Extraction of denervated teeth is more challenging compared to extraction of normal teeth due to factors such as changes in tooth structure, presence of dental restorations, canals connected to bone, anatomical considerations and the possibility of infection or inflammation.. But experienced dentists have made it easier to extract these teeth with special equipment by using special techniques.. Continuous pain, swelling and even abscess formation, which in this case requires re-nervation or extraction of denervated teeth... they conclude This number is mostly related to molars due to high pressure... - According to the statistics of the Iranian Dental Association, more than 5 million teeth are extracted in the country every year, and the majority of them are related to nerve extraction. The process of extracting a denervated tooth is different from the process of extracting an untreated tooth. The differences are mainly in the structural complexity and possible fragility of the denervated tooth. During the extraction of a denervated tooth, the dentist must consider the presence of residual filling material or other restorative elements inside the tooth. The complete extraction of the tooth, including the root... > > "Root canal treated teeth can be more prone to root fracture due to pulp removal and changes in tooth structure... Root fracture can complicate the tooth extraction process and may require specialized tools or techniques to completely remove the tooth... > > **Persian translation:** > Denervated teeth can be more prone to root fracture due to pulp removal and changes in tooth structure... Fractured roots can complicate the tooth extraction process and may require specialized tools or techniques to completely remove the tooth. > Quoted from smileperfection site In general, the process and how to extract denervated teeth includes the following steps: 1.... **Evaluation**: The dentist evaluates the tooth and the surrounding tissues by taking a radiological picture to make sure that it needs to be extracted, and also bent, calcified or fused roots to the bone should be identified before extraction.... 2.... **Anesthesia**: Local anesthesia is used to numb the area.. It is necessary to use anesthesia again.... 3.... **Tooth loosening**: specialized tools such as an elevator or a luxator handle are used to gently open the tooth from the socket.. In case of root fracture, operculectomy surgery or bone removal is necessary to remove the remaining roots.... The serum and tissues are purulent and inflamed, cleaned.... If the infection is high, antibiotics may be needed.... 6.... **After extraction**: If necessary The site may be sutured.... 7.... **Installation of sterile gauze:** Sterile gauze should be placed over the cavity and applied for 30-45 minutes to form a blood clot.. Food, avoid smoking, etc.. Extraction of fractured denervated tooth. Structural damage or fracture that compromises the integrity of the tooth may make tooth extraction difficult.. Despite the increased strength of the crown after nerve extraction, some teeth may break or crack over time due to various factors such as trauma, abrasion, or weakening of the tooth structure... Such damage can make the tooth more vulnerable to infection or make restoration difficult. teeth A denervated fracture requires examination and X-ray imaging.. After that, the dentist injects a local anesthetic to numb the area, then loosens the tooth from the original location using a suitable instrument.. Finally, the dentist pulls the tooth using forceps. If necessary, the dentist prescribes antibiotics to remove the infection so that the infection is completely removed. Due to the complexity and fragile structure of the tooth, the price of tooth extraction is higher than the usual tooth extraction, which is determined based on the following factors: 1.... **Position of teeth:** Extracting front teeth costs less than posterior teeth and molars.... 2.... **Number of tooth roots:** molars have more roots, so the cost of pulling them is more. 5... **The geographical location of the office or clinic, as well as whether it is private or public. 6 ... **experience and expertise** dentist or maxillofacial surgeon Also, click to see the details of the cost of tooth extraction in the government clinic According to the American Association of Endodontists (AAE): - About 30% of treatment fails due to incomplete denervation... - About 25% of treatment fails due to cracks and fractures in the root of the tooth.