Tooth Extraction

Simple Extraction

Sometimes, extractions can be done without any special considerations. This is a simple extraction and can be done by a general or family dentist. The size, shape, and position of the tooth determine whether or not a simple extraction is possible. In some cases, if a tooth is broken or decayed, a surgical extraction is required.

Surgical Extraction

A surgical extraction typically requires sedation and is required when there is not enough of the crown above the gum line to allow simple extraction. Surgical extractions take longer than simple extractions and the time varies based on several factors:
●     Tooth position
●     Length/curvature of roots
●     Jawbone density surrounding tooth
●     Overall physical health of a patient
If the gum tissue is covering the root, an incision will be required to expose the tooth so that it can be removed. In addition, if the tooth is covered by the jaw bone, we may need to remove part of the bone to expose and extract the tooth. If surgical extraction is required, sutures will be placed to facilitate healing.
If you have a tooth extracted, we recommend that you replace it with a dental implant to restore functionality and prevent jawbone deterioration. The only time dental implants are not recommended is for wisdom teeth.

Severe tooth decay

When tooth decay reaches the tooth pulp, bacteria produced by the decay can cause infection. In some cases, a root canal can be used to treat the infection. However, if the infection is severe, extraction may be required to keep the infection from spreading.

Gum disease

Gum disease, or periodontitis, is a condition in which the alveolar bone, periodontal ligaments, gums, and other surrounding structures become infected. There are 4stages of gum disease- gingivitis, mild periodontitis, moderate periodontitis, and severe periodontitis. Gingivitis is the earliest stage and can be treated fairly quickly and easily. However, as it progresses, it becomes more challenging to treat.
In some cases, periodontal disease causes teeth to loosen. In this case, tooth extraction maybe necessary.
You can take steps to prevent periodontal disease by practicing proper oral hygiene and visiting your dentist every 6 months for an exam and cleaning.

Impacted tooth

If a tooth is unable to push through the gums, it is considered impacted. This is most common in wisdom teeth. Extraction is typically recommended for impacted teeth to prevent other teeth from being damaged. Extraction may also reduce the risk of over crowding and infection.

Overcrowding

If your teeth are overcrowded and you require orthodontic treatment, extraction may be necessary to create room for your teeth to realign.

Trauma

If your teeth are damaged due to an accident or trauma, we will do everything we can to save the affected teeth with bridges, bonding, crowns, or veneers. However, if the damage is irreparable, we will recommend extraction.

Keep the surgical site clean

You will need to carefully rinse the surgical site with an antimicrobial mouthwash 2 to 3 times a day. Do not brush over the site until the dentist tells you it’s safe. Brush and floss other teeth as usual.

Take medications as directed

If you are given prescription medications, take them as directed. You may be able to take OTC pain relievers as well. You will want to consult with the dentist before doing so to make sure that they will not interact with your prescriptions.

Rest/Relax for at least 2 days

You will need to take it easy for at least 2 days because an elevated heart rate can cause discomfort and bleeding. You will need to skip your workout for up to 72 hours. Ask the dentist when you should resume your normal routine.

Avoid hard/crunchy foods for a few days

You will want to make sure that you have plenty of soft foods to choose from for the first few days. Also, don’t use a straw, as this can cause the blood clot to come out of the surgical site resulting in dry socket.