When Is a Tooth Extraction Necessary
Although it is best to preserve a natural tooth, there are times when a tooth extraction is necessary. An extraction may be the best option to maintain oral health due to trauma, disease, or crowding. Tooth extraction involves the complete removal of one or more teeth from the jaw bone.
A Normal Procedure
While it is best to preserve natural teeth, many reasons can necessitate tooth extraction. Sometimes a filling or crown is not enough to restore a tooth. The American Dental Association suggests the extraction of teeth that have suffered severe trauma, have extreme tooth decay or disease, or are crowding the surrounding teeth. It is also normal for patients to have an extraction or two before orthodontic treatment.
Many tooth extractions are relatively simple and performed in-office. For teeth that are visible about the gum line, we will numb the extraction site and remove the tooth with forceps. Broken or impacted teeth require a more involved procedure.
Preventing Infection
According to the National Institute of Dental and Craniofacial Research, gum disease is the most common cause of tooth loss in adults. Gum disease occurs when bacteria get below the gum line and causes infections. Without treatment, oral bacterial leads to gum recession, damage to the jawbone, loose teeth, and even tooth loss.
Overcrowded or Impacted Teeth
In some cases, it is beneficial to have crowded or impacted teeth extracted. Impacted wisdom teeth do not have enough room to grow. Extraction can prevent pain, infection, and other dental problems. While not all wisdom teeth need removal, it is necessary once they start causing problems. In some cases, wisdom teeth do not fully break through the gums and can cause crowding issues. A partially erupted wisdom tooth is especially susceptible to cavities.
When Tooth Restoration Is Not Enough
Typically, the first option to restore a damaged tooth is a crown or filling. If the damage is too severe, trying to save a tooth may put oral health at further risk. A filling may put the tooth at risk for shattering, while a tooth may not be strong enough to support a crown. Root canals are also not possible when there is too much tooth damage.
Frequently Asked Questions
Q. What is the recovery period after tooth extraction?
After tooth extraction, it typically takes a few days to recover. Patients can take over-the-counter pain medication to minimize pain and discomfort. We recommend applying an ice pack to the affected area, stop smoking, and eat soft foods.
Q. What should I expect after a tooth extraction?
We will give patients detailed care instructions to follow at home. It is normal to feel some discomfort once the anesthesia wears off. There may also be some swelling and slight bleeding for up to a day after the extraction.
Q. Does tooth extraction hurt?
Typically, a patient receives local anesthetics during the procedure to keep them comfortable. It is normal to feel some pressure while the extraction is taking place, but it should not hurt. We may recommend some over-the-counter pain medications to minimize pain.
Q. When should I consider tooth extraction?
Patients should have a consultation to determine the best treatment for their teeth. Extraction may be necessary for a tooth that can no longer handle any additional restorative procedures, has severe decay, or is overcrowding the rest of the teeth. An orthodontics treatment plan may also involve the extraction of teeth.
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