An extraction is the last resort if your tooth is damaged or decayed and cannot be repaired with a filling. However, your options will be discussed with you during the consultation.
Why are Teeth Extracted?
There are many reasons why a tooth needs to be extracted:
Severe tooth decay
Gum disease (periodontal disease)
Irreparable broken tooth
Abscess (pus collection) in or around the gums or teeth
Embedded wisdom teeth
In general, teeth are extracted under local anesthesia. This completely eliminates pain in the gums, although you may feel some pressure. You will remain awake during the procedure, so you will be aware of what is happening. If you are very worried about tooth extraction, you may be able to get sedatives that relieve anxiety, make you feel sleepy and help you relax.
Applying general anesthesia for extraction is usually only an option for young children or adults with learning difficulties. However, your dentist can make the right decision for you when multiple extractions need to be done or if the extraction is going to be more difficult than usual.
How are teeth extracted?
The roots of your teeth sit in an alveolar in your gums. Your dentist will expand the alveolar and loosen it slightly before extracting. You will feel some pressure in your mouth when a tooth is extracted.
The gums can bleed for a few minutes after extraction. Your dentist will give you a piece of soft padding to bite on to stop the bleeding and you can go home after it stops.
If you have used a general anesthetic or sedative, you should rest until the effects of the anesthetic or sedative wears off. Most people can return to normal routines on the same day. A longer recovery period is required only in case of a more difficult surgical extraction. Tips for proper healing of the area after tooth extraction:
Do not rinse your mouth for at least 24 hours after tooth extraction. Rinsing can disturb formed blood clots formed and cause further bleeding.
After 24 hours, gently rinse four times a day with saline mouthwash to keep the area clean.
Eat soft foods for a while.
If the gum bleeds, bite on a clean material pad, such as a clean tissue, for at least 15 minutes.
Do not drink alcohol for at least 24 hours and refrain from smoking for as long as possible.
Brush your teeth, but keep your toothbrush away from healing wounds, brush more closely each day. You can try to soften your toothbrush with hot water before using it.
One of the primary treatment goals in dentistry is to protect teeth. Even the most advanced and realistic dentures cannot be compared to natural teeth in terms of health and appearance. However, there are effective methods to extract teeth safely, efficiently and with minimum discomfort, which will protect your health in the long term.
Reasons for Tooth Extraction
Sometimes a tooth must be extracted it is not healthy enough to function effectively or poses a danger to other teeth or your overall dental health. In some cases, a tooth has decayed beyond preserving its vital importance, or the gum tissue ruptures due to progressive periodontal disease. In other cases, long-term health of a tooth can be compromised by traumatic injury.
A tooth may need to be extracted because it jeopardizes other teeth and interferes with the jaw and bite function. Generally, in an abnormal position under the gums, affected molars can press the roots of adjacent teeth and damage them. Molars, which are affected by this and their high sensitivity to gum diseases, are often extracted to reduce current or future problems.
Furthermore, a healthy tooth can be extracted to increase the success of orthodontic treatment. Misaligned teeth corrected with braces or similar orthodontic treatments; sometimes, due to excess teeth, the range of motion may be more or less. In such cases, some teeth can be extracted to form the required space. The most frequently extracted teeth for this purpose are those located near the front of the mouth. The removal of these teeth does not cause loss of function and subsequent orthodontic treatment creates a cosmetically satisfactory result.
The extraction method used will depend on the type, position and whether there are any challenges which may make it difficult to remove.
Prior to any extraction treatment, the dentist performs an appropriate assessment and diagnosis including the position of the tooth in the mouth and possible extraction related complications. This will include a complete medical history, including recent X-rays and prescription medications that may interfere with anesthesia.
Although some people are concerned about tooth extraction, modern extraction techniques supported by anesthesia render it painless with only some mild to moderate discomfort for a few after the procedure.
Teeth are held in place by a periodontal ligament, which is an elastic gum tissue that is also bound to the jaw bone. During a simple extraction, the dentist carefully pulls the tooth until it is released from the gum. Experienced dentists develop an idea of how the fibers are separated, so the tooth usually loosens without any effort or discomfort for the patient. Simple extractions are usually performed with local anesthesia.
There are, however, other situations where a simple extraction is not possible: teeth with multiple roots without a straight extraction path, embedded teeth, or teeth with brittle roots that can break during extraction. In such cases, a surgical extraction performed by an oral surgeon using more severe sedation methods such as general anesthesia will be required.
After Tooth Extraction
After checking the bleeding after the tooth extraction, the dentist fills the open portion with bone graft material before closing the gum. Since bone loss is likely to occur after tooth extraction, the bone graft will promote new growth and minimize potential losses.
Tooth extraction is one of the most commonly used methods in dentistry. However, your dentist will not recommend an extraction to treat a current health problem or improve your oral health in the future unless it is necessary.