Dental Extractions
A tooth extraction, also called, exodontia, is the removal of one or more teeth. Removing a tooth is sometimes unavoidable. During your scheduled office visit, we will discuss whether an extraction is the best option for you.
When Are Extractions Necessary?
1. When gum disease is present: This is when the gums surrounding a tooth become inflamed from the build-up of bacteria in plaque between the teeth. Gingivitis is a leading cause of tooth loss. Although it is a mild form of gum disease, if left untreated, Gingivitis can lead to more serious forms of gum disease where the tissues and bone that support the teeth are broken down and destroyed. The teeth affected may then become loose and may have to be removed.
2. If the tooth is injured beyond repair: This could be due to an accident, decay or other trauma to the tooth or surrounding bone. If the damage to the tooth has led to an infection in the pulp and the tooth cannot be repaired by a root canal then the tooth is removed to prevent the spread of infection.
3. When the teeth have developed abnormally: Sometimes teeth do not develop normally; wisdom teeth can become impacted, they do not erupt through the gums, and they can become quite painful from inflammation and infection. Additionally, some children’s baby teeth do not fall out when they should; removing the tooth will allow the permanent tooth to come in properly.
4. If your mouth is overcrowded: A small jawbone may prevent proper alignment of the teeth, and can prevent wisdom teeth from coming in. Extracting one or more teeth may be recommended to make the necessary space. You may also require space if you are preparing to have orthodontic or periodontal work done.
Types of Extractions
Simple extractions:
This type of extraction is done on teeth that can be seen in the mouth. We use a local anesthetic to lessen the discomfort to you. We also use Instruments designed specifically to grab and lift the tooth, removing it in one piece.
Surgical Extractions:
With this type of extraction, the tooth is either completely under the gums, like impacted wisdom teeth, or partially under the gumline. Because of this, surgical extractions may require an incision to elevate the soft tissues covering the tooth and we usually use general anesthesia.
After Care
Recovery usually takes a few days. Here are some DO’s and Don’ts we recommend that will help reduce discomfort and promote healing after a tooth extraction:
DO; follow the directions on any medication we prescribe.
DO; limit your activity for about 24 hours after the extraction.
DO; eat soft foods the day of your extraction and the following day.
DO; change the gauze pads we give you if you need to, for a few hours after extraction.
DON’T drink from a straw for 24 hours.
DON’T; smoke. Smoking slows the healing process.
DON’T rinse or spit for 24 hours.
DO; continue with your normal oral hygiene, but DON’T clean the teeth next to where the tooth was removed.
If you experience nausea, vomiting or unusually heavy bleeding, make sure to contact us immediately. We are here for you.
Dr. Moody and his staff are available to answer all your questions regarding dental extractions.