Dental Tips Blog


Dental Extractions

There are times when it may be necessary to remove a tooth. Dentists perform dental extractions for a variety of reasons. Children may need to have a tooth extracted (pulled) if a baby tooth has irregular roots that prevent it from falling out and making way for a permanent tooth to move in. Adults may need to have a tooth extracted if the tooth has decay or is causing other oral problems.

Severe tooth decay is the number one reason for dental extractions. Decay can easily transfer to the surrounding teeth, so it is advisable to remove the decaying tooth in order to promote oral health. Severe gum disease is also a common reason to extract teeth. When the gum line has been compromised by decay, the supporting tissue and bone of the tooth is typically affected. If not removed, a decaying tooth or tooth compromised by gum disease can lead to serious health problems. The gums in a person’s mouth are made up of living tissue. Infections easy transfer throughout the body through tissue; therefore, by removing a decaying tooth a dentist is helping to restore health to a patient’s overall being.

There are two types of teeth extractions:

Simple Extractions are typically performed under local anesthetic with forceps to “break” the tooth away from the supporting bone and/or gum line.

Surgical Extractions are often performed under general anesthetic because they are not easily accessed.

If your dentist recommends a dental extraction to you, your dentist will most certainly talk to you about the next steps after your tooth has been removed. For many patients, replacing the extracted tooth with a bridge, dental implant, or other prosthetic device is not only esthetically desired, but can also be medically necessary to promote your oral health. Talk to your dentist about any concerns you have regarding a dental extraction.

Posted on behalf of Dr. Byron Scott, Springhill Dental Health Center



Tooth Extractions

Occasionally it is necessary for dentists to remove a tooth, which is severely damaged as a result of decay, trauma or an infection.  Sometimes despite several dental procedures to attempt to save a tooth, it is in the best interests of the patient to go ahead and remove the tooth.  In addition, sometimes it is necessary for a child to have a tooth or multiple teeth extracted as a part of orthodontic treatment.  While the thought of having a tooth extracted in not a pleasant thought for most people, a skilled dentist and their support staff will be able to make the process as relaxing and comfortable as possible, both during and after the procedure.

During the initial consultation, the dentist will help the patient understand why the extraction is necessary and will be glad to answer any questions that the patient may have, including follow up restorative options.  Many patients find that knowing about how the teeth extractions procedure will occur actually helps ease the fear, while others want to know nothing about the procedure except when will it be over!  Depending upon the patient’s anxiety, the dentist may discuss sedation during the procedure as well.  Sedation is where the patient is given a series of drugs that puts them completely as ease where they drift into sleep during the procedure, however the patient continues to breath on their own.

In some cases, the dentist will be able to perform the extraction on the same day, while in other cases the extraction will be scheduled on another day.  Prior to the extraction occurring, the dentist will make sure that the patient will be free of any discomfort by utilizing a series on injections or a combination of injections and sedation.  The actual extraction is quick and will be over with before you know it.  The dentist will be sure to provide the patient with any pain medication that may be necessary after the procedure and will schedule a follow up visit to monitor the healing process.

Posted on behalf of Dr. Mitul Patel



What’s Wrong with Just Pulling the Tooth?

When people see their dentist for a toothache, the biggest concern is just getting the pain to go away. Most of the time severe toothaches are due to advanced decay, dental abscesses or fractured teeth. In these cases root canal therapy is most often recommended.

Gone are the days of simply pulling a tooth when it causes you pain. However, this is still what many people have in mind when they have a severe toothache. A large percentage of people still ask to have the tooth extracted, even when treatment exists that can extend the life of the tooth.

Why is pulling the tooth such a problem and why are dentists against teeth extractions as the primary treatment option? The answer is because the rest of your mouth will suffer the effects of the missing tooth. Losing a tooth will cause the other teeth throughout the entire mouth to shift and move in order to compromise for this loss. Even if it is only a fraction of a hair, this movement can create areas that become spots that pack food after every meal, or severe enough that teeth begin to tilt sideways into the now open space. Opposing teeth in the opposite jaw frequently begin to erupt farther out of their socket in an effort to find something to bite against, but there is no longer a tooth there as its biting partner.

There is nothing as good as a natural tooth, so your dentist will do everything possible to save the health of the tooth and restore it to where it can withstand normal functioning. Extractions are the last attempt, and lead to the need to discuss tooth replacement options such as dental implants.

Posted on behalf of Muccioli Dental



Simple versus Surgical Tooth Extractions

It may so happen that damaged, unhealthy or obstructive teeth pose a threat to a person’s oral or general health, in which case, tooth extraction is required. There are two types of tooth extractions: simple and surgical. The method of extraction used depends on factors like the severity of the patient’s symptoms, the condition of the tooth, the location beneath the gum line, the shape of the tooth’s roots, and the number of roots the tooth has.

Simple Extraction

Simple extraction involves the use of a device called an elevator to break the tooth ligament and widen the tooth socket, thereby loosening the tooth. A specialized extraction forceps, resembling pliers, is then used to manually grip and lift the loosened tooth out of its socket without injuring the root structure or surrounding tissue. With simple extraction, no bone is removed and stitching is not necessary. This is the procedure of choice for teeth that are easy to remove. Such teeth are fully erupted. i.e., the visible portion of the tooth (the crown) has fully emerged through the gum bed, making the tooth easy to grasp with a forceps. Typically, simple extraction is done using only a local anaesthesia and is performed by a general dentist.

Surgical Extraction

Surgical extraction is a more complex form of tooth extraction that is usually performed by an oral surgeon. With this type of dental extraction, an incision is made in the gum and a drill is used to remove surrounding tissues and bone. The tooth may also need to be sectioned (split into pieces) to reduce bone loss and facilitate easier removal. Stitches are often necessary. Surgical extraction is performed on teeth that are more difficult to remove, for example: teeth with brittle roots that might fracture; impacted teeth; teeth that have broken off at the gum line; or teeth with unusually large or curved roots. Surgical extraction is almost always done while the patient is under general anaesthesia.

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