At Wylie Dental Care we are about saving the tooth and building it up to be strong, healthy and functional. However, at times an extraction may be the most conservative course of action to remove an irreparably damaged tooth. Extractions can also prepare your mouth for dentures or dental implants and improve the appearance of a crowded smile.
Reasons for Pulling Teeth
Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed. A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired.
Other reasons include:
A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia. The goal of orthodontia is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not room in the mouth for it, your dentist may recommend pulling it.
Infection. If tooth decay or damage extends to the pulp — the center of the tooth containing nerves and blood vessels — bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection.
Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.
Periodontal (Gum) Disease. If periodontal disease — an infection of the tissues and bones that surround and support the teeth — have caused loosening of the teeth, it may be necessary to the pull the tooth or teeth.
Your dentist or oral surgeon will take an X-ray of the area to help plan the best way to remove the tooth. Be sure to provide your full medical and dental history and a list of all medicines you take. This should include both prescription and over-the-counter drugs, vitamins and supplements.
If you are having wisdom teeth removed, you may have a panoramic X-ray. This X-ray takes a picture of all of your teeth at once. It can show several things that help to guide an extraction:
- The relationship of your wisdom teeth to your other teeth
- The upper teeth’s relationship to your sinuses
- The lower teeth’s relationship to a nerve in the jawbone that gives feeling to your lower jaw, lower teeth, lower lip and chin. This nerve is called the inferior alveolar nerve.
- Any infections, tumors or bone disease that may be present
How It’s Done
There are two types of extractions:
A simple extraction is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.
A surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not come into the mouth yet. Surgical extractions commonly are done by oral surgeons. However, they are also done by general dentists. The doctor makes a small incision (cut) into your gum. Sometimes it’s necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.
Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.
If you are having more than one tooth pulled or if a tooth is impacted, your dentist may use a strong general anesthetic.
This will prevent pain throughout your body and make you sleep through the procedure.
A dental emergency is never a pleasant experience, and often come at the least convenient times. Because Wylie Dental Care has a wide array of services we can treat whatever emergency comes your way. We provide emergency dental care for:
- Broken or chipped tooth
- Knocked out tooth
- Partially dislodged tooth
- Severe tooth pain
- Lost filling or crown
- Soft-tissue injuries