Advanced periodontal disease, excessive tooth decay, and tooth infection are some of the reasons why extractions are done. Extractions are also done when there's crowding, or you have an irreparable fractured, chipped or malformed tooth. A tooth may also be pulled in preparation for orthodontic treatment.
Children can need extractions for the above reasons. Extractions are also done on hildren when their baby teeth fail to fall out before their permanent teeth come in (over-retained baby tooth).
What Is the Procedure for An Extraction?
Extractions are classified as either non-surgical or surgical. Before either of these procedures can commence, our dentist takes an x-ray and conducts a physical tooth examination. This helps determine which type of extraction is best suited for the problem presented. They'll also review your medical history to see if you have any chronic conditions like diabetes, which can affect healing.
A non-surgical extraction is done when the affected tooth has already erupted from the gumline. It's also referred to as a simple extraction. Two main instruments are used for this procedure once the area around the tooth is numbed. One is called an elevator or luxator. This tool dislodges the tooth from its socket. Once the tooth is free, forceps are used to pull it out. Both simple and surgical extractions are performed after we administer anesthesia.
Surgical extractions are more common than non-surgical procedures. This type of removal is done when the affected tooth is located beneath the gum line or is hard to reach. We may use local, intravenous, and general anesthesia to ensure you only feel pressure and no pain as we work on getting the tooth out.
A surgical extraction begins with a small incision. We'll also use a drill or osteotome if access to the affected tooth is restricted by overlapping or surrounding jawbone. Once the tooth is visible, it's cut into pieces for easy removal.
Replacing Extracted Teeth
After completing a non-surgical or surgical extraction we have to decide whether to leave the area as is, or replace the tooth. This is another reason why we take x-rays before the extraction is done. Gaps can hurt the jaw, gums, and other teeth in the mouth. They can also cause you to become self-conscious, which may decrease the quality of your life.
When replacing a single tooth, we prefer to go with a crown and implant combination. Bridges and dentures are other common replacement options. Our dentists will walk you through all your options and help you make the right choice. The decision is impacted by the current state of your teeth, gums, and jawbone, as well as your overall health. For a painless, safe, and comfortable tooth extraction call Northstar Dental at (303) 481-3901 today.