Supernumerary teeth. Supernumerary tooth: problem or advantage

Hyperdontia or supernumerary tooth is a jaw anomaly in which one or more extra bone elements appear. Most often, pathology is detected when a primary dentition changes to a permanent one and in adults. The disease leads to curvature of the row, inflammatory processes and impaired diction.

Normally, children should have 20 teeth, adults – 32. Hyperdontia occurs in 2–3% of jaw line anomalies. In this case, 1 extra fragment is detected in 70% of cases, 2 – in 25%, 3 or more – in 5%.

Erupted units:

Impacted rarely cause symptoms. The presence can be suspected by:

• loosening of permanent canines, incisors, molars;
• protrusion of the bone if the extra element is located close to the edge of the jaw;
• periodic aching pain.

Dystoped lead to:

• curvature of the bite;
• change in diction;
• disruption of the development of the anterior part of the jaw.

Important! Hyperdontia makes chewing difficult, which provokes the development of gastrointestinal diseases. Often, excess elements injure the mucous membrane. This can provoke the appearance of benign or malignant neoplasms.

Diagnostics

Used to diagnose unerupted teeth panoramic shot, targeted shot.

If a supernumerary tooth has grown, it is diagnosed based on a visual examination. Patients themselves notice the anomaly and contact the dentist with specific complaints.

The situation is more complicated with dystopic or impacted structures. They are usually discovered incidentally during treatment of other units. The doctor notices abnormalities in the X-ray image and refers the patient for additional examinations.

To diagnose unerupted bone elements, use:

• orthopantomogram: gives a two-dimensional image of the jaws, from which it is difficult to determine the angle of inclination of unnecessary structures;
• computed tomogram: is a three-dimensional image of the lower part of the face, gives an idea of ​​​​the location of the supernumerary units relative to other teeth, bone tissue, facial nerves.

Important! Diagnosis of hyperdontia is difficult. Supernumerary structures are poorly contrasted, since they are superimposed on the contours of permanent units.

Treatment

Treatment of hyperdontia is carried out in the following areas:

In children, supernumerary elements often grow in the first months of life or are present from birth. Get rid of them as early as possible. They interfere with breastfeeding: the baby cannot fully suckle, and the mother’s skin is injured.

If you get rid of pathological structures in early childhood, there is a chance that the jaw will develop normally without intervention.

Important! If the extra units have a well-developed root system, do not interfere with the growth of regular teeth, and do not disrupt the integrity of the row, they are preserved. Later they can replace a lost canine, molar, or incisor.

Usually they leave it. However, constant monitoring is required. As soon as they begin to erupt, a decision is made to keep them or remove them.

If an extra tooth causes discomfort, it is removed.

Extraction of erupted elements is carried out in the usual way. Afterwards, it is necessary to level the bite with braces, mouth guards, and bite plates.

An anomaly of supernumerary teeth or polyodontia (hyperdontia) is not as rare as it might seem at first glance. According to dentists, it affects 4 to 7 percent of the world's population.

Such an anomaly can cause serious inconvenience: problems with diction, bite and eating. In this article we will tell you what polyodontia is, name the main causes of its occurrence, describe the symptoms and diagnosis of the disease.

Polyodontia - what is it?

Polyodontia is the appearance of an excess number of teeth in the human dentition. This disease affects men to a greater extent, although pathologies also occur among women; often a similar disease appears in children. A child is born with a tooth, but the rest of the dental germs are also there; in this case, parents are advised to get rid of the “extra” tooth from the child.

It is not uncommon for humans to have an excess number of teeth. As a rule, only one supernumerary tooth grows, but there are two (about ¼ of all cases of polyodontia), three or more. It is worth noting that third molars (“wisdom teeth”) should not be classified as cases of polyodontia, although they do not appear in everyone.

Causes

Why can an anomaly of supernumerary teeth occur? There are several reasons:

• pathologies of the development of tooth germs - similar processes develop in the fetus in the womb. This occurs due to disruptions in her body, which may be associated with unfavorable factors(for example, ecology). According to scientists, the tooth germ grows into several parts, which ultimately leads to the appearance of an anomaly in the child;
• failures in the genetic code - it is believed that the first people had not four, but six incisors on each jaw. Scientists attribute this to the fact that in primitive times people used unprocessed meat food, this required a large number of teeth, the function of which is to bite off pieces of food. Over time and thanks to evolution, human body no longer needed so many incisors. The appearance of extra teeth in some people in our time, according to experts, is associated with the remnant of elements of the genetic code of ancient people, but this is just a hypothesis.

However, there is no exact answer to the cause of the disease. The above reasons are simply the most probable ones proposed by science. Thus, the etiology of this disease remains quite mysterious.

Symptoms

The disease is characterized by several, but very obvious symptoms; they can be divided into children and adults. The following signs are characteristic of polyodontia in an adult:

• the appearance of “extra” teeth on the palate and gums; they may be of distorted shape and structure;
• violations of diction and bite;
• problems with the arrangement of ordinary teeth: they can be turned to the sides, located very close to each other. This occurs due to the wedging of supernumerary teeth into the dentition;
• problems with chewing food, which lead to digestive system disorders;
• frequent inflammation of the mucous membranes in the mouth, which occur due to their damage by supernumerary teeth.

Supernumerary baby teeth in children appear in the first few months of their life or immediately upon birth. In this case, the following symptoms are typical:

• difficulties with eating - the child cannot be breastfed normally, the young mother also suffers due to constant bites from the baby;
• digestive disorders that are a consequence of disruptions in food intake;
• impaired salivation and swelling of the nasal mucosa;
• increased temperature and swelling in the area of ​​tooth eruption.

Despite the speech problems that a child may develop over time, and other complications caused by polydontia, the child perceives ridicule from peers most painfully, which can cause serious psychological trauma. Children begin to smile less often, so as not to show the anomaly once again, especially when communicating with unfamiliar people or peers. After a few years, such tendencies can develop into isolation and feelings of inferiority.

Kinds

There are several types of anomalies of supernumerary teeth. The classification is based on the location and type of “extra” teeth. Thus, experts distinguish: typical and atypical polyodontia, real and false.

1. Typical shape characterized by the arrangement of supernumerary teeth within the dentition. Sometimes they are very difficult to distinguish from ordinary ones and often look like fangs. In this case, the teeth will be pressed very tightly against each other.
2. Atypical polyodontia - supernumerary teeth grow outside the dentition; they can appear on the palate and in other places. In unique cases, they may cut out oral cavity.
3. True polyodontia is characterized by the classic eruption and shape of supernumerary teeth. The places of their appearance do not extend beyond the aisles of the dentition.
4. The false form of the disease is characterized by an increase in the number of teeth in an adult due to incomplete loss of milk teeth. The latter can remain in the dentition for many decades after the expected moment of their loss. It happens that the presence of such supernumerary teeth does not even interfere with the bite or cause any other forms of discomfort. Another symptom of a false form is teeth fused together.
5. Impacted supernumerary teeth - they do not grow outward, but remain under the covering of the oral tissues. As a rule, patients do not feel any discomfort, but only discover them during a thorough examination or treatment of other teeth.

Photo

To get a more detailed look at this problem, we suggest you look at what photographs of the oral cavity of patients with an anomaly look like.

Diagnostics

Diagnostics does not cause special problems in almost all forms. As a rule, patients themselves report this disease, because it is not so difficult to notice that you have an extra tooth, especially if its growth causes serious problems with diction and bite.

If impacted supernumerary teeth occur, then the most in a suitable way Their diagnosis is x-ray. In this case, the dentist can easily determine where and how many extra teeth you have.

If it is impossible to determine the exact location of the problem tooth using x-rays, the doctor may prescribe a tomography. Early diagnosis of the disease will prevent it from developing and causing serious inconvenience.

How is polyodontia treated?

There are two main treatment methods – removal of problem teeth and orthodontic measures. Removal causes special difficulties from experienced dentists. At the same time, not only supernumerary teeth can be removed, but also those that have been too negatively affected by the growth of previous ones.

In a child's (deciduous) bite, it is necessary to remove all unnecessary elements of the dental-jaw structure, otherwise there may be pathological changes not only the bite, but also the shape of the face. Removal of supernumerary teeth proceeds as follows:

1. An X-ray of the dentofacial system is performed to accurately determine the location of the problem tooth and all the nuances associated with its growth (a computed tomography may be performed).
2. The patient is given local anesthesia (especially difficult cases The doctor may recommend general anesthesia).
3. The dental element is removed. If there is an impacted tooth, the doctor opens the surface of the gum, usually from the side of the tongue, and cuts out the crown and root of such a tooth.
4. If the surgical incisions are of impressive size or complex nature, then the specialist can apply several stitches.

After the operation, the patient must undergo rehabilitation, which consists of taking medications prescribed by the doctor and temporarily avoiding certain types of food (too spicy or hot) and bad habits.

How much does it cost to remove supernumerary teeth? This depends on the complexity of the operation and many associated factors (for example, the cost of anesthesia, examination, consultation). The price can range from 2 to 20 thousand rubles.

Extra teeth are not always removed, since a supernumerary tooth is sometimes superior in many respects to the healthy one located next to it. In this case, the damaged “correct” tooth is removed, and the supernumerary one begins to perform its functions.

If it does not fit well into the structure of a person’s dentition, the doctor may advise orthodontic methods fix the problem. Installing special mouthguards and braces will help not only introduce a supernumerary tooth into the dentition, but also correct other problems with bite.

Video: world record for polyodontia – 232 teeth.

Normally, there are from 28 to 32 teeth in the human oral cavity. The exact amount depends on whether he has wisdom teeth or not. But there is a pathology of polyodontia, in which additional elements appear in the dentition and even beyond it. At first glance, there is nothing terrible about this phenomenon, but polyodontia in humans can lead to undesirable consequences. In this article we will try to figure out what kind of pathology this is, what causes it to appear, and what measures a doctor can take to eliminate it.

Features of the pathology

Two extra teeth wisdom is not a pathology. This is common and completely normal phenomenon, which does not in any way affect human health and bite formation. Literally translated, the term “polyodontia” (or “hyperdontia”) is interpreted as “many teeth.” Considering the structure of the human jaw system, it only partially reflects the essence of the problem. This refers to excess teeth that normally should not be there. Even one supernumerary tooth is already a pathology that requires immediate treatment.

Most often, it is detected in adulthood; in children, abnormal extra teeth are still in their infancy. If it is found in a child, then the number of supernumerary elements usually does not exceed 4 additional teeth. In an adult, they can be located not only in the dentition, but also outside it. By looking at the photo, you can get an idea of ​​this pathology.

Why does the anomaly develop?

The reasons why hyperdontia appears have not yet been precisely established by doctors. But there are two main hypotheses that I tend to adhere to modern medicine.

1. Polyodontia in humans is an atavism. According to one version, it is believed that nature originally laid down larger number teeth, and the body tries to return to this state. Research has proven that our ancestors had both upper and lower lower jaw There were 6 incisors present at once. That is, pathology may be the legacy of our ancestors.
2. According to another version, the anomaly is a consequence of improper intrauterine development of the child. As a result of poor ecology, viruses, a woman’s use of alcohol or illegal medications, the tooth germ becomes split. This version is more plausible, since as the environment deteriorates and bad habits spread, the anomaly is becoming more common.

Scientists are not satisfied with these explanations and continue to conduct research. However, most of them tend to adhere to the second theory, which is associated with the development of pathology in a child at the embryonic level.

Varieties of polyodontia

Supernumerary teeth in children can erupt in the oral cavity in different ways. Dentists classify pathology according to a number of criteria. Firstly, it can be false and true. It is necessary to distinguish between these concepts.

1. False hyperdontia develops if baby tooth in children it does not fall out, but is firmly fixed, fully performing its functions. There are known cases when baby teeth were found in people who had crossed the 50-year mark.
2. True hyperdontia is the pathological formation of additional primordia associated with genetic predisposition or exposure to negative factors.

In addition to these two definitions, a classification of pathology can be distinguished in accordance with where the supernumerary elements are located in the dentition.

1. Typical form - additional elements are located within the dentition. Doctors are inclined to believe that this particular form can be considered the legacy of our ancestors with intensively developed jaws and powerful chewing reflexes.
2. At atypical form excess teeth can be located in any part of the mouth.

For each of these forms, it is assigned individual treatment. Most often, the supernumerary tooth is removed, after which the bite is corrected using orthodontic appliances.

How dangerous is the pathology?

The anomaly in question often causes tooth retention, that is, it prevents normal complete teeth from fully developing, as a result of which they occupy incorrect position or remain in the jaw. If normal tooth erupted first, the supernumerary one displaces it, leading to disruption of chewing functions. Hyperdontia can also lead to the development of a number of pathologies:

• curvature of roots permanent teeth and their displacement;
• or its incorrect formation;
• delayed teething, sometimes they simply remain in the jaw;
• deformation of the dentition;
• formation of an open or deep bite;
• permanent damage and injury to the mucous membranes;
• lisp, impaired speech clarity.

Since dental anomalies lead to many negative consequences, if you suspect the formation of a pathology, you should definitely consult a specialist. By solving the problem of supernumerary teeth in a timely manner, you can avoid serious problems with your bite.

Treatment of polyodontia

IN modern dentistry mainly practiced surgery polyodontia. In most cases, it is impossible to do without removing the supernumerary tooth, after which full orthodontic treatment is carried out, correcting the consequences of the pathology. They are not removed only in in rare cases. For example, if a complete tooth is underdeveloped and remains in the jaw without erupting.

Supernumerary elements of the dentition begin to erupt in babies at different ages. When deciding on their removal, it is necessary to take into account the age of the child, the location of the tooth, the degree of root formation and some other factors. For example, if a complete tooth and an extra tooth erupt at the same time, then the second one must be removed without delay. Removal is a measure aimed at eliminating manifestations of an anomaly. After this, the patient necessarily requires orthodontic treatment, which is prescribed individually.

Polyodontia is a fairly common pathology, but in most cases it is moderate in nature, manifesting itself in the form of one or two extra teeth. We have already told you about the reasons for its appearance, the consequences that may arise in the absence of treatment, and gave you the opportunity to see the anomaly in the photo. If you have strong nerves, we suggest you watch the final video, which shows cases of the most unusual arrangement of supernumerary teeth.

Normally, a person should have twenty primary and thirty-two permanent teeth in the oral cavity. It happens that this number significantly exceeds these figures. In dentistry, this phenomenon is called hyperdontia. Also, another designation that defines pathology is supernumerary teeth, as will be shown in the photo below.

Today we will discuss this disease, tell you what causes its appearance and how to treat it.

Hyperdontia

Few people know what this definition is: supernumerary teeth. This phrase is synonymous with hyperdontia and refers to an anomaly in which a person has a large number of teeth that exceeds the norm.

The disease is uncommon and is diagnosed in only 5% of the total population. Of this number of patients, seventy percent have one extra tooth, twenty-five have two, and five have three or more extra teeth growing in the oral cavity. Pathology occurs regardless of a person’s age and gender.

It is worth noting that a disease when there are many teeth in the mouth does not represent individual feature. This is a disease that has a specific code in ICD 10, namely K00.1.

What anomalies can lead to:

• almost all persons with a similar problem have speech pronunciation defects;
• violations result in displacement of healthy adjacent teeth;
• the pathological process entails delayed eruption;
• Another complication is diastema, a very impressive distance between the teeth;
• healthy roots often suffer and various pathologies begin to develop;
• Often healthy teeth rotate along an axis;
• The last serious violation is the curvature of the bite.

Varieties

There are many teeth in a person's mouth:

• in case of change in natural localization;
• in non-standard areas (for example, on the gums);
• remain in the bone tissue and do not grow further

There are the following types of hyperdontia, as shown in the photo:

Dental anomaly hyperdontia

• awl-shaped teeth form near the lateral and central incisors on the upper part of the jaw. They are distinguished by a sharp cone-shaped configuration and look very ugly. In addition, they can apply serious injury oral mucosa;
• paramolars are located near simple molars in the cheek area;
• fangs appear in the top row;
• premolars grow in on the bottom row.

Canines and premolars arise in very deep and hard-to-reach places. This phenomenon can be diagnosed using x-rays.

Clinical signs in children

The main symptom observed with this disease is the presence of excess elements in the mouth. They apply serious harm quality of human life, interfere with speaking, eating well, and spoiling external appearance. But, as in children and adults, similar anomalies can also manifest themselves in others. clinical signs, which we will talk about next.

Primary teeth in children begin to erupt in the first year of life. The main manifestations are due to difficulties breastfeeding. It becomes difficult for the child to take the breast into his mouth and eat milk. The baby becomes too harmful and capricious and does not want to eat. The mother's skin is severely damaged and serious cracks appear.

Clinical manifestations of pathology in children are similar to the symptoms of healthy teeth growth and can manifest themselves:

Very severe signs appear during the growth of a supernumerary tooth in a child., as in the photo, in the upper sky. At the age of two, the disease has an extremely severe impact on speech development at the baby's. Children pronounce sounds very difficult, which cannot be corrected by speech therapists. In addition, the tongue and mucous membranes are often severely damaged, resulting in chronic inflammatory process.

This phenomenon is difficult for schoolchildren to tolerate; they develop complexes and problems with social life.

Symptoms in adults

A disease when there are many teeth in the mouth, as in the photo, is more often diagnosed in patients with permanent teeth than with dairy products. Dystopic teeth are additional teeth that appear outside their natural position. They grow in the area of ​​the palate and lingual gums.

Hyperdontia is more often diagnosed in patients with permanent teeth than in milk teeth

Symptoms are manifested by the presence of extra teeth in a person’s mouth. In this case, the following are observed:

• speech disorders;
• anomalies in the normal position of the teeth: rotation, curvature, etc.;
• obvious problems with bite;
• damage to the mucous membranes involving inflammation in the mouth;
• often hyperdontia contributes to damage to chewing ability and digestive disorders.

Anomalies can lead to serious problems psyche. Thus, due to the lack of aesthetics of a smile, a person fetters himself in conversation and expression of emotions, becomes alienated and complex.

This leads to the development of chronic pathologies Central nervous system, gastrointestinal tract, endocrine disorders. Similar phenomena in medicine they are referred to as psychosomatic diseases.

Impacted teeth do not tend to grow and remain in the bone. A person may not even realize it until some complications arise.

Symptoms:

• looseness of healthy teeth;
• bone swelling;
• aching pain and discomfort that occurs from time to time.

As complications arise, symptoms will be characteristic of this pathology.

One of the most severe consequences is considered to be a combination of wisdom teeth anomalies. In this case, an extra element may take up free space, and back teeth, which should soon break through, negatively affect the roots and can lead to serious troubles.

Diagnostic and treatment measures

Detecting such an anomaly in the human oral cavity does not present any difficulties. Often people themselves, when they come to the doctor, say that their tooth has sprouted, which should not happen.

Difficulties in diagnosis arise in the case of hidden elements. The most accurate and high-quality way to determine the problem is an x-ray. It will be possible to clearly see the whole situation and its complexity.

The disadvantage of radiography is the fact that it gives flat images and it is impossible to describe the exact location of all teeth and roots. For these reasons, patients are often prescribed a CT scan.

X-ray is the most accurate and high-quality way to determine hyperdontia

Therapeutic measures for hyperdontia are as follows:

• relief general condition patient, which is extremely necessary for children and pregnant women;
• surgical intervention: extirpation;
• orthodontic therapy.

Features of treatment in children

This is especially true for children of a younger age category, due to the fact that adults this pathology passes hidden. Since the symptoms are this process are very similar to the manifestations of the process of eruption, then healing technique will also be carried out according to one scenario:

• If your body temperature rises, it is advisable to take an antipyretic tablet. This will help get rid of pain and body aches, and also eliminate the inflammatory process of the soft tissues of the gums and palate;
• local anesthetics have an immediate analgesic and anti-inflammatory effect;
• for children over two years of age, it is advisable to treat the disease medicinal herbs and beekeeping products. It is useful to rinse your mouth with healing solutions to prevent inflammation and relieve pain.

Sometimes the extra elements do not appear completely, but only partially germinate. Such patients are indicated special massage, as well as electrical stimulation.

Surgery

The prognosis of the pathology will depend on many factors:

• all unnecessary dental components that have a negative impact on jaw growth and formation;
• All dystopic and retinal species are subject to unquestioning removal.

As a rule, removing a fully formed supernumerary tooth in a child is not a problem.

Immediately before the extirpation procedure, it is advisable to take an x-ray to determine the exact number of roots, their size and ratio. After this measure, the specialist anesthetizes and removes the problem. If necessary, stitches are applied after the intervention.

To get rid of an impacted tooth, it is necessary to conduct a detailed examination of the patient and plan the course of events well:

• on initial stage X-rays and CT scans are done to identify topography;
• the patient is given an injection with a local anesthetic;
• sometimes general anesthesia is given according to indications;
• if necessary, access to the problem area is carried out from the lingual part;
• after removing the mucous membrane, the bone is opened and removal manipulation is carried out;
• extensive bone anomalies are covered with special materials, and the mucous part is sutured.

After the manipulation, the person should continue therapy for home environment. It involves taking antibiotics and rinsing your mouth with antiseptics.

At the time of hospitalization, you should avoid eating hard, too hot and spicy foods, and also carry out careful hygienic cleaning in the pathological area.

Supernumerary tooth- this is the presence of an extra rudiment, which can then erupt and become an addition to a set of 32 (in adults) or 20 (in children) teeth. Most often the anomaly occurs on the incisors and canines upper jaw. Can be in three positions:

• Cut through and moved the “neighbors”
• Due to lack of space (after all, no one counted on a third incisor or second canine), it erupted incorrectly, for example, into the cheek or palate
• Sits in the jaw and becomes impacted

Causes

There are only theories about the origin of this anomaly. According to the knowledge of embryology, teeth develop from the dental plate. For some inexplicable reason, it produces not 32 rudiments, but more. Some people think that the reason for this is the mother’s illness during pregnancy, others point towards food with GMOs causing mutations, others blame the poor environment, others consider this a consequence endocrine diseases, fifths talk about heredity. There is also an idea that a supernumerary tooth arises as a manifestation of ancient genes inherited from ancestors. They had large quantity teeth, that’s sometimes where homo sapines’ past kicks in. Just like some people have a tail growing from the coccyx (the coccyx is precisely a reduced tail).

Symptoms

In adults

They differ greatly depending on which of the three positions the tooth is in. If there was excess space in the dentition, then it will simply “compact” the neighbors and stand quietly, violating the aesthetics. If the position is crowded, a scenario of traumatic eruption arises, and the tooth rests against the cheek, then in the mouth there will be constant sluggish inflammation with attacks of exacerbation, a non-healing ulcer or erosion, the skin around will be swollen and hyperemic. If it is impossible for a supernumerary tooth to erupt in adults, it can either “sit quietly” or try to erupt and become inflamed. Then the corresponding side swells, pain and enlargement are noted. lymph nodes. Even suppuration and odontogenic osteomyelitis of the jaw may occur.

In children

A supernumerary tooth in a child manifests itself according to similar rules, only small patients react more severely. Where an adult will simply have swelling, a baby’s temperature will rise to 38-39, severe headache, tears and snot. However, in one aspect they were lucky. Supernumerary teeth in children do not cause as many problems if there is no space. The fact is that the jaw of an adult has nowhere to grow, and there will be no extra space unless it is removed healthy tooth. Whereas the child’s growth phase has not yet ended, and there is always the opportunity to correct the situation with a little effort. The development of the situation must be monitored by an orthodontist to prevent crowding of teeth or traumatic eruption.

Treatment

It does not always involve removing a supernumerary tooth. There are three tactics:

• Leave it lying
• Place in the dentition
• Delete

If the supernumerary tooth lies deep, does not bother you, and can only be reached in a rather traumatic way, then it is better not to touch it. Orthodontic treatment carried out both before and after removal. In some cases, it is possible to place an extra tooth in the bite. For example, the main incisor is depulped due to arsenic periodontitis, and has changed color. Then the surgeon gets rid of the permanent incisor, and the orthodontist installs the extra one in a row using braces, and later removable or fixed retainers. If new tooth pushed the neighbors, then we need to return everything to usual position, for which the permanent edgewise technique (bracket system) is again used in adults. In children, it is possible to correct the anomaly using devices and removable elements due to jaw growth.

If a supernumerary tooth causes pain in a child, you can take the following remedies:

• Ibuprofen and paracetamol to relieve symptoms elevated temperature and inflammation. It is best not in tablets, but in the form of suppositories for the little ones, this is how the drug works most effectively
• Teething gels: Dentinox, Kalgel, Baby Doctor
• Those who are older, including adults, can rinse their mouths with decoctions of sage, chamomile, oak bark, propolis to remove pain

Removal

Simple case

However, most often they resort to removing the supernumerary tooth. Before this procedure is done X-ray. Infiltration or conduction anesthesia and tooth extraction are performed. The wound is sanitized and sutured.

Difficult case

1. If the supernumerary tooth has not yet erupted, a panoramic photograph is also taken first.
2. Then comes the choice of anesthesia method. More often they resort to conduction anesthesia, but if the operation is difficult, then the hour comes for dentistry under general anesthesia
3. The mucoperiosteal flap is peeled off and access to the tooth is created, removing the bone with a bur, chisel and hammer, and pliers
4. Then the tooth is removed as a whole or by first sawing it in pieces (crown, roots)
5. Sanitize the cavity to ensure there are no debris to prevent further inflammation
6. To speed up healing and fill the resulting “void,” bioactive materials are left there to promote the formation of new bone tissue
7. On the first day, ice is applied for half an hour to relieve swelling, painkillers are taken orally (Ketanol, Ketanov)
8. At home, rinses are prescribed with a solution of chlorhexedine 0.02% and anti-inflammatory herbs (chamomile, sage) up to 6 times a day for a total of 5-7 days. If severe pain persists after three days If there is discharge from the wound, you should contact your dentist.

Prices

Naturally, the price for removing a supernumerary tooth is higher than for extirpating a simple one. In the regions, be prepared to pay around 800 rubles, in Moscow from 1000-1500. If the tooth is impacted and a major intervention is required, then the cost can range from 2,000 thousand to 20,000 (if