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Alveolar osteitis is a complication of tooth extraction (especially lower wisdom teeth) in which the blood clot is not formed or is lost, leaving the socket where the tooth used to be empty, and bare bone is exposed to the mouth. [29] The pain is moderate to severe, and dull, aching, and throbbing in character.
Extraction of the wrong tooth: Misdiagnosis, altered tooth morphology, faulty clinical examination, poor patient history, undetected/unmentioned previous extractions that may predispose the operator to consider another tooth to be a replicate of the one previously extracted are a few causes of extraction of a wrong tooth.
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Overerupted teeth are often sharp due to lack of tooth wear (dental attrition) by adjacent teeth during chewing. [citation needed] Overeruption is treated either by forcing the tooth back using orthodontic techniques, or by cutting the interfering part of the tooth and installing a crown. [citation needed]
Alveolar bone resorption is a common side effect of tooth removal (extraction) due to severe tooth decay, trauma, or infection that limits dental implant placement. Surgical bone augmentation is associated with limitations such as high cost, bone graft rejection or failure, pain, infection, and the addition of 6–12 months to the treatment ...
A tooth with extensive caries eventually requiring extraction. In certain cases, endodontic therapy may be necessary for the restoration of a tooth. [143] Endodontic therapy, also known as a "root canal", is recommended if the pulp in a tooth dies from infection by decay-causing bacteria or from trauma.
Thus, tooth extraction may be a reasonable treatment option. The tooth could then be replaced with a dental implant. Alternatively, orthodontic extrusion can be used to achieve crown lengthening. Using brackets, light forces can be used to pull the tooth away from the gums within a few months.
Impacted wisdom teeth without communication to the mouth, that have no pathology associated with the tooth, and have not caused tooth resorption on the blocking tooth, rarely have symptoms. [11] The chances of developing pathology on an impacted wisdom tooth that is not communicating with the mouth is approximately 12%. [ 11 ]