Chapter 69: Tooth Extraction

"Amitabha, good, good, the old disciple Sanzang has to help the benefactors, in order to return to the temple safely, the old man is here on behalf of all the monks of the small Buddha temple, thank you...... Ah, thank you for your great kindness. ”

"As the saying goes, the grace of a drop of water should be ...... Ouch, when the spring reciprocates, when this national disaster is at the head and disease is rampant, the old man is prosperous...... Ouch, I kindly invite all donors to live in this temple until the government develops a vaccine...... Senior brother, you continued, senior brother, I really can't stand it, ouch, ouch. "The abbot of the lonely sky, who was eating in Tiancangzhai, covered his right face with his right hand, and his face was painful.

Looking at the expression of the abbot of the Silent Sky crying wolf, Xiao Fan was almost certain that this was a symptom of acute pulpitis.

What is acute pulpitis? This starts with why teeth decay: if you don't brush your teeth for 12 hours a day, plaque will form on the surface of your teeth, and plaque can provide a breeding ground for cariogenic bacteria to stay on the tooth surface, resulting in decay and decay of the hard tissues of the teeth under the action of cariogenic bacteria.

Therefore, the best way to prevent decay is to brush your teeth twice a day for more than 5 minutes each time, and the best way to check if the plaque has been brushed off is to use your tongue to lick each surface of your teeth after brushing your teeth, if it is a smooth surface, and prove that the plaque has been removed. On the contrary, if it is not removed, the plaque that has not been brushed off for 12 consecutive days will become dental calculus, and tooth brushing cannot remove dental calculus, and dental calculus can only be removed by ultrasound cleaning, which is often referred to as tooth cleaning.

"Sins and sins, senior brother, stop talking...... Alas, there is Dr. Lao Xiaofan to diagnose and treat the teeth of the old man's brother! Xuanxu said anxiously.

"Good! No more nonsense! Swallow, come and help me. Xiao Fan instructed Yanzi, who was a nurse.

He first asked everyone to help Abbot Lonely to lie down on a long dining table, and then brought a stool and sat in front of Abbot's head to the right.

"It's too dark...... Swallow, help me get the flashlight and first aid kit in my backpack."

"Good! Wait"

Xiao Fan took out the "disposable oral bag" from the first aid kit (the oral bag contains: oral mirror, probe, tweezers, toilet paper, saliva towel), tore open the packaging bag, took out the oral mirror and probe inside, held the oral mirror in his left hand, and held the probe in his right hand.

Abbot's oral hygiene is not very good, and there are multiple cavities in his mouth, but the cause of his severe pain should be the 8th lower right (the last tooth under the right side, also known as wisdom teeth), because this tooth is very special, it is born very crooked, so the difficulty of extracting the tooth is also the highest.

Xiao Fan used the mouth mirror with his left hand to open the right corner of the abbot of Sekong, and with his right hand, he used a probe to put it into the cavity of that tooth.

"Ah!! Pander to...... Amitabha!!! Xiao Fan donor, you are light...... Tap it!! ”

"Master! How are you!! All the monks exclaimed together.

"Amitabha! This benefactor, you do this, don't ...... There won't be any problems, right? Master Xuanxu asked anxiously on the side.

"This is a necessary examination, Abbot of the Lonely Sky, you can bear with it, well, there is a sharp pain, it seems that the decay has developed into the pulp cavity, Yanzi help me get some cold water." Xiao Fan said expressionlessly.

When the swallow was fetching cold water, Xiao Fan replaced the probe in his right hand with tweezers and gently knocked on that tooth.

"Does it hurt?"

"Sort of."

"Well, it seems that acute purulent apical periodontitis can be temporarily ruled out, if it is acute purulent apical periodontitis, it has the following characteristics: 1. severe percussion pain, 2. symptoms of purulent swelling, 3. no probing pain. And none of these characteristics are possessed by your teeth. ”

At this time, Yanzi came over with a bowl of cold water, Xiao Fan took the bowl of cold water, took out the empty needle from the first aid kit, sucked a little cold water, and sprayed it into the cavity of the tooth of the abbot of the lonely sky.

"Ah!! Hurt...... It hurts the old man!! ”

''Well, there was a sharp cold irritation, and it seemed that it was one step closer to my inference. ‘’

Dare to ask Master Sekong, do you hurt more at night than during the day; And it hurts to half of the face; Not only does it hurt to eat something too cold or too hot, but it also hurts spontaneously? ”

"Divine doctor, ah, you, ah...... How do you know??? Silent Sky looked at Xiao Fan incredulously.

"Guess! Hehe, I'm kidding you, okay, I can make a diagnosis now, from the 5 points of night pain, pulling pain, spontaneous pain, hot and cold pain, and severe probing pain, I can conclude that your tooth belongs to acute pulpitis. ”

"Ah...... Amitabha, acute pulpitis? Should...... Ouch, what to do? ”

"Originally, the best way is to drill the pulp cavity, apply medicine to reduce inflammation, spend half a month to treat, and finally fill your teeth, the advantage of this is that you can keep your teeth, but the current conditions are not available, well, it seems, only tooth extraction!"

"Pull ...... Tooth extraction! Oh, my God! Pander to...... Amitabha!!! Sins, sins, sins. ”

"Now there is only tooth extraction, although you should avoid the acute phase and wait for your inflammation to be relieved before extracting the tooth, but in the case of not being able to drill your teeth, it will not relieve your inflammation at all."

"Good...... Okay, ouch...... Ah, Amitabha"

"Then without further ado! Swallow, put on gloves and come to be my assistant! By the way, you can prepare the anesthetic needle for me first. Xiao Fan put on gloves, a mask, and a white coat as he spoke.

Xiao ...... Xiao Fan, there is no anesthetic. Swallow said with an embarrassed face.

"Well, it seems...... Only hard to come!! Looking at the painful look on the face of Master Silent Sky, Xiao Fan gritted his teeth and said ruthlessly.

"Hard!? Oh, my God!!! The monks exclaimed, almost along with Master Silence.

"Alas...... If you come hard, you can come hard, the long pain is not the short pain! Sekong thought about it for a while, and finally couldn't stand the torture of acute pulpitis, and gritted his teeth and agreed.

"Good! Readily! Swallow, help me find the No. 3 tooth pole and the small medical hammer... Xiao Fan continued to say expressionlessly.

"Straight teeth! Little hammer! Xiao Fan's donor. What are you doing? Sanzang looked at Xiao Fan with a frightened expression.

"Of course, it's a tooth extraction, because this tooth is very crooked - it is leaning forward against the crown neck of the front tooth, so it cannot be extracted using conventional methods. It can only be split in the middle first! Then the tooth that has been split into two parts is extracted... Do you understand? ”

"I don't understand."

"Then I'll show you, Swallow, have you ever used a medical hammer?"

"Nope."

''Khan. ‘’

"Come, I'll teach you."

You disinfect the periphery of the tooth with iodophor, and then use a probe to separate the gums around the tooth so that when the tooth is extracted, there will be no gums that want to stick to the tooth.

"Ah!! Pain!!! Master Silence screamed.

"Bear with it first, it will be much better if you pull it out." Xiao Fan comforted Master Silence, using the mouth mirror with his left hand to pull the corner of Master Silence's right mouth apart, and using the tip of his right hand to place the tip of the tooth in the middle of the crown of the tooth that needs to be extracted.

"That's it! Swallow! Knock! ”

''Boom! ‘’

"Ahh

"Knock !! again"

''Boom! ‘’

"Ahh

"Knock the !! hard"

''Knock!! ‘’

"Ah, Mom!"

"Forget it...... Forget it, Master Xiao Fan, this is tooth extraction, this is fatal! The old man couldn't bear it. Master Silent Sky looked at Xiao Fan Dao begging for mercy.

"Eat hard, and the direction is superior. How can you give up like that? As the saying goes, long pain is better than short pain, right? Xiao Fan said to Master Sekong.

"Good...... Okay"

"I just like your kind of cheerfulness! Come! Swallow! Go on!!! ”

"Knock!"

''Knock!! ‘’

"Ah!!!h

"Swallow, you can't knock like this, you have to use the strength of your wrist, and you have to aim at the tail of the straight teeth." Xiao Fan took the small hammer and demonstrated to the swallow.

"Good...... Well, to be honest, I've been in the emergency department and never been to the dentist. Swallow said with an aggrieved face.

"Well, I don't blame you, let's do it again. Come! Knock! ”

''Knock!! ‘’

"Ah!!h

"Forget it... Swallow, your strength is too small, you can't split the crown of your teeth at all, ghost hand, you can try it! ”

"Xiao Fan, do you want to use all your strength?"

''Khan, don't...... It's good if you use 1/10 of your strength, if you use all your strength, you will die directly! Xiao Fan said nervously.

"Good!"

Xiao Fan placed the tip of the tooth in the middle of the crown again.

"That's it! Knock! ”

''Knock!! ‘’

"Ahh Damn!! ”

"Master! What happened to you??? The monks exclaimed again.

"Oh my God! Ghost Hands! I told you to use only 1/10th of your strength! Not only did you split the crown, but you also stuck the tooth into the alveolar bone under someone else's tooth......"

"I ...... I only use 1/10th of the force. Ghost Hand said with an embarrassed expression.

Xiao Fan hurriedly pulled the tooth out of the alveolar bone, but fortunately it was not inserted very deeply.

"Forget it, it's not very serious, it's good to split it now." Xiao Fan used a tooth straightener to insert the gap between the neck of the tooth and the alveolar bone, and used the lever principle of the tooth stiff to start the bloody tooth extraction operation.

This "splitting crown and root splitting" is really good, reducing a lot of resistance, and in the earth-shattering screams of the color sky, I will not be able to pull out half of the split teeth in a short time.

"Swallow, give me tooth extraction pliers. Remember, take the sharper, mandibular tip forceps. The pungent smell of blood made Xiao Fan almost dizzy, since he was transferred to the emergency department to help take care of those patients with viral infection, he hadn't had a tooth extracted for a long time, and Xiao Fan was almost unaccustomed to the familiar smell of blood.

After a while, Xiao Fan took the tip of the mandible tip pliers handed to me by Yanzi, clamped the remaining half of the side teeth, and pulled it out with a little force.

"Alas, well, it's finally done! Come, Master of the Void, come and see your teeth! Do you still want it? Xiao Fan used the blood-stained gloves to grab the bloody and pungent teeth, and raised them to the closed eyes of the Master of the Color Sky, telling him to open his eyes and take a look.

'Ahh ’

As soon as the Colored Sky Master saw that bloody tooth, he was immediately frightened and fainted.

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