Extractions

There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt.  

 

Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth. If tooth decay or damage extends to the pulp, the center of the tooth containing nerves and blood vessels, bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection. 

If periodontal disease, an infection of the bones and tissues that surround and support the teeth, have caused loosening of the teeth, it may be necessary to the pull the tooth or teeth.

 

When it is determined that a tooth needs to be removed, your dentist may extract the tooth during a regular checkup or may request another visit for this procedure

 

The root of each tooth is encased within your  maxillary or jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation. For our anxious patients we offer nitrous oxide sedation in addition to local anesthesia. After the extraction, we will go over all post operative care and prescribe pain medication if necessary. 

 

Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.

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