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
- 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
- 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.