Tooth Extractions
Tooth extractions, or the removal of one or more teeth, are usually used as a last resort in dentistry, as keeping the natural tooth in the mouth is ideal. There are many reasons why single or multiple extractions may be performed, including extensive tooth decay, the impaction of wisdom teeth, or the need to create space for orthodontic devices.The most significant short-term benefit associated with tooth extraction is the elimination of pain. If a tooth is severely decayed or an infection is present, removing the affected tooth almost immediately alleviates discomfort. However, it should be noted that further procedures are necessary to replace the extracted tooth.
Why might I need to have a tooth extraction?
Deep decay – This is easily the most common reason for tooth extraction, accounting for around two-thirds of all extraction procedures performed. When decay affects the surface of the tooth as well as the pulp, in some cases root canal procedures cannot be performed. Root canal therapy is only viable where the general structure of the tooth is in stable condition.
Periodontal disease – Often teeth have to be extracted because the gums and underlying bone are so severely eroded that they can no longer hold the tooth in place securely. The cause of bone and gum loss is almost always advanced periodontal disease (gum disease).
Prior to braces – Traditional orthodontic braces require enough space to for the teeth to move into ideal alignment. If space cannot be created naturally, your orthodontist may recommend that a tooth may be extracted as an alternative.
Fractured teeth – Fortunately, dentists are able to save injured teeth in most circumstances with the aid of root canal therapy. However, there are some instances where the tooth has become fractured in a way that makes repair impossible. Your oral health professional will remove the tooth and discuss options for replacement in most cases.
How is the extraction procedure performed?
Generally, tooth extraction can be simple in nature or involve more complex surgical processes. Simple extractions are performed on fully emerged teeth after applying local anesthetic to the treatment site.
Surgical extractions are performed on teeth that are either invisible or inaccessible, or have broken down leaving little tooth remaining above the gum, or which cannot be removed in one piece.
If you have any questions or concerns about tooth extraction, please contact our office.
Back