Tooth Extractions
Tooth extraction is the removal of a tooth from the socket in the bone. There are many reasons that a tooth may need to be extracted, but tooth extraction should generally be avoided where other options may allow the tooth to be kept.
Possible Reasons for Extraction- Tooth is cracked / broken and cannot be repaired.
- Excessive decay which cannot be repaired.
- Extra teeth which block other teeth from coming in.
- Baby teeth not falling out before the adult permanent teeth come in.
- Removal for Cosmetic dental planning.
- Orthodontic treatment may require some teeth to be extracted to create space for other teeth to be moved into their place.
- Wisdom normally come in during the late teens or early 20s. These teeth are located at the back of your mouth which can make it hard to brush them, and increase the risk of decay. Wisdom teeth sometimes get stuck in the jaw (impacted) and do not come in properly. Impacted teeth can irritate the gum, causing pain and swelling, and should be removed.
- Complications with radiation therapy in the head and neck.
- Complications with cancer drugs.
- Immune suppression drugs associated with organ transplants weaken the immune system and increase the chance of infection in the teeth.
A simple extraction is where the tooth can be seen in the mouth, and can be gripped on by dental tools. Your dentist or oral surgeon may perform an x-ray of the area to help plan the tooth extraction. A panoramic x-ray is often performed before wisdom teeth removal.
A local anesthetic will be given by injection. The tooth will be loosened with an instrument called an elevator and forceps used to remove the tooth.
Surgical extraction may be needed if a tooth is broken off at the gum line or has not come into the mouth yet. Anesthesia will be required for surgical extractions, and can range from a simple local anesthetic injection, to general anesthesia if deemed medically necessary.
Your dentist or oral surgeon may perform an x-ray of the area to help plan the tooth extraction. A panoramic x-ray is often performed before wisdom teeth removal.
The dentist makes a small incision into your gum to allow visible access to the tooth. Sometimes it's necessary to remove some of the bone around the tooth or to cut the tooth into pieces in order to extract it.
Some doctors may prescribe antibiotics to be taken before and after surgical extraction.
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