dental disorders
How To Do an Emergency Tooth Extraction
Contraindications
Absolute contraindications Site has been previously heavily irradiated (extraction could precipitate osteoradionecrosis) Site is in proximity to an area of infection or malignancy (extraction may spread the disease) Adjacent structure is fractured (the tooth may be stabilizing the fracture) Relative contraindications Patients receiving injectable bisphosphonate or RANK-ligand (receptor activator of nuclear factor-kappa B–ligand) inhibitor therapy (eg, for cancer): Extraction could precipitate Osteonecrosis (ON) . Coagulopathy*: When feasible, correct prior to procedure. Pregnancy: Avoid treatment in the 1st trimester if possible. Oral bisphosphonates (eg, for Osteoporosis ) have markedly lower risk of osteonecrosis than injectable bisphosphonates. However, a low risk remains, especially in the mandible, in older patients, or those receiving chemotherapy or corticosteroid treatment, or with multiple systemic diseases. *Therapeutic anticoagulation (eg, for Pulmonary Embolism (PE) ) increases the risk of bleeding with tooth extraction, but this must be balanced against the increased risk of thrombosis (eg, 