An Extraction is the complete removal of a primary or a permanent tooth. An Extraction can be surgical or non-surgical. This depends on the difficulty of the extraction and whether or not the tooth is impacted or erupted, and whether it has straight or curved roots.

Extractions may be done at our offices or you may be referred to an Oral Surgeon (someone who specializes in complicated surgical extractions). No one looks forward to an extraction, but modern anesthesia will help keep you comfortable throughout the procedure.

Reasons for an extraction are:

  • Advanced Gum Disease. This is the #1 reason adults lose their teeth!
  • An abscessed tooth that cannot be saved.
  • A tooth with decay too deep to save the tooth.
  • A tooth that has broken at the gum line and cannot be saved.
  • Impacted tooth (typically a "Wisdom Tooth")
  • Overcrowding in mouth
  • Baby teeth that have not fallen out appropriately or need removed for orthodontal work to be done

Nothing is better than a healthy set of teeth, and many advances in dentistry allow us to save teeth that we could not previously, but sometimes an extraction is necessary.

What To Do Before A Tooth Extraction Procedure?

We will review your complete medical history including prescriptions and over-the-counter drugs, vitamins and supplements, etc. If medical complications including blood thinners are involved, we will seek medical guidance from your primary care physician, cardiologist or appropriate physician. You should not smoke on the day of surgery or 24 hours after at the very least as smoking could lead to a painful problem called a "dry socket" and prolong healing time. An X-ray will be taken examining the affected tooth and the teeth near it. The doctor may prescribe antibiotics before the surgery due to various reasons such as controlling infection and strengthening immune system. The doctor may also prescribe a collagen plug to promote healing or bone grafting for ridge preservation. Post operative instructions will be provided.

When an extraction is performed, it is important to put something in the place of the missing tooth or teeth. If the space is just left open, your teeth will shift and cause many unnecessary complications. An extracted tooth may be replaced by a temporary or permanent bridge, an implant, or by a partial or complete denture.

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© Copyright 2007- Dental WebSmith, Inc. and Dr. Diane Romaine. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

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