Your permanent teeth are meant to last a lifetime, however, there are several factors why there is a need for a tooth to be removed or extracted. And no matter how much you try to avoid it, there really are times when you need to let a tooth go. It could be because the tooth is severely damaged that it has to be removed to prevent the infection from spreading, or it could also be because you have overcrowded teeth. Below are the specific scenarios that actually call for tooth extraction.
- A crowded mouth. One of the reasons why a dentist may need to pull out a tooth is because your mouth needs to be prepared for an orthodontic treatment. Orthodontics focuses on the treatment of overcrowded, crooked and misaligned teeth, and your teeth are impossible to be aligned if they are crowded in your mouth. Similarly, when there is no space in your gums for a new tooth to break in, a tooth will also have to be extracted, to provide a room for the growth of the new tooth.
- If you have a tooth that is severely infected and the damage has already reached the pulp, an extraction may also be necessary. Most of the time, issues like this can just be resolved by having a root canal treatment, however, there are also times when the infection has become so severe that no treatment nor antibiotics can address the problem, so a dentist would recommend an extraction.
- Risk of infection. If your tooth is infected and your immune system is compromised because of the infection, then a dentist may also suggest an extraction.
- Allow more space for the permanent tooth. For children, not all milk teeth fall out at the same time, and when a permanent tooth is about to break in, the primary tooth that is still left will have to be removed to give space for the growth of the new tooth.
- Periodontal disease. Periodontal disease can be a cause for tooth loss. And when a tooth loosens due to a gum infection, you may need to get it extracted to prevent the infection from spreading.
- Wisdom tooth extractions. Wisdom tooth extractions are typically done when they are impacted or stuck within the jaw, and the extraction normally happens either before or after the wisdom tooth comes out. Wisdom teeth usually come out during the late teens or early 20’s and the only time when they need to be removed is when they are already decayed or damaged, they cause extreme pain or if they cause cyst of an infection. If the wisdom tooth is not removed especially when it is impacted, it can cause gum irritation, pain as well as swelling.
What is involved in a tooth extraction procedure?
Before deciding to perform an extraction, your dentist will first review your medical history and conduct exams using an X-ray. The X-ray will be giving your dentist the visibility on the accurate shape, size and length of the tooth as well as its position within the surrounding structures. This is going to give your dentist an idea on how complex or difficult the procedure is going to be so he can determine whether you need to be referred to an oral surgeon.
Before the extraction, your dentist will administer a local anesthesia so that you will not have to feel any pain during the procedure. The anesthetic will numb the area where the tooth will be removed and once you feel numbness, your dentist will be using dental forceps to loosen the tooth until he can extract it. As soon as the extraction is done, he may or he may not use stitches to close the area.
What are the types of extraction?
- Simple extraction. A simple extraction is the one that’s performed for a tooth that can just be easily seen in the mouth. This is the type where a tool called elevator is used to loosen the tooth and dental forceps for the extraction.
- Surgical extraction. This is the more complex type wherein a surgery has to be performed because the tooth has broken off at the gum line, or it has not yet emerged in your mouth.
For more information on tooth extraction, you can call Douglasville Dental Associates at (770) 400-0019 or visit us at 9579 Highway 5, Suite 701, Douglasville GA, 30135.