For example, teeth that are extremely decaying, have extensive periodontal disease, are fractured in a way that cannot be fixed, are impacted teeth or are pulled in advance of orthodontic treatment. Before a tooth is removed as part of your dental health and treatment, we will go over all of your alternatives.
Despite the fact that permanent teeth are designed to last a lifetime, there are a variety of situations in which tooth extraction may necessary. An extremely frequent cause is a tooth that has been irreparably destroyed by trauma or decay. Additional factors include:
A mouth full. Sometimes dentists remove teeth to make room for orthodontic treatment. It may not be feasible to properly align your teeth with orthodontia if your teeth are too large for your mouth. Similar to this, your dentist might advise extracting a tooth if it cannot erupt through the gum because the mouth does not have enough room for it.
Infection. Bacteria from the mouth can enter the pulp and cause infection if tooth decay or injury reaches the pulp, the part of the tooth that contains nerves and blood vessels. Usually, root canal therapy (RCT) can fix this, but in certain cases, extraction may be necessary to stop the infection from spreading if the infection is too serious to be treated with RCT or antibiotics.
danger of infection Even the slightest possibility of infection in a single tooth may be sufficient justification for tooth extraction if your immune system is already impaired (for instance, due to chemotherapy or an organ transplant).
Gum disease, or periodontal disease. It can be essential to withdraw the tooth or teeth if periodontal disease, an infection of the tissues and bones that surround and support the teeth, has caused the loosening of the teeth.
Dr. Bonifatto will inject a topical anesthetic to numb the area where the tooth will be removed before extracting it. He may give you valium or halcion if you are extremely anxious so you won't recall the surgery.
After the tooth has been removed, the socket typically forms a blood clot. To assist stop the bleeding, we'll stuff a gauze pad into the socket and have you bite down on it. Dr. Bonifatto may occasionally use a few stitches to seal the gum margins around the extraction site. These stitches are typically self-dissolving.
Occasionally, the blood clot in the socket ruptures, exposing the bone. The painful condition is known as dry socket. If this occurs, your dentist will probably cover the socket with a sedative dressing for a few days to protect it until a new clot forms. But don't be concerned. To reduce complications, Dr. Bonifatto will go over the post-operative instructions with you.
