Permanent teeth were meant to last a lifetime, but there are several reasons why those teeth might need to be extracted.

One of the most common reasons is a tooth becoming too badly damaged, either from trauma or tooth decay, to be repaired. Other reasons are:

  • A Tight Mouth –  Dentists will sometimes extract teeth to prep the patient for future orthodontia.
  • Infection – If infection to your teeth reaches to the pulp, or the center that contains the nerves, the bacteria in your mouth can enter and cause an infection if not removed.
  • Infection Risks – If you have a compromised immune system, such as from chemotherapy the risk of an infection to your teeth may be enough reason to pull it.
  • Periodontal Disease – Also known as Gum Disease causing an infection might be grounds for tooth extraction in many cases.

Dentists and oral surgeons are typically the ones who do tooth extractions. Prior to the tooth being pulled, your dentist normally administers local anesthetic is administered to reduce pain when the tooth is pulled. Depending on the situation, such as having multiple teeth pulled or impacted teeth, your dentists may decide to use a stronger general anesthetic to reduce the pain more so. Preventing pain while the procedure’s being performed and help you sleep through it are the added benefits to this type of sedation.

If any teeth suffer from being impacted (buried blow the gumline), your dentist will first cut away the gums and bone covering the tooth. The dentist will use forceps to adhere to the tooth being removed and massage it forwards and backwords carefully to help remove it from the bone in your jaw and the ligaments helping to secure it. Sometimes, if a tooth is proves difficult to pull, it will be extracted in parts.

After a tooth has been extracted, blood clots will usually form in the space where the tooth once was. To help stop the bleeding, the dentist uses sterile gauze placed  into the space while biting down to stop the flow of blood. Sometimes, the dentist will place a couple, normally self-dissolving, stitches to help close the gum’s edges around the extraction point.

Sometimes, a blood clot can break loose and expose the the jaw bone to open air causing tremendous pain. Called a dry socket it is important to return to your dentist so they can help you.

Our dentists will also discuss possible tooth replacement. With an extracted tooth, there is an open area left in your jaw. In time, the neighboring teeth will drift into the area where the tooth used to be. In turn, this causes a chain reaction of the surrounding teeth. If an implant is something you want in the future, ask your dentist to place a bone graft during the surgery to help preserve the bone width and height.

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