How To Extract Ankylosed Teeth | OnlineExodontia.com
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- Опубліковано 13 чер 2019
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This video discusses how to recognize and manage ankylosed teeth. It touches upon the etiology of this condition and provides diagnostic tips.
Hi Dr, just found your channel, hope you keep uploading these videos. Im learning so much
Thank you
THANKKKKK UUUUUUUUUU
Just went through a two hour baby tooth extraction and then another hour to graft it, can not confirm it was this but they said it was fused to the bone below so probably, and I could sense when the tooth started moving, they could put all the pressure in the world before they got it disconnected from the jaw as before that all I could feel was pain from them twisting the entire jaw as they tried to push on the tooth and the tooth would not budge no matter what but I felt the other side of the jaw moving from the stress the tooth put on it. Eitherway the extraction feels like a good success as they took their time and slowly cut the parts connected. The video helps reassure me I did the right move it was much lower than the rest of the teeth and was incapable of supporting the tooth above it so this reassures me the big hole and long extraction was worth it either way. Hope for a quick recovery.
Maybe in US russian red cement as RC filling material is obsolete, but in Eastern Europe it is still used . And those teeth are ankylosed and really a pain to extract
Do I need to go to a dentist. My bottom baby tooth molar is sinking into my gums and my adult tooth is coming in. I don’t know what to do
I went through this ordeal last week on two of my retained baby teeth. It was over an hour of torture, dentist gave up on pulling the tooth and had to cut into and then crack it out piece by piece. I left the dentists chair drenched in sweat. Still in pain, taking ibuprofen and paracetamol helps.
Sorry to hear that. Sounds like you're managing things properly. All the best!
That’s why I went to a surgeon for my ankylosed baby teeth!
Hello. I have an ankylosed tooth at the top left part. They pulled out a tooth to make room for the one stuck and attached a chain to pull it down with my braces but they didn’t help. My periodontist said he could try to pull the tooth out and do an implant all at once. It’ll save money but I’m scared period. I’m probably just going to leave it alone. I can live with that hole in my tooth.
I've seen endo premolars with ankylosis, a few times in practice mostly because their very susceptible to trauma and the patient not even realizing.
how do you manage to extract such teeth? i had one yesterday and sadly i didnt manage to extract it . i referred it to one of my colleagues buy i would like to know what i can do differently
@@denischan999me too! 😭😭
Got one case today, 26 palatal root
Have you also noticed that some endodontically treated teeth have very thin PDL spaces and are very difficult to luxate? They're not fully ankylosed, but definitely more tightly locked in than vital teeth. Why is this?
That's because of lack of irrigation by the the pulp, remember that root cells have an important role in the periodontal ligament
I had an ankylosed rear molar pulled out due to recurring abcesses. It had a root canal 25 years ago. Took 30 minutes of pulling and twisting so much that my skull was warping. Horrible then it suddenly exploded and snapped off the jaw bone. Even with NO2 on full blast tbis was the worst thing I’ve ever experienced. Definitely should’ve been completely under for it. Still have ptsd from this 😂
Sorry to hear that David. Hope all is well! All the best!
I had one of these, wasn’t bad at all, probably because it wasn’t a Molar 😳
I just had my tooth ankylosed removed last week. I am still in the process of healing.
All the best in your recovery!
I'm a little confused and I'm hoping you could help me out. All I know is I went to the dentist to get a baby tooth pulled but the dentist said that my tooth was fused to the bone. I couldn't really follow along to the video since I dont really know alot about dentistry. When they tried to pull the tooth I felt alot of pressure so after a while they just stopped trying to pull it out all together. The adult tooth is jutting out on the inside of my gums but it doesn't really bother me. So what I'm asking is, would my tooth qualify as ankylosed and if so, do I need surgery to remove it. ( I dont knowing this needs to be included but keep in mind I'm still a teenager)
Thanks for the question! Lots of times, retained primary teeth can be ankylosed to some degree. The situation mirrors what you see in the video where the tooth is low down in comparison to the adjacent teeth and the adjacent teeth are tipping over it a bit. There should be no reason the tooth cannot be removed. If it is quite solid, it may require some cutting of the tooth to help it come up, but I'm unable to say why the dentist did not ultimately remove it. There may have been a reason other than it being difficult to remove. Hopefully this helps! All the best!
I had three ankylosed teeth when I was nine, at the time I didn't realize what that meant. I was in braces at the time, so maybe that is what caused it
My daughter has this on one of upper molars. Due to covid we couldn't get her to be seen before it got too bad. They have to put her under to get it out. I remember having a baby tooth to be pulled out.
I wish her the best! Thanks for watching.
Today was my second time when upper second molar distal root disappears. Could you please tell me what went wrong and where the distal root went to. I made root separation, all three roots were visible clinically and radiologically. I tried to extract first the distal root but it was so deep in the bone so I decided to take out the mesial, then the palatal and when I went back to see where is the distal, it has disappeared. I took periapical radiograph and It was not there. I did valsava test and it was negative. I could not see or feel with the carver the socket bone in the place of the distal root. The carver has one so deep. Am very worried about the patient. any idea what has happened?
Helda - tough to say, but one suggestion may be that the root has slipped through the buccal plate. I've had that happen before, generally it can be palpated buccal to the extraction socket and if not able to be teased back out through the socket, you can elevate a flap to retrieve it. The other area would be the sinus as you're aware. That's my best guess for you! All the best!
Hello. It was recently discovered that my baby tooth is in early onset to ankylosis, and there is no new tooth underneath.
Is there a way for me to loosen it, by wiggling in or literally anything so I don’t have to get a crown or go through surgery.. IM terrified and will NOT let them do any of that on me.. please help.
I would just leave it alone. Most times these teeth stay that way for years. Eventually they may get sore and need to be removed. It’s really not that bad of a procedure should you have to have it done. Most times there is barely any root on these. It’s very common to see this situation. All the best!
@@OnlineExodontia Thank you..
exactly, there’s barely any root. And the tooth is so short I don’t understand how they would be able to make a crown, can thy not just build it up with the stuff you use to fix broken teeth to mold it a bit bigger?..
I just had this happen 2 days ago. They dug in mouth for an hour. Couldn't get it. Left root behind and ended up putting couple sutures. I'm still majorly swollen in tons of.pain 2 and half days later. What can I do
I would speak with your provider to see if they can assist you with keeping you comfortable as you recover. All the best!
Root tip has broken,When I tried to extract ankylosed mandibular 3rd molar.what can I do in that situation
Proper instrumentation is key here. Heidbrink root tips are good. If the tooth is truly ankylosed, which I mention in the video is more rare that we think, you have to weigh whether retrieving the root outweighs leaving it behind. Also must determine if you're equipped to handle the issues that can arise from this type of situation (displaced root into submandibular space, nerve damage, heavy bleeding, etc.). With a healthy tooth if you have poor visualization and the root is in a difficult spot close to key anatomy, you should exercise caution. If you can visualize it and it's in a more low-risk location, you could try the root picks and even a straight handpiece with a thin bur. All the best!
I have an invisalign braces for about a year. Just started my third set of aligners, but two of my front teeth are not moving as expected (or at all). The orthodontist now suspects ankylose. Also because of the sound when he hits them. As a 10 year old, I hit the ground with these teeth during skateboarding, which may be the cause? One broke off partially and was restored back then. Any suggestions on what can be done to get these tooth straightened? (I also notice that all teeth hurt because of the braces except for these two... Not a good sign!). Bit scared to go the facings path. Looking forward to your response!
That's a challenging question that I don't have a great answer for. My first thought was to leave them where they are and place a crown or veneers after correcting the other teeth. I'm sure the orthodontist would have mentioned other options if they were available. I wish you the best!
@@OnlineExodontia Thank you! Really appreciate your feedback!
I have an ankylosed tooth. I'm not sure if it's been like that from the start. I had an extraction, the dentist cut the tooth in half & she got the other root out but had a hard time taking out the other one. She asked me to come back the next day but I never did cause I just thought she did a terrible job & it was a really painful experience. She used like lots of local anesthesia but I could still feel the pain. I got an xray as requested by a new dentist more than 6 mos after & said my teeth is ankylosed. I'm not sure if the trauma of the extraction caused it & the teeth just fused with bone over the months. Anyway, they say I have the option of a minor surgery or they could just burr off the top part of the teeth & let the rest be jaw bone. I'm not sure what to do next.
Hi Sez - sounds like you had an unpleasant experience. Teeth can certainly be ankylosed, but this does not mean they can't be removed. Often times teeth are cut apart and extracted 'surgically' to make the extraction easier. Even using this approach, some teeth can be pretty stubborn to remove. It is best practice however to remove any remaining pieces of the tooth, particularly if they are infected or mobile. Occasionally a provider may choose to leave a broken root tip in place if it's near critical anatomy that they're worried about damaging while retrieving the root tip. If the root is visible in the mouth it's likely best to have it removed. All the best to you!
Online Exodontia It's not moving. Is it okay to keep it there? They just gave me antibiotics for 7 days.
Hi. I am currently going orthodontist treatment (braces) and my orthodontist noticed that my second molar in the bottom is shorter in the other molars and is not moving. This happened after 6 months of braces. My orthodontist suspects ankylosis and is keeping a watch for now. He removed the wire for now connecting to that tooth and said it will probably need to get removed. I was wondering is there a way of moving that tooth somehow so I don’t need to get it removed. Also I suspect that it’s not actually ankylosed, but just moved inwards making it look shorter from braces. Any suggestions or thoughts?
Hi - I would follow the advice of your orthodontist. There are certain instances where if a tooth is failing to erupt, it can be elevated into place surgically, however I would suspect that if they've already tried moving the tooth and it's not shifting with braces on, it's very possible the tooth is ankylosed. Again, it's hard to provide any guidance beyond that via UA-cam. I wish you the best!
Hello sir I went to get my wisdom tooth out today and he couldn't get it out he said it was fused to the bone ? He started the extraction i felt cracking and he tried to pull but left it . Then he wiggled on it and said we will leave it for a month then try again ? Is this normal ? He said will be easier next time now ?
Hello - thanks for reaching out and I hope you're doing well. It's hard to comment as I'm not sure of the entire situation, but this certainly is not the norm. All the best!
I must say, your voice is really hoarse and your video is really educational
Hi, Dr plz can u help me find some source for my report topic if u have ididn find onein the sources books that i have ( ankylosis of primary molar with absence of permanent successors) hope u or any one can help me with thay and keep posting 💛
www.aapd.org/globalassets/media/publications/archives/messer-02-01.pdf
pubmed.ncbi.nlm.nih.gov/16891750/
This one might be more what you're searching for. Good luck my friend!
www.cda-adc.ca/jcda/vol-65/issue-10/548.html
www.ijmrhs.com/medical-research/retention-of-primary-second-molars-without-a-permanent-successor-a-review-article.pdf
since having tooth 23 recently extracted (resorption, idk, below; otherwise decent working order); resorption was more at 23. had 22 extracted months later by different dentist and when i did (again, not loose, worked well, hole underneath in gum idk --VA).
22 was the extracted without trauma, typical extraction, decently healthy tooth. seems she drilled it out or something. HOWEVER, the dental surgeon who extracted 23... beat the crap out of me -- even asked permission -- with a chisel and the palm of his hand... literally striking repeatedly with all his weight AS HARD AS HE COULD.
now i don't think that was normal. is that how an oral surgeon would extract a root, with a chisel and hard blows? bottom of my chin was all black & blue with a new turkey neck hanging down... discovered it by its flapping movement and a mirror one evening. what gives, is that normal?
That's unfortunate that you had a tough experience. Although it's less common to use a chisel (especially on a patient that isn't sedated), it was an accepted method for tooth removal that used to be taught. There are other ways to approach extractions now, so chisels have become less common. I wish you all the best!
thanks, you’re a good guy! that all this year. the second one left me wondering, big time. -i had been there before, and i can be... abrasive (sent by gov, no ‘choice’). at least he wrote me for the better med... called them several times during recovery... ended me paying another dentist (3rd, or 4th depending) to
remove the killer stitches. whew. 24 was ALL upset! ...couldn’t believe when this wonderful half my size woman just took out 22. “excavation”, i’d say. no fuss no muss. unreal. little swelling, no pain... refused ‘not’ to do “bone” order. I didn’t even know what all the stuff was until yesterday. “melting” ?!!! they should show some of these videos to educate their patients. When/ before they extract teeth. someone might want to consider a loan to do it “right.” wow. I’ve watched all kinds of videos now Endo feels of resorption’s and all kinds of stuff. AFTER. sheesh. I’m in good hands now.
thanks
Hey, I needed 4 teeth out for my braces so they could make space for my teeth to get straight - my dentist took about half an hour getting 3 out and said I have the strongest bone he’s ever dealt with
When he tried trice to get the 4th one out, he couldn’t - trying twice for about 30-40 minutes on different dates.
I then went to an oral surgeon who got it out in about 10 minutes and said before that I might have this condition your talking about
My question, if I have it, should I be worried for the future and if it’s bad, can I do anything so I don’t have a bad time when I’m older?
George - sorry to hear this. Glad the video was helpful. To be clear, it’s not a condition and it’s super rare. Generally seen in primary teeth that don’t fall out or have a tooth that developed beneath them but it can be for other adult teeth too. I wouldn’t sweat it in the future if you needed another tooth out. All the best!
@@OnlineExodontia thank you 🙂
د.ا
What I assume what should have been a 60+ second extraction of an upper wisdom tooth 6 days ago turned into a 15 minute reefing, bone cracking (and the bone came away with the tooth itself, I've got brutal pics) ankylosed mess. Now I'm missing part of the alveolar process, leaking air from my sinus, gum shredded along with part of the soft palette towards my throat. I have ZERO idea how when she was reaming the periodontal ligament and clearly hitting a tooth's width of immovable bone she didn't realize what was going on. Now I have to go for oral surgery to attempt to repair what someone else has done to my body. Luckily it's at her expense, guess that how I know she messed up and considers that an apology. 😶 Thank you for the very informative video, I'll be sure to forward it to my not dentist so she knows what to do next time.
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