Is it true that removing teeth is dangerous and can be fatal? “In principle, pulling teeth is safe and not dangerous, really,” said dr Benny Poliman, MKes, from Mitra Keluarga Hospital Kelapa Gading, Jakarta. As an illustration, every day, throughout the world, thousands of times tooth extraction is done, and the evidence is safe.
Even if there are those that become fatal, it could be just a case. For example, it turns out that the patient had a certain serious illness before.
Teeth have several parts, including email as the outermost part, then underneath there is dentine, and the deepest part is the pulp. If the broken e-mail is, it can still be patched. Similarly, if the dentin is damaged, it can still be treated.
However, if the damaged part is the pulp, nerve treatment must be done. The pulp is a cavity under dentine, in which there are various tissue elements such as blood vessels and innervation.
“It’s still not revoked, but nerve care must be done. Actually, even though the roots remain and are in a dead condition, the teeth can still be maintained. Only, the maintenance costs are expensive. Everything depends on the patient. “The doctor gives information, the patient himself is decisive,” continued Benny.
Teeth must be removed for various reasons. In some cases, if the tooth is not removed, a focal infection can occur. “Bacteria from decayed teeth can carry blood everywhere, to vital organs such as the heart or kidneys and other organs,” Benny said.
However, teeth must not be removed carelessly. “It must be according to the procedure. Patients must be asked first, whether they have a history of internal diseases such as diabetes or high blood pressure. Diabetes, for example, will affect the healing of wounds, besides being feared can cause infection. Another example, in people with hypertension, can cause bleeding, “Benny said.
Often the patient does not convey or even does not know the history of the disease he has. “This is what sometimes makes doctors missed and even fatal. Pull out the teeth, right, including surgery too. So, the standard procedure should be done correctly, “explained the dentist who also practices at the Royal Trauma Hospital, West Jakarta, this.
Patients who have just undergone major surgery such as the heart, or patients who are undergoing cancer treatment, also cannot arbitrarily extract teeth. If the patient turns out to have “severe” diseases such as the above or has just undergone a major operation (for example bypass surgery), then tooth extraction must be consulted with an internal medicine doctor who treats it or even postponed. “Usually, before major surgery, such as bypass surgery, a thorough check-up, including teeth, is carried out. If not, it can be troublesome, “Benny said.
In principle, before undergoing major surgery, the teeth should be justified first. “Because, after surgery, patients have to take long breaks for post-operative care. If anything happens to the teeth during this treatment, dental treatment cannot be done. ”
Or in cancer patients who have to undergo treatment with radiation. “After irradiation, ¬ then for 5 years no teeth should be removed. If there are holes or bad teeth, you should clean them before irradiation. If not, osteoradionecrosis can occur. In patients with heart disease who are given blood thinning drugs, if there are teeth that must be revoked, then 5 days before and after extraction, he must stop taking blood thinning drugs. And it must be consulted with a cardiologist, “repeated Benny.
Going to the dentist, for most people, is still a “scourge.” “Most people rarely go to the dentist unless their teeth are very disturbing and the pain is not lost. Usually, they have tried taking a painkiller (painkillers) first. If it doesn’t heal, then he goes to the dentist, “Benny said.
Taking painkiller medicines is fine. “It’s really okay. The painkiller drugs, right, are sold freely at the pharmacy and not just for toothache. However, taking painkiller medicines won’t cure his toothache. Reduces pain, but does not cure. If there is an infection in the tooth, then the teeth must be cleaned by germs, the decay is removed, then given antibiotics, and so on. “