TOP 5 “not allowed” after contouring, so as not to lose the effect

• Septoplasty
• Vasomotor rhinitis
• Adenoids
• Tonsillitis

The human nose has several functions. The villi that line the inside of the nose trap viruses and germs that enter along with the air. In addition, the air in the nose is humidified and heated to the desired temperature. And finally, with proper nasal breathing, the body receives enough oxygen for normal brain function. Impaired nasal breathing prevents oxygen from reaching the brain, and the lack of good blood supply to the brain leads to its underdevelopment. One of the reasons for impaired nasal breathing may be a deviated nasal septum.

How is rehabilitation after septoplasty?

With the development of technology, septoplasty has ceased to be uncomfortable. The operation begins with the patient being given anesthesia, then the doctor uses an endoscope, through a small incision, to enter between the layers of the mucous membrane and straighten the septum.

During the rehabilitation period, technologies were also created that allow the patient to avoid unpleasant sensations and breathe through the nose. Intranasal septal splints according to Reiter or splints were created. They are made of soft silicone, as it does not cause any harm to the nasal cavity and is painlessly removed from it. The splints have a seven-sided shape, which completely follows the shape of the nasal septum at the site of the operation. The essence of splints is that they keep the septum in the midline. After the operation, while the patient is under anesthesia, a silicone splint is sewn on.

Splints come in different modifications. Depending on the shape of the nose, they can be either large or small. A tube can also be inserted between the silicone of the splint, through which the patient can breathe immediately after the operation. The septal splint stays in the nose for about 5-7 days, during which time the nasal septum takes its position.

Diagnostics

The diagnosis is made by an ENT doctor when examining the nasal cavity using a nasal speculum or endoscope. It is important to assess the role and degree of participation of the deviated nasal septum in the difficulty of nasal breathing, since there are other structural features of the nasal cavity (hypertrophy of the mucous membrane, nasal polyps, vasomotor disorders, etc.) that can interfere with normal breathing, and the doctor must decide on which structures and to what extent surgical treatment should be performed.

It should be noted that a deviated nasal septum occurs to a greater or lesser extent in most people, but not all people with a deviated septum need to straighten it.

Septal splints

Recently, septal splints or intranasal splints have become an integral part of operations on the nasal septum. For septoplasty, rhinoseptoplasty and closure of perforations of the nasal septum, the final stage of the operation is the installation of septal splints on both sides of the nasal septum.

The reason splints are so popular among surgeons is a number of advantages that improve the outcome of the operation, reduce the risks of postoperative complications and speed up the patient’s recovery.

/>/>/>

Postoperative period

Nose pain

Often in the postoperative period, patients experience pain in the nose. This is due both to the surgical procedure itself and to the presence of tampons in the nose. If the pain is severe, the doctor may prescribe opioid-containing narcotic painkillers such as tramadol, promedol. Most often, patients themselves refuse opioid analgesics. In this case, doctors use non-steroidal anti-inflammatory drugs: ketorol, diclofenac, analgin. However, a contraindication to these drugs is the deterioration of blood clotting and an increased risk of postoperative bleeding, so doctors do not recommend using these drugs frequently, especially in the first days after surgery.

What causes complications?

There are a number of risk factors that cause unpleasant consequences after septoplasty:

• Failure to comply with the rules for performing the operation . This is what they encounter after turning to illiterate specialists.
• Inflammation of the mucous membrane . This applies to the acute form and remission.
• Failure to comply with hygienic conditions during surgery . Infection is a consequence.
• Serious illnesses . Some diseases make themselves felt after surgery.
• Failure to comply with the rules of preparation before septoplasty . Certain manipulations are prohibited before surgery.
• Failure to follow the technique for changing dressings . This applies to the early rehabilitation period (3 days after septoplasty).

How to remove a tooth

There are two extraction methods used in dentistry: simple and complex. Their choice depends on which teeth are being removed - premolars and molars with tangled branched roots are removed using a complex method. It is very difficult to pull out such elements entirely due to the fact that the tooth socket is penetrated by retaining ligaments and alveolar processes. Errors during the procedure or insufficient experience of the specialist lead to serious complications. Therefore, even despite the acute condition, always find out in advance where you can have a tooth removed from a good doctor with positive recommendations.

Factors complicating the operation:

• complete destruction of the coronal part;
• high fragility;
• acute inflammatory diseases;
• Unerupted or misaligned wisdom teeth.

The technology of the procedure depends on which teeth are removed. In some cases, tissue incision and suturing are performed.

Whether it is painful to remove a tooth or not depends largely on the condition of the element. Anesthesia is performed in all cases, with the exception of severe allergic reactions to all types of painkillers. With the development of extensive purulent lesions, the effect of the drug may be reduced.

How long it takes to remove a tooth depends on the complexity of the operation. On average, this takes no more than 5-10 minutes (including waiting for the anesthesia to take effect). In general, the procedure includes the following steps:

• anesthesia;
• if necessary, an incision is made into the mucous membrane to access the cervical area, or the doctor lowers the gum with an instrument;
• Use forceps to fix the tooth at the lowest point without excessive pressure;
• rocking and extraction from the hole is performed;
• returning the gum flap to its place.

If inflammatory processes are diagnosed in the oral cavity, a course of antibiotics is prescribed. In some cases, extraction is performed under general anesthesia.

In case of multiple lesions, the doctor determines how many teeth can be removed in your case during one visit, but more often it is 1–2 elements. This is because extraction is a traumatic operation that will take time to recover from. Too large areas of damage increase the likelihood of complications several times and take much longer to heal.

If after surgery the extracted tooth, or rather the hole left after it, hurts, this is a reason to consult a doctor. After the procedure, minor pain is allowed during the first 24 hours. Visit the dentist if your temperature rises, swelling increases, bleeding occurs, or pain spreads to the lymph nodes. These are symptoms of a wound infection. Untimely treatment can lead to alveolitis.

Preparation for rhinoplasty

Before the operation, it is necessary to conduct a number of studies. In addition to the standard set (blood test, urine test, chest X-ray (fluorography), ECG), radiography of the paranasal sinuses or X-ray computed tomography of the paranasal sinuses is required.

Photos before rhinoplasty:

1 Rhinoplasty: BEFORE

2 Rhinoplasty: BEFORE

3 Rhinoplasty: BEFORE

Photos after the operation:

1 Rhinoplasty: AFTER

2 Rhinoplasty: AFTER

3 Rhinoplasty: AFTER

Wisdom tooth removal

Wisdom teeth are considered full-fledged elements of the oral cavity. They are involved in chewing food (if they are located above each other and have contact), and can act as a support for bridges and removable dentures in the future. There are specific indications for extraction in their case. For this reason, the decision about whether wisdom teeth need to be removed is made only by the attending physician.

The most common problem with eighth teeth is their growth. Only some teeth form and grow completely without complications, but often these processes are accompanied by a number of difficulties:

• semi-retinated or impacted elements that have formed in the bone tissue, but have not erupted or only partially erupted. Their position can be vertical, horizontal, or with their roots outward. Because of this, neighboring elements suffer, constant pain appears;
• violation of position (dystopia). Since wisdom teeth erupt without predecessors (baby teeth), and the jaw bone is already formed and does not develop, the position of the elements is often incorrect. They injure the mucous membrane, overlap other crowns, and put pressure on neighbors. This leads to inflammation. The doctor will determine whether the position can be restored with orthodontic treatment or whether it is better to remove the wisdom tooth;
• appearance of a gingival hood. When slowly cutting through the mucosa, an area is formed in which bacteria and food debris accumulate, which are difficult to clean. This leads to acute inflammation, which can provoke the appearance of pus;
• destruction, caries. Elements may appear immediately underdeveloped with carious lesions.

The doctor determines whether wisdom teeth should be removed or not based on complaints and the clinical picture. Problems with even one or two teeth interfere with the normal functioning of the entire dental system. Pain appears when opening the mouth and chewing. The bite and position of the incisors may even change.

How a wisdom tooth is removed depends, as in the case of permanent elements, on the condition of the dental system. In the absence of contraindications, manipulation is carried out with ordinary forceps.

Whether it is painful to remove a wisdom tooth depends on the presence or absence of purulent formations. If they are present, then the painful sensations may persist even after pain relief. Most often, classical infiltration anesthesia is used, which covers a large area and maintains the effect for a long time.

Root removal

How is the root of a tooth removed if the tooth is completely destroyed? Despite this situation, extraction is not always recommended. If, after diagnosis, the doctor determines that the root can be used for an inlay, then the tooth is restored with a crown. But if there is pain, an unpleasant smell and taste, or swelling has developed, then dental care is required urgently. In this case, the question of whether to remove the roots of the teeth is decided in favor of the operation, since the neglected condition can also lead to the loss of neighboring elements.

Regardless of the chosen technique, pain relief and X-ray control are required after removal. This allows you to make sure that there are no root fragments in the cavity, since it is often loose and can crumble under slight pressure from the forceps.

Recommendations after removal

Regardless of which tooth you removed or just its root, you must follow the rules of the rehabilitation period. Then healing takes place quickly and without complications.

• Do not eat for 2-3 hours after surgery.
• Eliminate hot and solid foods from your diet for 7 days.
• Carefully walk around the socket when brushing your teeth.
• Do not pick out the blood clot and try not to disturb the hole with your tongue until it is completely healed.
• Don't rinse your mouth.

The Vimontal Clinic carries out operations of any complexity using advanced equipment. This allows you to provide assistance with maximum comfort and safety.

Prevention of complications

Follow the rules so that unpleasant consequences do not worsen the rehabilitation period after nasal septoplasty:

• Avoid cigarettes and alcohol-containing drinks 30 days before the procedure.
• Follow a diet . Avoid sweets, chocolate, fatty and fried foods a week or two before surgery.
• Do dressings correctly . Use antiseptics and sterile dressings. These include hydrogen peroxide and furatsilin.
• Use antibiotics if there are signs of infection. Take tablets or inject antimicrobial medications for 5 days. Antibiotics are selected by the doctor.
• If necessary, use agents that increase blood clotting . Aminocaproic acid is suitable.
• Use medications that speed up the healing process . These include anti-edema medications (heparin ointment, badyaga) and anti-inflammatory medications (Levomekol).
• Check for contraindications before surgery . Get tested and consult with doctors.

Doctors providing this service

Types of dental anesthetics

Anesthesia means absence or loss of sensation. With light anesthesia, the person is conscious. In severe cases, the patient is put to sleep. The doctor at the Nika Dentistry clinic uses medications separately or in combination. Selects medications for a safe procedure. The type of anesthetic used also depends on the person's age, health, length of the procedure, and previous negative reactions to anesthetics.

Short-term medications are applied directly to the tooth area. Long-acting is used when complex jaw surgery is performed.

The success of dental anesthesia depends on:

• drug;
• areas of anesthesia administration;
• type of procedure;
• time of the operation;
• severity of inflammation.

Local anesthesia in the lower jaw is not as strong as in the upper jaw.

Doctors give three types of anesthesia: local, sedative and general. The choice depends on the location of the manipulation, the severity of the problem and the combination with other medications.

Local anesthesia

Local anesthesia is used for simple procedures such as tooth filling, which require a short time to complete and are less complex. The person is conscious and talking when local anesthesia is given. The area is numb so that the patient does not feel pain. A popular local anesthetic is lidocaine.

Local anesthetics will numb the pain within 10 minutes, and the best anesthesia for dental treatment wears off between 30 and 60 minutes. Sometimes a vasopressor such as epinephrine is added to enhance the effect and prevent the anesthetic effect from spreading to other parts of the body.

Local anesthetics are available in the form of gel, ointment, cream, spray, patch, liquid and ampoules. Use topically (apply directly to the area to numb it) or inject into the area being treated.

Sometimes sedatives are added to anesthetics to help you relax. The patient remains fully conscious and responds to commands after slight sedation. If the drug is moderate, the person is semi-conscious or almost unconscious if the sedation is deep.

Sedatives are administered orally (tablet or liquid), inhaler, intramuscularly, or intravenously. During moderate to deep sedation, the doctor monitors your heart rate, blood pressure, and breathing.

General anesthesia

General anesthesia is used for long procedures or when the client is nervous and interferes with treatment. The person is unconscious, does not feel pain, the muscles are relaxed, and does not remember how the operation took place. The medicine is administered by putting a mask on the face or intravenously. The dose depends on the procedure and the patient's condition.

What are the side effects

The side effects of dental anesthesia depend on the type of anesthetic used. General anesthesia has more risks than local anesthesia. Reactions also vary:

• nausea or vomiting;
• headache;
• sweating or shaking;
• hallucinations, delusions, or confusion;
• slurred speech;
• dry mouth or throat;
• pain at the injection site;
• dizziness;
• fatigue;
• numbness;
• trismus caused by trauma from surgery.

Vasoconstrictors such as epinephrine added to anesthetics also cause heart and blood pressure problems. These are some side effects of anesthetics. Ask your dentist about the medicine and any problems that may arise after use.

Precautions when prescribing

Pregnancy

Special Needs

Aged people

Liver, kidney, lung, or heart problems

Neurological diseases

Other conditions

Tell your dentist if you have a hiatal hernia, acid reflux, infections or open sores in your mouth, allergies, severe nausea and vomiting, or are taking medications that cause drowsiness.

The risks are higher for those who:

• sleep apnea;
• epilepsy;
• obesity;
• hypertension;
• heart problems;
• attention or behavior disorder;
• chronic obstructive pulmonary disease;
• gastric bypass;
• Substance abuse.

What are the risks of dental anesthesia

Most people do not experience adverse reactions with local anesthesia. There is a higher risk with general anesthesia, especially in older people and people with medical complications. There is an increased risk of abnormal bleeding while taking blood thinning medications such as aspirin. If you are taking painkillers or nerve medications, tell your dentist or surgeon so they can select an anesthetic.

Anesthesia risks:

• seizures;
• coma;
• respiratory arrest;
• heart failure;
• heart attack;
• stroke;
• hypotension;
• hyperthermia;
• muscle stiffness;
• breathing problems;
• tachycardia.

Allergic reaction

Tell your dentist about any allergies, including reactions to dyes or other substances: rash, itching, swelling of the tongue, lips, mouth, or throat, and difficulty breathing; The anesthetics articaine and prilocaine at a concentration of 4% damage nerves and cause paresthesia;