Most teeth that are severely decayed or have multiple fractures from stress or previously placed large fillings CAN be saved. However, if after a thorough examination, it is determined that there is not enough supporting tooth structure for the tooth to be restored, it may be necessary to remove the tooth. If the tooth cannot be saved or should be removed as in the case of impacted wisdom teeth, new extraction techniques and oral sedation can be used to keep you comfortable and relaxed during the procedure.
REASONS FOR A TOOTH EXTRACTION
This is decay that involves 50 to 60% o the clinical crown or involves the furcation area (the area between on a multi-rooted teeth) may not be restorable. These teeth should be removed and replaced as soon as possible to maintain a healthy bite, jawbone, and beautiful smile.
FRACTURED TOOTH:Teeth that suffer cracks above the gum line many times can be saved thru the use of root canal therapy and crown placement. However, if a tooth has a fracture that extends into the root of the tooth, it may need to be extracted. Fractured teeth usually will exhibit hot and/or cold sensitivity and sharp pain when chewing or biting. A thorough examination will need to be completed to determine if you have a fractured tooth.
The jawbone provides the bone support for natural teeth to maintain their stability and function in the mouth. Periodontal disease is an infection caused by bacteria in the mouth that destroys the bone around the teeth. If the periodontal disease is left untreated, it will destroy so much bone, that in severe cases the teeth become irreversibly loose and have to be removed. In most cases, periodontal disease is not painful and many patients are unaware they even have it. That is why regular dental examinations and consistent homecare are so important to detecting and stopping this disease early. Failure to treat periodontal disease will continue to provide a continued source of bacteria causing infection to the surrounding teeth and eventual destruction of the jawbone. Studies also indicate this same bacterial infection can spread to other areas of the body such as the heart, lungs, coronary and carotid arteries causing heart attacks, strokes, infectious endocarditis and more.
Also called the third molars, most often have to be removed because there is not enough room in the mouth for the wisdom teeth to erupt in a normal path. This impacted position can cause many problems for the adjacent second molars. They can also promote the development of periodontal defects in the bone or association of cysts in the third molar area. Because it is very difficult to keep the gum tissue clean in the area of a partially erupted wisdom tooth, a painful infection called Pericoronitis can develop. The best time to have wisdom teeth removed is usually during the late teens or very early 20’s. At this time usually the wisdom teeth have not fully developed and are much easier to remove. Post operative complications will be fewer, patient recovery will be faster and healing time will be shorter.
To keep you comfortable during the procedure, a local anesthetic will be given to numb the area. If you are anxious or nervous about the procedure, nitrous oxide and/or oral conscious sedation is also available to keep you comfortable and relaxed. You will normally feel pressure during the procedure but should not feel any sharp pain. If you do feel pain, we will stop and administer more local anesthetic. Instruments, such as elevators and forceps will be used to gently loosen and remove the tooth. If the tooth is decayed or fractured below the gum tissue, a small incision may be made so that the tissue can be lifted out of the way. In cases like these, it is usually helpful to section or cut the tooth in two or more pieces, making it easier to remove the remaining tooth structure. One or two sutures may be placed to help the soft tissue heal correctly. It is very important to follow your post operative instructions very closely to minimize the risk of post-operative infection, pain, excessive bleeding and swelling.
WAYS TO TREAT A MISSING TOOTH
This procedure is usually completed at the time of the extraction. The extraction site is thoroughly cleaned and prepared for the placement of a bone grafting material that will help your bone cells fill in the extraction site. This prevents the ridge collapse of the jawbone which happens after a tooth is extracted. The Ridge Augmentation procedure will improve the out- come of any tooth replacement procedure the patient elects to have done.
Once a tooth has been lost (except wisdom teeth), it is important to replace it as soon as possible to prevent the tipping of the adjacent teeth into the extraction site and the opposing teeth from erupting into the open space. Choosing NOT to replace a missing tooth can lead to the loss of additional teeth, loss of jawbone and decreased stability of the bite (i.e. collapsed bite). There are several options to replacing missing teeth, such as dental implants, fixed bridges, and removable partial dentures. We will discuss your tooth replacement options and have a plan that is right for you prior to tooth extraction.
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