Extraction

Dental Extractions: What is an Extraction?

A dental extraction refers to the removal of a tooth from its socket in the jawbone. This procedure is typically performed by a dentist or an oral surgeon under local anesthesia, although sedation may be used in more complex cases. Extractions are generally considered when a tooth is damaged beyond repair, has severe decay, or poses a risk to oral health.

Reasons for Tooth Extraction

There are several common reasons why a dentist may recommend a tooth extraction:

1. Severe Tooth Decay or Infection: When a tooth is decayed or infected to the point where it cannot be saved through restorative procedures such as fillings or root canals.
2. Periodontal Disease: Advanced gum disease can lead to the loosening of teeth, necessitating their removal to prevent further damage to surrounding teeth and tissues.
3. Crowding: In some cases, teeth may need to be extracted to create space for orthodontic treatment, such as braces or clear aligners.
4. Impacted Teeth: Wisdom teeth are often removed if they are impacted (unable to emerge properly) or if they cause pain, infection, or misalignment of other teeth.
5. Trauma or Damage: Teeth that are severely fractured or damaged in an accident may need to be extracted if they cannot be repaired.

The Extraction Process

1. Initial Consultation: Your dentist will begin with an examination, which may include X-rays to assess the tooth’s condition and the surrounding bone structure. This helps in planning the best approach for the extraction.
2. Local Anesthesia: Before removing the tooth, your dentist will administer a local anesthetic to numb the area around the tooth. This ensures you won’t feel pain during the procedure, though you may feel pressure.
3. Tooth Removal: The dentist or oral surgeon will use specialized tools to loosen the tooth from its socket and carefully remove it. In some cases, if the tooth is impacted, they may need to make a small incision in the gum to access the tooth.
4. Post-Extraction Care: After the tooth is removed, your dentist will give you specific instructions to manage your recovery. This may include pain management, keeping the extraction site clean, and avoiding certain foods or activities for a while.

Types of Extractions

There are two primary types of dental extractions:

1. Simple Extraction: This type of extraction is typically performed on a tooth that is visible in the mouth and has sufficient structure for easy removal. It is generally performed under local anesthesia.
2. Surgical Extraction: In more complex cases, such as with impacted teeth or teeth that have broken below the gum line, a surgical extraction may be required. This may involve making an incision in the gum to access the tooth and may require stitches afterward.

3. Bone Graft
   When we’re planning to place an implant in the future (or on the same day), we often recommend adding bone graft into the empty extraction socket and allowing it to heal for a few months.
4. Membrane
   A membrane is sometimes used to help hold the bone graft in the correct spot for optimal healing and long-term success.
5. Impacted Wisdom Teeth
   We will refer impacted wisdom teeth out for treatment with one of our highly recommend oral surgeon colleagues.

Benefits of Dental Extractions

While it may feel like a big step, extracting a problematic tooth can improve your overall dental health and well-being. Some of the key benefits include:

• Pain Relief: Removing a damaged or infected tooth can alleviate chronic pain.
• Preventing Further Damage: By addressing an issue before it worsens, you can prevent further decay, infection, or damage to surrounding teeth.
• Improved Oral Function: Extractions can make room for orthodontic treatments, dentures, or other procedures that can restore your smile and bite.

Contact Us for a Consultation

If you’re experiencing tooth pain, discomfort, or need a consultation about a potential dental extraction, don’t hesitate to reach out. Our team of experienced dental professionals will guide you through the process and ensure your comfort every step of the way.