it is filled with granulation, Curetzh is carried out. In each case, bleeding will occur and clot. The doctor then can apply several seams to bring the edges of the wound. After that, the gum will be hurting for some time, but not as much as with purulent inflammation.

After a bank, the doctor appoints anesthetic drugs based on anti-inflammatory agents and antiseptic solution For rinsing the oral cavity 3 times a day after eating.

How to eliminate the consequences of the operation at home:

to apply a dental anesthetic gel;
after the sacrament of inflammation, stop rinse the mouth;
take an anesthetic in a period of pronounced pain;
avoid drinking dry food (crub, chips);
rinse with a sodium salt solution after eating;
attach the blade moistened in the cloves.

How to remove inflammation and pain

The best option for eliminating inflammation with edema will be the use of dental gels. They contain anti-inflammatory and painkillers, and also disinfect wound. Gels will also help when a peptic lesion was formed by a consequence of infection or injury of the mucous membrane.

Which gel is suitable for the processing of the gum after dental treatment:

Holovaal - anesthetics, relieves inflammation, destroys bacteria, begins to act within a few minutes, cooling the sick gums;
Metrogil Denta - one of the safest, acts superficially, is absorbed in minor quantities, because it is used in children's dentistry;
Camistad. - not the strongest analgesic, contains chamomile extract and lidocaine hydrochloride;
Asepta - is not medicinal preparationIt has an anti-inflammatory and antimicrobial effect, contains propolis and is significantly inferior in efficiency to other gels.

In addition to dental gels, others can be applied. effective means - Forest balsam for the gum, Malavit.

It is not recommended to apply gels and tablets to your choice if they have already been prescribed a dentist. They differ in action and composition, and some can be absolutely useless with an alveolite or other complication of extirpation.

When, after removal, everything goes fine, there is no inflammation and blood clot is formed, you do not need to constantly think about how to accelerate healing and fanatically rinse your mouth with an antiseptic and lubricate the gale. This will not help, but will contribute to the violation of microflora, which will lead to gingivitis or stomatitis.

The dentist before holding any procedure should be aware of the presence of health problems, even if they seem insignificant. Detection of teeth, like any other surgical intervention in the oral cavity, has contraindications.

in the first few days after surgery, refuse severe physical work;
avoid overheating face from the well side of a remote tooth;
try not to smoke the first 24 hours;
abandon alcohol, in order not to provoke bleeding;
during the day, exclude a visit to the bath.

Smokers, women taking oral contraceptives, patients fall into the risk risk group diabetes. People with impaired blood coagulation are exposed to bleeding. Inflammation occurs in patients who ignore the rules of hygiene in the postoperative period.

Briefly about the procedure

Deleting tooth - a serious full-fledged operation passing in several stages:

processing area that will operate,
the introduction of anesthetic drug.

After anesthetic begins to act, the surgeon moves to the removal of the tooth from the well. To do this, we need to weaken the bundle that captures the tooth. Sometimes a scalpel is used for this.

The final stage is the processing of the wound. The seams are superimposed on the ribbon wounds. If you do not need to sew the wound, the doctor puts the tampon on top of it, moistened in the hemostatic drug. It must be clamped with teeth for 20 minutes.

What happens after surgery?

Do not worry, if in the first few days after the operation you will have an unpleasant odor from the wound, this is a normal phenomenon. Blood accumulates in the well, it is impossible to rinse the wreck, so bacteria accumulates in it. This provokes the appearance of the smell. It is not worth worrying about this if the overall state is normal, the body temperature is not increased and there are no other alarming symptoms.

To talk about the uncomplicated flow of healing of the wells, if:

from the wells does not stand out exudate, if you press it,
pain wears a good character and gradually disappears
the general condition and body temperature is normal,
the swelling of the cheek does not increase
after 2-3 days, blood is stops from the wound.

How does the wound heal?

After the extraction of the tooth, the hole heals a long time even without complications. This is a long process that can delay from a few weeks to several months:

on the second day after the operation, a blood clot appears in the wound, which ensures the protection of tissues from infection and damage,
if the recovery process passes without complications, granulation tissue is formed by 3-4 days,
the next week is the active formation of the layers of the epithelium in the hole, the blood clots is measured with a granular tissue. There is a primary formation of bone tissue,
after 2-3 weeks, the clutch is completely replaced by the epithelium, the bone tissue is clearly visible along the edges of the wound,
the formation of young fabric takes 30-45 days,
approximately two months later, the hole completely overcomes bone (osteoid) tissue saturated with calcium,
by the end of the 4th month after extraction, young bone fabric "grows up", its structure becomes porous,
after the end of the formation of the bone of the wound is absorbed by 1/3 of the root length.

After the operation, the gum sends (atrophy), this process lasts from 6 months to a year.

What affects the healing speed?

The above-described terms are relative and individual, since the set of tissue is influenced by many factors:

surgeon qualifications,
root system status,
hygiene quality
state of periodontal tissues.

Some patients can open well bleeding. This happens because of problems with blood clotting, as well as with arterial hypertension. In this case, it is necessary to normalize the blood pressure to stop the bleeding.

Alveolit

increasing pain, which gradually applies to nearby fabrics,
as the inflammatory process progressing, the symptoms of general intoxication of the body are manifested: lubrication in body, weakness, the temperature may increase,
evenum with gums applies to adjacent fabrics,
the gum mucosa blushes, after can acquire a blue shade due to blood stagnation,
due to falling into the rink, food residues often arises an unpleasant smell of mouth.

How to care for the well after surgery?

not blow around
it is extremely gently brushing the teeth near the operated area,
refrain
instead of rinsing makes mouth baths,
comply with a diet
avoid contact with the wound (not touching it with tongue, brush, toothpicks),
refrain from cleaning teeth on the day of extraction.

Other complications

In most cases, all complications after extraction are developing due to an infection that has fallen into the well for various reasons. It can be:

Is this normal if after removing the tooth the blood cluster was not formed?

Blood clutch in the well after the removal of the tooth

Important! Trombus cannot be touched, move, try to pull out or deepen it even more. Otherwise bacteria will fall into the body through the well And the process of inflammation will begin.

Healing of the wells: how many days the thrombus holds

Healing of the wells occurs for 5 months. In the process of overgrowth, Trombus wound plays a big role.

1 day - There is a blood clots on the place of the well.
2-3 days - A new epithelium begins to appear on the thrombe. As a rule, it is white. but if the epithelium of gray-green or yellow shadeThis is a reason to visit the dentist.
3-4 day - Granulation appear. They cover the blood cloudy. This is normal, you should not be afraid and try to somehow affect the healing process. Usually such a phenomenon looks like a red ball, covered with white threads.
8 day - Granulation almost completely replaced blood clots. At the same time, bone tissue begins to develop.
2nd week - Bush completely disappears, as the wound has already been tightened with a new cloth. Therefore, the thrombus is no longer needed.
2nd month - The well is almost all filled with bone tissue.
5th month - The bone tissue becomes more dense and merged with the jaw.

What does alveolite and other complications look like: photo

Photo 1. Alveolit \u200b\u200b- dry well without blood clot. You can also see a gray or yellow raid.

Photo 2. After removing the tooth, the gums can be swollen and even cheek. You can see swelling or bump on the site of the remote molar.

Photo 3. Bleeding from the well after removal of the tooth - reason to immediately appeal to the doctor.

What to do if blood clots fell on 3 days, washed away or not at all formed

If the bunch fell, consult a doctor as quickly as possible. For treatment in such situations, dentists apply the re-appearance method of thrombus.

Important! In no case you can not repeat this method Alone. This can lead to a strong inflammatory process or damage to the gums. In any case, it will only worse.

The dentist is obliged to confirm or refute the bleeding loss.

If it was formed too big

You can not attend saunas and baths, and also better not to apply hot compresses to the cheek.

If the wound healing brings severe pain, the place is often bleeding and swell, even even do not try to engage in self-medication. So you only damage the gums and make even worse.

Useful video

Look at the video, which tells about possible complications, sometimes emerging after the removal of the tooth wisdom.

What can not be done?

The consequences of the removal of the tooth: how much is blood clot lasts and how to be, if it fell, what does granulation tissue look like?

How is blood clots formed in the well and why is it needed?

The deletion of the tooth in brief can be represented in four stages:

cooperating treatment around the tooth: cleansing, disinfection;
local anesthesia or general anesthesia;
directly removal of the tooth;
wound processing, possibly imposition of seams.

After stopping bleeding at the place of a remote tooth, a dark red or burgundy thrombus begins to form. On its full formation takes 1-2 days.

Paints and swelling in the operated region usually last 1-2 days, have a good character and gradually weaken. In the Alveolitis, pain becomes acute, increases and goes to neighboring areas, and edema can capture most of the oral cavity, making it difficult.
After removal of the tooth, the temperature may be slightly climbed (more in the article: what to do if the temperature rose after the removal of the tooth of wisdom?). With alveolitis, the heat rises above 38 degrees, and other symptoms of intoxication are manifested: weakness, lubrication in limbs, dizziness.
The first days of the hole may unpleasantly smell due to the accumulated blood. In the alveolite, the smell becomes stronger and gives rot.

Normal healing of wells: process description, photo

First day: Thromb is formed at the place of remote tooth. It serves as a kind of barrier from bacteria and mechanical influences. Further healing of the wells depends on the formation of the bunch.
The first week: the formation of granulation tissue begins. Within two days, the thrombus is covered with a whitish film, which can alert the patient, but it is not necessary to consider this flight. If the film acquires a green or yellow shade and smells a lot of rot, it is necessary to contact the dentist.
The first month: the formation of epithelium and bone structures begins. Blood clutch is absorbed, and the wound is tightened with a new cloth. Bone cells become visible, which completely fill the well for 1-2 months.
After 4-6 months, the bone tissue is fully formed, compacted and finally merged with the jaw. The healing process is significantly complicated and slowed down, if in the first stages from the wells shifted or washed out of blood clots.

How to save a clutch in the well and what to do if he fell?

To the clutch does not fall, you need to follow the following rules:

Do not rinse the oral cavity for the first 2-3 days (see also: Do \u200b\u200bI need to rinse your mouth after removing the tooth?). According to the recommendation of the doctor, it is permissible to make antiseptic baths, holding a slightly warm liquid in the mouth and neatly touching.
Do not touch the place of remote tooth. Try not to touch the thrombus for a fork, toothpick or tongue. On the first day it is recommended to not even clean this area with a toothbrush.
Exclude active physical exertion. It is also recommended to limit your facial expressions and extremely carefully moving the muscles of the mouth. If the seams are applied, they may dispense from sharp movements.
Eliminate the effects of heat. Do not attend the sauna and bath, do not eat hot drinks and food.
Refrain from alcohol and smoking at least 1-2 days.
Observe a diet. For the first 2-3 hours after surgery, do not eat at all, then use only soft warm food.
Observe hygiene. Use a soft brush in the morning, in the evening and after each meal. Near the thrombus, clear especially neatly.
Do not drink through the tube. It is widespread that after removing the tooth, food and liquids are better to use through the tube, but the absorption can shift the thrombus.

Education of blood clot after removal of the tooth: complications and recommendations

The deletion of the tooth can be represented as an operation, because it is impossible to do without surgical intervention. Naturally, such a procedure cannot pass without a trace, there are always "side effects" that appear during the recovery period.

One of them is blood clots after removing the tooth. What it is? Is it dangerous? What measures should take when it appears?

What is blood clots?

Why is it important to form a bunch?

The cluster becomes a kind of "barrier" for the newly formed wound. He will protect the hole from penetrating foods, bacteria and other malicious factors into it.
With it decreases the likelihood of the deformation of the gums.
The dried blood formed after the removal of the tooth is capable of preventing irritation of the mucous membrane.
After removing the tooth, the gums may be sick for several hours and even days. Especially, discomfort will appear when foreign substances appear in the well. The pain will begin to retreat immediately how the protective "barrier" is formed

How should the well look like a hole after removing?

There are several characteristic features of how the hole should look after the removal of the tooth:

As soon as the dentist seized the root from the gum, there should be a small bleeding from the well. In most cases, this happens immediately after removing the tooth and lasts a few minutes. Exception is the use of anesthetics anesthetics, they contribute to the narrowing of the vessels. Accordingly, the well after operational intervention will remain dry. Bleeding will occur after the end of the medical preparation. This may happen a few hours after removing the tooth.
The first stage of the healing of the wells is the formation of a pronounced bunch having a rich red shade. Its size is approximately equal to the size of the wounds (it must completely overlap the hole in the gum).
If the healing process occurs normally, it must change the color for several days, becoming yellowish-pink. Depending on the characteristics of the body, the age of a person and the presence of bad habits, this stage can last from one day to three weeks.
Next, the head of the healing of the wells should come. That is, blood clots will begin to pull the gums. This process passes gradually, starting from the edges, gradually turning to the center.
2-3 months after the removal of the tooth, the wound must fully recover. That is, there should be no trace from the well. Bone tissue must be formed.

During the healing of the wells, some side effects may appear, such as the formation of pus, small swelling and unpleasant pain.

the process of healing of the wells

However, there are several complications, with the appearance of which it is recommended to immediately consult a doctor.

Possible complications

Pain is the natural component in the process of healing tooth. Without her restoration is possible only in rare cases. However, it should be lowered and undergoing an anesthesia. If the pain is acute, does not pass for several days and does not reduce medication - this suggests that the healing process is not correct.
Dentists assure that in the norm, bleeding from the wells should last from 3 to 30 minutes. Maximum - 1 hour. If it lasts longer than three hours, it means that an open threat to health has appeared. It is worth paying attention to her color. Alay Blood is not the most pleasant sign.
The jaw may, as if, on the period of several hours after surgery. However, it should not continue more than a day.
The most dangerous symptom is an increase in body temperature up to 38 or more degrees. Normally, when the healing process should not be.
Another type of complication is the formation of plenty of edema, because of which even becomes problematic to open the mouth.

As mentioned earlier, after removal of the tooth for a few minutes, the gums will bleed. To prevent this unpleasant symptom, you need to use a disinfected napkin. It should be applied to the area of \u200b\u200bthe well and tightly press until the blood stops.
Do not neglect medical preparations prescribed by a dentist. They contribute not only to a decrease in pain, but also a full healing of the wound. Take them should be strictly according to the instructions, observing the dosage, temporary intervals and course of treatment.
Brushing your teeth only with a soft toothbrush. Do it you need to do the most accurately.
It is recommended to temporarily abandon solid and hot food, any heating of jaws is not allowed. In the minimum quantity you can eat dairy products. It is desirable to eat through the tube.
If possible, physical exertion should be reduced, especially for swimming in the pool. It is best to spend the next three days after operating interference in a calm rhythm.
The most negative factor during the restoration of the well is the presence of bad habits. It is recommended to abandon alcohol and nicotine intake.
Also, you should not try to "sink" educated clot and touch the gum with hands or tongue. The first time, the new wound will cause discomfort, but it is necessary to endure it. Anyone, even the most minimal intervention, can adversely affect the process of restoring the tooth.

How is the formation of blood clots after removing the tooth?

The mechanism of the formation of a bunch

After half an hour, blood clots begins to form in the rink.

If the operation was complex, a large area is damaged, the edges of the gums are strongly spontaneous, the doctor imposes seams. They will help keep clocks in Alveole.

Stages of healing of the wells

After extraction, the healing process begins (reparation). Looking after removing the tooth as a deep wound with torn edges. The direct restoration of vessels, nerve endings and soft tissues lasts 2 - 3 days. The formation of a new epithelium ranks 14 - 21 days. On the complete restoration of bone structures leaves 4 - 6 months.

Reparation takes place in several stages:

1st day. In the alveolo, a dark red thrombus is formed, sometimes border color.
2 - 3rd day. Blesley films appear - a young epithelium. Such a color is due to the washing of hemoglobin and the formation of fibrin. It is worth alert, if a gray-green, yellow shade is placed, a rotten smell is heard.

The fullness of the wound is delayed in about 2 weeks.

Important! The patient feels pronounced pain only 2 - 3 days. Minor unpleasant feelings are saved for a couple of weeks until the wound will be delayed with epithelial cloth. The remaining processes proceed asymptomatic.

The listed stages are characteristic of normal healing. If the removal was complex, or the bunch fell at some stage, the reparation is delayed.

How to prevent bunch dropping?

The formation of thrombus is extremely important for normal reparation. To prevent its loss, the following recommendations comply:

do not butt the mouth 2 - 3 days - only baths are allowed by antiseptic solutions;
do not try to feel the hole with the language, clean out of it with toothpicks;
clean the teeth with a soft brush in the morning, in the evening and after each food intake, carefully passing by it next to the operated site;

Blood cluster protects the wound from infection.

What do we do when the tooth snaps? Still under the office, many inspect the traces of the operation, fearing for its consequences. Fear is enhanced after the end of the effects of painkillers: how long should the wound hurt, and when will the bleeding cease?

Blood clutch after removal of the tooth

In the first day, a blood cluster appears on the site of the elbow tooth - an important condition for high-quality wound healing. In order for the recovery proceeded without serious consequences, it is important to know how the wound should look like during the extraction, which is needed and what cannot be done with it during the recovery period.

Preparation for a visit to the dentist

If you prepare for the operation for all the rules, many unpleasant consequences can be avoided.

A few words about the procedure

Dental removal - full-fledged surgical intervention. The operation consists of four stages.

Processing the zone around the tooth, which is subject to removal.
Injection anesthetic - ampoules in karpulas, where the painkiller combines with drugs for the narrowing of the vessels. Usually apply local anesthesia to the nerve outlet zone innervating a problem tooth, if it is not enough, anesthetics are added without additional effect. When the drug is introduced into the inflamed gum with an acidic medium, part of it is inactivated, so use additional anesthesia.
Extracting the tooth after the anesthesia earned (the gums are narrow, the vessels are narrowed). To cut off the ligaments that lock the tooth use the scalpel. The choice of tools and the duration of the procedure depends on the state of the tooth.
The treatment of the oral cavity after removal: the overlay of the seams (if the wound - ripped or its edges are located far from each other) and the gauze tampon impregnated with the hemostatic means (it must be held in the teeth of 20 minutes, since the effectiveness of the hemostatic preparation increases the squeezing of the wounds). Do not rush to remove the tampon.

Dumna section

Preparation for removal

Removal of a tooth

Installation of Tampon

Seam overlay

Bleeding itself from the wells of deadly danger is not boring. In medical practice, only one case of a fatal outcome was recorded when the blood from the wound got into airwaysSince the patient was in a state of alcohol intoxication. Bleeding was complicated due to the cirrhosis of the liver, violating the coagulation, and the woman was removed at once three teeth at once.

After operation

After three hours, pain relief medicines still retain their strength, so patients of pain do not feel or it manifests itself weak. From the wells all this time, clean blood or sucrovic can be released. If we removed the eight, it can continue all day, as the zone of surgical intervention has more wisdom tooth than other teeth.

Bleeding from the well

On the second day, the hole has an unattractive view: a thrombus with a grayish raid. It looks like a pus, but it is not necessary to be afraid: it is fibrin - a substance that facilitates the restoration of the wound. If everything goes normally, the pain will be new and by the end of the day subsides. If the character of pain is different is a sharp, pulsating, and from the rings of any blood, it is necessary to urgently seem the dentist.

The first time of the hole may smell badly. It is not necessary to fear this: blood accumulates there, and since it is impossible to put it, bacteria are in the wound. If the well-being is normal, there is no heat, reasons for anxiety - too.

The rehabilitation process is normal if:

when touching the wound, Sukrovitsa does not appear;
muskaya pain gradually passes;
the well-being is normal (temperatures up to 38 ° is possible only in the first two hours);
the swelling on the cheek decreases (if it was not before extraction, it should not appear at all);
after 3 days, the wound no longer bleed.

2 weeks after removal

To reduce bleeding, you can make a tampon yourself. Having it so that the edges did not injurize the thrombus, clamp the napkin for half an hour. In the pharmacy network you can buy a hemostatic sponge that can be used with abundant bleeding, for example, with liver failure.

Hematostatic sponge

The well is closed by a hemostatic sponge.

You can drink one or two tablets of dicinone or ethname (no more than 8 pieces per day).

Ditinon in tablets

With hydrogen peroxide, it is impossible to experiment: it reacts to blood components, destroying the thrombus and amplifying blood flow.

How is the healing process

Even if there is no complications, the wound is completely delayed from four to six months.

On the 2nd day, a thrombus appears in the well - protective gates from mechanical damage and infections.
If the healing passes normally, on the third day you can see granulation tissue at the site.
In the second week, the epithelium is actively growing, instead of a bunch, granulation tissue appears. There is a primary restoration of bone structures.
For 2-3 weeks, he displaces the thrombus and the bone tissue is visible around the perimeter.
Recreation of new tissues is stretched for 30-45 days.
For about 60 days, the hole closes osteoid fabric impregnated with calcium.
After 4 months, the bone becomes "adult", with a porous structure.
When the bone is fully formed, the wound must be dissolved by a third of the root length.
After the extraction of the gums is atrophy, the settlement process lasts 6-12 months.

Fabric healing stages after tooth removal

What depends on the speed of tissue regeneration

These time - information is indicative, since many factors affect the recovery process:

qualification of a doctor
roots status
hygienic procedures
gum health.

If the tooth is removed at the time of exacerbation of the disease, healing slows down. Tightens his and torn wound, especially when eight operations. Special attention is high-quality processing after the procedure. If the tooth fragments remain in the hole, they will interfere with the formation of a protective thrombus, as a result, everything will end with an inflammatory process extending the recovery period.

Healing the well in the site of the tooth of wisdom

After removal, the surgeon will necessarily give advice on competent care of the wound. If you ignore the tips or perform them irregularly, complications are inevitable.

Since the thrombus closes the vulnerable well, it is important not to disturb it. If immediately after visiting the dentist, rinse, you can wash it. Unprotected wound is easily infected.

Rinse after removal of the tooth is prohibited

If there are problems with blood pressure drops, sometimes the wound is long bleeding. After normalizing pressure, bleeding usually stops.

Complications for extraction

All adverse conditions lead to alveolitis - inflammation developing after infection of the wound. Most often, problems begin after thrombus. Sometimes the thrombus is not formed at all.

Alveololo Lunka Tuba

If you put a mouth, alveolit \u200b\u200bis diagnosed after 1-3 days. Water pressure flips protection and inflammation is guaranteed. His signs:

increments painfulness, gradually exciting and neighboring sites;
with the spread of inflammation, both general signs of intoxication are enhanced: heat, lubrication in the joints, the decline of forces;
swelling passes to the nearest areas;
the mucosa is painted in red and blue due to blood supply disorders;
the bad smell of the problem zone in which the remnants of food are accumulated.

All other complications are also developing after infection of the wound. Their features are convenient to present in the table.

Dry hole	The thrombus was not formed, the recovery time is delayed, there is a threat of alveolitis. Most often happens with active rinsing. Dry well to show a dentist.
Osteomyelitis	Heavy consequence when alveolitis applies to the jaw bone. Stationary treatment is necessary.
Damage to nerve	If a tooth with massive roots is the likelihood of nerve damage. All fabrics near the tooth lose sensitivity. For treatment, a vitamin complex and drugs are used, accelerating the transmission of nerve pulses to muscle tissues.
	Serious complication suggests surgical methods elimination.

After recovery, it is not necessary to tighten with prosthetics, since the absence of any unit of dentition does not affect the condition of the entire oral cavity.

Prosthetics

Hygiene mouth after extraction

Important condition rapid healing Ranks - the formation of a normal blood clotting that protects the well from infection and mechanical effects. Therefore, the number one task should be the defense of the well from the external aggressive environment. To prevent unwanted consequences, it is necessary to comply with simple rules.

Carefully blow the root.
In the operated area, brushes teeth with special attention; On the first day - not to clean at all.
Try not to smoke, as the thrombus can be pulled out negative pressuregenerated when swallowing smoke.
Do not smoke after removing the tooth
Rinsers Replace salt baths for oral cavity (1 tsp. Salts on 1 cup of water). Periodicity - 2-3 r. / Day. 1 min. You can use Furacilin, chamomile and sage. The baths are necessary if the purulent inflammation of the gums, cyst, pulpitis was before removal.
Solo solution
Stick to the diet: do not drink alcohol, sharp and hot dishes (enhance the bleeding), as well as solid products that can provoke mechanical damage and inflammation of the wounds.
Avoid contact with a hole (brush, tongue, toothpick). Food residues are removed using salt baths. The first days try not to chew on the half where there is a wound.
Rules after removing the tooth

To reduce blood flow to a problem zone, it is necessary to sleep on high pillows. In the first week it is necessary to avoid water procedures - Hikes to a bath or pond. Significant physical exertion must be postponed until complete recovery.

Within three hours after extraction, it is not allowed to eat or water so that the thrombus can be normally formed.

If there was no complications in the rehabilitating phase, the wound was not cleaned with medical instruments, after 4 months it will heal completely, otherwise the process can delay and half a year.

On video - what to do after removing the tooth

In most cases, complications after the operation was carried out to remove the tooth, it is not possible because of the incorrect actions of the doctor, and due to the fact that the patient incorrectly conducted the oral hygiene, did not comply with the recommendation of the doctor and did not follow what state located well after removing the tooth.

Doctor's actions after the removal of the tooth

After the tooth is extracted, the doctor carefully examines its roots to make sure that there are no fragments left in the hole. After that, a thorough inspection is carried out, with a special small surgical spoon, the doctor examines the walls and the bottom of the well, removing fragments of the tooth or the alveoli fragments.

Sometimes it is necessary to jump from the walls of the granulation holes, then the gums are inspected, and if there is damage, then seams can be applied. Then the edges of the wells bring together, and put a gauze tampon on it, which the patient must bite and hold in that position for fifteen - twenty minutes. It is not recommended to hold longer with a cotton or gauze ball, as it is impregnated with saliva, interferes with the formation of a blood clot, which is necessary for the well after removal of the tooth heard and is a source of infection.

If at the first twenty-four hours after the operation, bleeding will develop, then you should take a sterile gauze napkin, make a tampon from it, impose on the well and bite.

Blood clutch from the well in no way can be touched, trying to wash it off or remove it, it is the protection of the wound from infection and contributes to its early healing.

You need to try not to spit and rinse your mouth for twenty-four hours.

It should be abandoned from the use of hot drinks and food, do not smoke, do not rinse the mouth (unless, of course, the doctor did not recommend such procedures), even if an unpleasant blood flavor is felt in the mouth.

If pain appear, you can take analgesics: ketorol, nace, analgin, etc.

At night it is worth putting an extra pillow under the head, so that the head is in a raised position.

On the first day after surgery, you should not brush your teeth next to the hole, then you can resume conventional cleaning, but at the same time comply with some caution in the area of \u200b\u200bthe well.

Remove swelling will help alternate applying warm and cold napkins.

Complications after the removal of the tooth

If the hole after removal of the tooth lost the bunch as a result of the flashing or the bunch was not at all formed, then a complication may arise, which the dentists call the "dry hole". Blood clutch is a very important component of the correct healing of the wounders, and if it is missing, the process of tightening the well can be strongly delayed. The patient often begins to test blunt pain in the area of \u200b\u200bremote tooth, there may be an unpleasant smell of mouth. If the dry hole was formed, then the doctor's visit is necessarily. The dentist puts a gauze tampon in the wound, soaked in a special medicine, which reduces pain and contributes to the early tightening of the well. Change the tampon every day. Most often, such a complication occurs in smokers, as well as in people, older than thirty years.

If the nerve endings were damaged during the removal of the tooth, paresthesia appears - the numbness of the lips, chin, language or cheek. The feeling that is accompanied by this disease is similar to the one that occurs after the doctor will make you local anesthesia. However, it does not disappear in a few hours, and it can continue from two days and up to several weeks. If the nerve damage was serious, the paresthesia can be permanent.

The well after removal of the tooth is usually bleeding for several hours. If bone tissue was injured as a result of complex removal, then the well bleeding can continue longer and be very intense. In such cases, contact the doctor.

The mechanism of the formation of a bunch

Important! Sometimes bleeding opens several hours later. Accordingly, the appearance of the thrombus is delayed. This is due to the introduction of large doses of anesthesia - adrenaline in its composition temporarily narrows the vessels.

If the operation was complex, a large area is damaged, the edges of the gums are strongly spontaneous, the doctor imposes seams. They will help keep clocks in Alveole.

Stages of healing of the wells

After extraction, the healing process begins (reparation). Looking after removing the tooth as a deep wound with torn edges. The direct restoration of vessels, nerve endings and soft tissues lasts 2 - 3 days. The formation of a new epithelium ranks 14 - 21 days. On the complete restoration of bone structures leaves 4 - 6 months.

Important! The duration of reparation depends on the type of extraction (simple, complex), degree and volume of damaged tissues. So, the healing happens faster if the fang was removed, the cutter, the wound is tightened longer after extracting chewing, retinated teeth.

Reparation takes place in several stages:

1st day.In the alveolo, a dark red thrombus is formed, sometimes border color.
2 - 3rd day. Blesley films appear - a young epithelium. Such a color is due to the washing of hemoglobin and the formation of fibrin. It is worth alert, if a gray-green, yellow shade is placed, a rotten smell is heard.
3 - 4 day. Forming connective tissue, granulation appear. Because of the dense white plaque, patients scares how the hole looks like, they are trying to sink the film. But this is a normal phenomenon, you should not clean the clutch.
7 - 8 day. Alvetia epithelium is overgrown. The clot is almost completely substituted with granulations, they shine through the upper layer. The process of formation of bone tissue begins.
14 - 18 day. The wound is completely delayed with epithelial cloth, and the clot is substituted with granulations.
Month. In the alveolo, a young bone tissue is formed.
2 - 3 months. Bone cells completely fill the well.
4 - 6 month. There is a bone seal, draining it with the jaw. The height of the alveolar crest is reduced - it is below the edge of the holes of other teeth for 1/3.

The listed stages are characteristic of normal healing. If the removal was complex, or the bunch fell at some stage, the reparation is delayed.

How to prevent bunch dropping?

The formation of thrombus is extremely important for normal reparation. To prevent its loss, the following recommendations comply:

do not butt the mouth 2 - 3 days - only baths are allowed by antiseptic solutions;
do not try to feel the hole with the language, clean out of it with toothpicks;
clean the teeth with a soft brush in the morning, in the evening and after each food intake, carefully passing by it next to the operated site;
do not drink drinks through the straw tube - it creates a vacuum effect;
exclude severe physical exertion;
do not consume hot, cold, hard, irritating food;
do not warm the place of operation - heat provokes inflammation and reproduction of microorganisms;
it is forbidden to smoke and drink alcohol - substances in their composition annoy the uneatened tissues;
do not take the bathroom - only shower is allowed.

After extraction, blood clots are formed normal. If the formation of blood closure did not occur, complications are developing in 100% of cases: dry hole, inflammation, suppuration, alveolit. Full reparation continues until six months, but the main healing occurs in 2 - 3 weeks.

Briefly about the procedure

How does the wound heal?

factors:

surgeon qualifications,
root system status,
hygiene quality
state of periodontal tissues.

Alveolit

Symptoms Alveolitis:

not blow around
refrain
comply with a diet

Other complications

Complications	Features
Dry hole
Osteomyelitis
Damage to nerve
Cyst

Alveolit \u200b\u200bafter the removal of the tooth: symptoms

As for common symptoms, since Alveolit \u200b\u200bis not an acute inflammatory process - it usually does not occur for fever or inflammation of submandibular lymph nodes. However, with its long-term flow, patients often feel weakness, quick fatigue, and a temperature may be raised (but not higher than 37.5 degrees).

Complaints of patients -
On the nunning or pulsating pain in the area of \u200b\u200bthe remote tooth (different severity - from moderate to severe). Sometimes moonachara pains can also spread to other areas of the head and neck. In the development of Alveolitis, pain usually occurs on 2-4 days from the moment of removal, and it can continue from 10 to 40 days - in the absence of qualified treatment. Sometimes pains are so strong that even very strong analgesics are not saved. In addition, almost all patients celebrate an unpleasant smell of mouth, an unpleasant taste in the mouth.

With visual inspection of the well -
You can see an empty well in which there is no blood cloudy (in this case, the alveolar bone in the depths of the well will be naked). Either the hole can be fully or partially filled with foodstuffs or necrotic breaks in the blood clot. The way, if the alveolar bone is naked, then it is usually extremely painful when tapping, as well as when contact with cold or hot water. In some cases, the edges of the mucous membrane converge towards each other above the hole, which is absolutely not visible what is happening in its depth. But when washing such a well from a syringe with an antiseptic - fluid will be muddy, with a large number of food residues.

Dry well after removing the tooth of wisdom -

Alveolitis: video

Dry well after tooth removal: Causes

Also, Alveolit \u200b\u200bcan occur in women due to the increased estrogen content in the blood during the menstrual cycle or as a result of taking oral contraceptives (contraceptive tablets). The large concentration of estrogen leads to the fibrinolysis of the blood cloudy in the hole, i.e. To the degradation and destruction of the clock.

When Alveolit \u200b\u200barises due to the fault of the doctor –

If the doctor left a twist of the tooth, bone fragments, minor bone fragments, which lead to injury to the blood clot and its destruction.

Large dose of vasoconstrictor in anesthetic -
Alveolit \u200b\u200bmay arise if, during anesthesia, the doctor introduced a large amount of anesthetic with a high content of vasoconstrictor (for example, adrenaline). Too much of the latter will lead to the fact that the hole is simply not filled with blood after removing the tooth. If this happened, the surgeon must raise the bone walls to the tool and cause moon bleeding.

If the doctor left the cyst / granulation in the well -
When the tooth is removed, with a diagnosis of "periodontitis", the doctor must definitely scroll through the cyst or granulation (Fig. 10), which could not come out with the tooth, but to stay in the depths of the well. If the doctor did not revise the well after extracting the root of the tooth and left the cyst in the hole - the blood clots will be supposed.

Due to the big bone injury during removal -
As a rule, this takes place in two cases: firstly, when the doctor cuts the bone bone, without using water cooling of the bone in general (or with its insufficient cooling). The bone overheating leads to its necrosis and the launch of the process of destruction of the clot. And the second - many doctors are trying to remove the tooth for 1-2 hours (using only tongs and elevators), which is applied by these tools such a bone injury that Alveolit \u200b\u200bis simply obliged to develop. An experienced doctor, seeing a complex tooth, sometimes immediately breaks the crown into several parts and removes the tooth in fragments (spending it only 15-25 minutes), and will reduce the injury.

If, after complex removal or removal against the background of purulent inflammation, the doctor was not prescribed antibiotics, which in these cases are considered mandatory.

Alveolitis treatment -

1. Kyuptage tooth hole with Alveolitis -

Under the anesthesia, the injected blood clots, food remains, necrotic bloody fall from the walls of the wells are removed. Without removal of necrotic plaque and decay of the blood clots (containing a huge amount of infection) - any treatment will be useless.
The well is washed with antiseptics, sucked, after which it is filled with an antiseptic agent (iodoform turf). Usually every 4-5 days, Turund must be changed, i.e. You will have to go to the doctor at least 3 times.
The doctor will appoint you antibiotics, antiseptic baths, as well as painkillers - if necessary.

Appointment of a doctor after a keget of the bowl of the tooth –

What can be done at home -

Scheme of Use -
In the washed with an antiseptic and slightly dried by a dry gauze swab hole - this paste is made (completely filling the hole). The paste is perfectly fixed in the well, does not fall out of it. It is not necessary to clean the paste from the well, because She herself slowly absorbed, giving way to growing gum tissues. The only thing that may be required is to periodically report it to the hole.

How to wash the well from food residues -

Important: Syringe from the very beginning must be bored with a sharp edge of the needle! Next, be a little belling the needle, and fill 5.0 ml of the syringe with a solution of chlorhexidine 0.05% (it is sold ready in each pharmacy for 20-30 rubles). Tightly screw the needle so that it does not fly when you press the syringe piston! Place the stupid end of a boried needle in the top of the well (do not enter too deeply, so as not to injure fabrics), and wash the well under the pressure. If necessary - do it after each meal.

First day after removal

Normal indicators

Switching gums.
Sweeping cheek.
Pain characteristic syndrome.

For reference: Alveolit

First day after removal

The soft gauze napkin, which is superimposed on the bleeding hole, should be tightly bought, thus pressing the wound.
It is impossible to keep the tampon from the band for a long time - enough to hold half an hour.
It is necessary to clean the tampon very slowly, gradually, and not jerks and very carefully.
If blood is still soooed, then you need to hold the tampon for another half an hour. It is permissible.
If after an hour, the bleeding will not stop, urgently should turn to your doctor, the same surgeon that the tooth ripped.
If blood stopped, then it should periodically rinse with chlorhexidine's mouth or another disinfectant. Especially need for 5 minutes to keep this solution in the wound.
Approximately an hour or two recommended nothing and not drink.

Important! It is impossible to put a cotton swab on an open wound, but you can only gauze! The fact is that cottage fibers (vile) can get inside the wound and cause suppurations there, or something worse - tissue necrosis when the fabric is dying due to the presence of a foreign body within their structure.

Why is it so important to form a bunch?

Additional information: On average, the wound should be pretty tightened for 3 days, even though the hole immediately also touches, she needs more time. And the bloodstream should be ceased after a few hours to form the appropriate bunch.

Restoring therapy after removal

All the dentistry of surgical specialization agree that before removing the tooth, the patient would be better to finish any antibiotics for several days, antibacterial drugs that the doctor will appoint. In case of acute pain, strong painkillers are used, the main thing is to use which, not to get involved in their use. Doctor can register some painkillers and antibiotics and after removing the tooth. It is done to relieve inflammation, if it were found - you need to follow all receptions that the doctor prescribed.

In the process of recovery, after the patient's operational intervention, examines the attending physician to determine how the hole looks like, is there any infection, there is no excessive disclosure of the wounds and so on. Meetings for such an inspection are appointed by the expert himself, but the patient can come to examine 2-3 days after removal of the tooth. If the wound continues to hurt much, or the gums frightened, it may be damaged to the dental nerve, or something else that can identify only an expert in this area.

For reference: to inspect how the clot looks like, after removing the tooth, the house can be the patient itself, if the wound is available for viewing. However, it will be better if the doctor does it. Because if you have a hard food you damaged the wreck, it can be badly tightened, the bunch can shift from pieces of food. Therefore, it is recommended in the days of restoration to eat something softer.

What will help to recover faster?

All medicines that were appointed by the dentist surgeon should be used by the medical instructions.
Cleaning the teeth should be carried out with a soft toothbrush in the area of \u200b\u200bthe tissue damage zone. You need to buy a brush with silk vesicles.
Hot food is excluded from use for a period of several days.
Three days should not have dairy products. They cause a large number of bacteria in the mouth.
It should be done without exercise for 30 days so as not to create the intensity of blood flow.
It is impossible to warm the jaw until the fossa is completely delayed.
Smoking and use durable or alcohol substances is prohibited - this sharp weakens immunity.

For reference: Hot food causes bleeding, so it is necessary to eat warm meal. To understand how much blood clots are holding after the removal of the tooth, it should also be remembered about solid food, it can scratch the gums and shift the saving lump of dried blood aside, opening partially to the Rank. You will have about a month trying to eat soft and warm.

Normal indicators

And it is also necessary to take into account the testimony of the patient's state, which are registered by doctors as normal. Normal indicators need to remember the following:

Switching gums.
Sweeping cheek.
Pain characteristic syndrome.
Mothering sensations in the area of \u200b\u200bthe ex.
Loge from bunch of blood small pieces in a few days, or a week.
Sleepiness in the first few days.

After the patient comes to a doctor on the third day to check how the hole looks like after removing the tooth, the cheek can be swollen, even if this recurrence and there were no first 2 days. It is not scary, this happens after the complete cessation of anesthetics. It is also believed that pain symptoms should even be necessarily, only they are injected with painkillers so that the quality of the patient's life is not reduced during the recovery period. Only if the new or acute pain does not pass for too long (more than 3-4 days). If you want to sleep on the first day after the operation, it is better to sleep.

Sharp complications after removing the tooth

For reference: Alveolit - This is the local fitting, sampled in the well after removing the tooth due to insufficient disinfection of the oral cavity or its processing with antiseptic materials.

Other complications, when, after removal of the tooth, the blood clutch acquires non-standard characteristics, may be in the following manifestations:

Abundant amount of scarlet (pure) blood for 12 hours in a row without stopping.
Acute pain that may be able to sign up, which touched upon a triple nerve.
Exit from the wounds of some dark brown and even black "threads", "pieces".
Active numbness of jaws for 4-5 days, which also indicates a violation of nerve endings.
High body temperature - from 38 degrees.
Swelling when touching extremely hurts and does not allow the mouth normally to open or eat.

Useful video: Care of the oral cavity after the removal of the tooth

Briefly about the procedure

Deleting tooth - a serious full-fledged operation passing in several stages:

processing area that will operate,
the introduction of anesthetic drug.

After anesthetic begins to act, the surgeon moves to the removal of the tooth from the well. To do this, we need to weaken the bundle that captures the tooth. Sometimes a scalpel is used for this.

What happens after surgery?

What does the well look like after removing the tooth? For 2-3 day, the wound looks not very attractive, since white or grayish spots are formed over the blood clock. This is not a pus, as many people think, and fibrin that helps the wound is delayed.
If the process of healing of the wounders proceeds without complications, the pains are worn or pulling and gradually subsided. If you are worried about the shooting, pulsating pain, it is anxious symptomwith whom the doctor seem better.

To talk about the uncomplicated flow of healing of the wells, if:

from the wells does not stand out exudate, if you press it,
pain wears a good character and gradually disappears
the general condition and body temperature is normal,
the swelling of the cheek does not increase
after 2-3 days, blood is stops from the wound.

How does the wound heal?

After the extraction of the tooth, the hole heals a long time even without complications. This is a long process that can delay from a few weeks to several months:

on the second day after the operation, a blood clot appears in the wound, which ensures the protection of tissues from infection and damage,
if the recovery process passes without complications, granulation tissue is formed by 3-4 days,
the next week is the active formation of the layers of the epithelium in the hole, the blood clots is measured with a granular tissue. There is a primary formation of bone tissue,
after 2-3 weeks, the clutch is completely replaced by the epithelium, the bone tissue is clearly visible along the edges of the wound,
the formation of young fabric takes 30-45 days,
approximately two months later, the hole completely overcomes bone (osteoid) tissue saturated with calcium,
by the end of the 4th month after extraction, young bone fabric "grows up", its structure becomes porous,
after the end of the formation of the bone of the wound is absorbed by 1/3 of the root length.

After the operation, the gum sends (atrophy), this process lasts from 6 months to a year.

What affects the healing speed?

The above-described terms are relative and individual, since the set of tissue is influenced by many factors:

surgeon qualifications,
root system status,
hygiene quality
state of periodontal tissues.

Non-compliance with the patient councils and advice on care oral cavity After the operation, inevitably leads to complications. Since blood clots protect the hole, you need to try to keep it in place. For this reason, it is strictly prohibited to rinse the mouth after removing the tooth, since such procedures lead to washing the blood clots from the wound. The wound remains without protection and the risk of infection penetration increases.

Alveolit

increasing pain, which gradually applies to nearby fabrics,
as the inflammatory process progressing, the symptoms of general intoxication of the body are manifested: lubrication in body, weakness, the temperature may increase,
evenum with gums applies to adjacent fabrics,
the gum mucosa blushes, after can acquire a blue shade due to blood stagnation,
due to falling into the rink, food residues often arises an unpleasant smell of mouth.

How to care for the well after surgery?

not blow around
it is extremely gently brushing the teeth near the operated area,
refrain
instead of rinsing makes mouth baths,
comply with a diet
avoid contact with the wound (not touching it with tongue, brush, toothpicks),
refrain from cleaning teeth on the day of extraction.

Sleep your doctors recommend on a high pillow to reduce the tide of blood to the place of deletion. Exclude in the first few days a hot bath, sauna, bath, visiting the pool and open reservoirs. For 3 hours after removal, there is contraindicated and drinking to allow the blood clots to fully formed.

Other complications

In most cases, all complications after extraction are developing due to an infection that has fallen into the well for various reasons. It can be:

Complications	Features
Dry hole	A blood clot is not formed in the well, which drags the lifting deadlines and can cause alveolitis. In most cases, such a complication is developing due to the fact that the patient actively pokes the mouth after surgery and simply flushes a thrombus from the wound. If you find a dry well, consult your doctor as soon as possible.
Osteomyelitis	This is a serious complication of Alveolitis, when the inflammatory process goes to the jaw bone. Treatment is carried out in a hospital.
Damage to nerve	You can damage the nerve when removing the teeth with a bulk root system. In this case, the area of \u200b\u200bthe cheek, the sky, the tongue, which adjacent to the place of remote tooth, is neme and lose sensitivity. Treatment involves the reception of the vitamins of the group B and drugs that stimulate the transportation of signals from the nerves to the muscles.
Cyst	Complication is rarely developed, treatment involves excision of the neoplasm.

After removing the tooth, do not pull with the choice of prosthetics method, since the absence of even one tooth negatively affects the state of the entire tooth row.