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Tooth Extractions

Everyone wants to keep their permanent teeth for as long as possible — but there are a number of situations in which getting a tooth pulled is necessary in order to treat dental issues and to achieve optimal oral health. Each dentist in Orlando, FL, with Thornton Park Dental Arts is committed to providing every patient with high-quality dental services, including tooth removal.

What Is Tooth Extraction?

A tooth extraction is a general dentistry outpatient procedure during which a tooth is removed from the gum socket. In some cases, removing a tooth completely from its spot within the jaw bone may be necessary in order to improve a patient’s dental health. Teeth extractions are typically performed by a general dentist, an oral surgeon, or a periodontist.

If you have a tooth or multiple teeth that require removal, our dentistry professionals are ready to help you through each step of tooth extraction — the removal of a tooth from its socket in the bone. We work hard to ensure each patient feels comfortable and confident from the initial consultation to the final checkup. To schedule a dentist appointment or for more information about our available dental services, contact us today.

Common Reasons For Tooth Extraction

While a person’s permanent teeth are intended to last a lifetime, there are multiple reasons why dental extraction may be necessary. In some cases, a tooth may be so badly cracked, chipped or worn that it is irreparable and, thus, requires extraction. Other reasons include the following. Contact our Orlando dentists to determine whether you require a tooth extraction.

Tooth Decay

If tooth decay or damage extends to the center of the tooth containing nerves and blood vessels (the pulp), bacteria in the mouth can enter the pulp and lead to infection. Oftentimes, this can be corrected with root canal treatment. In some cases, however, a severe infection may require dental extraction to prevent the spread of infection to other parts of the mouth.

Teeth Crowding

Sometimes, dentists perform tooth extractions in order to prepare the teeth for orthodontic treatment, or braces. When there are too many teeth or teeth are too large, achieving proper alignment may not be possible without removal. In other cases in which a tooth cannot break through the gums due to a lack of space, the dentist may recommend extracting it.

Abscessed Tooth

A tooth abscess is a pocket of pus caused by a bacterial infection. The abscess can occur in different regions of the tooth for a number of reasons, such as an untreated dental cavity or an injury prior to dental work. Infected tooth removal is necessary, in many cases, to prevent serious and even life-threatening complications due to this deep oral infection.

Wisdom Teeth Removal

Wisdom teeth removal is commonly performed when there is not adequate space for them in the mouth, or if they become impacted or infected. Impacted wisdom teeth should be removed before their root structure is fully developed. Removal may be required in patients 12-25 years of age. Infection, cyst formation, and damage to adjacent teeth frequently occur after the age of 30.

Gum Disease

If a tooth becomes loose as a result of periodontal disease, or gum disease — an infection of the tissues and bones that surround and support the teeth — it may be necessary to extract the tooth in order to stop the infection from spreading and to treat other underlying causes of the disease. In this case, extraction is a means of aiding in the restoration of good dental health.

How To Prepare For Dental Extraction

In preparation for a tooth extraction procedure, your dentist will take a dental X-ray of the area in order to plan the optimal method for removing the tooth. The X-ray will show the relationship of the wisdom teeth to other teeth; the relationship of the upper teeth to the sinuses; the lower teeth’ relationship to the nerve in the jawbone; and any present infections or bone disease. Patients are required to provide their full medical and dental history as well as a list of all medications they are currently taking — including both over-the-counter drugs, prescriptions, vitamins, and supplements. Patients may be prescribed antibiotics to take both before and after the procedure in the following cases:

  • The patient has an infection at the time of surgery
  • The patient has a weakened immune system
  • The patient will undergo a long surgery
  • The patient has specific medical conditions

If the patient will receive intravenous (IV) sedation during the procedure, they must make prior arrangements to have someone else drive them home. If a visible tooth requires removal, the dentist may also discuss with the patient the available options for tooth extraction and implant for the replacement of missing teeth. Call us for more information about dental implants.

Tooth Extraction Procedure

There are two types of dental extraction procedures — simple extraction and surgical extraction. The type of procedure chosen by the dentist largely depends on whether the tooth is impacted or visible above the gum line, in addition to other factors that are unique to each patient.

Simple Dental Extraction

During a simple extraction, a local anesthetic is used to numb the area around the tooth — patients feel only pressure, not pain during the procedure. The dentist then uses an instrument called an elevator to loosen the tooth and removes the tooth with forceps.

Surgical Tooth Extraction

A surgical extraction is a more complex procedure than a simple extraction and may require both local anesthesia and general anesthesia through IV sedation, the latter of which provides a calm and relaxed feeling to the patient. This procedure is performed in cases in which a tooth broke off at the gum line or if the tooth has not appeared yet within the mouth. During impacted tooth removal, the dentist makes a small incision into the gum and, in some cases, the bone around the tooth may need to be cut or removed before the tooth can be extracted.

What Are The Risks Of Tooth Extraction?

While tooth removal and emergency tooth extraction are common dental procedures, there are a few risks of which patients should be aware of. In most cases after a tooth extraction, a blood clot forms naturally in the socket — the hole in the bone where the tooth has been extracted. However, if the blood clot fails to form or if it dislodges, the bone within the socket may become exposed. This is commonly referred to as a “dry socket.” If this occurs, the dentist will apply a sedative dressing over the area and a new clot will form thereafter. Other possible risks include the following.

  • Bleeding
  • Nausea and vomiting
  • Fever and chills (infection)
  • Chest pain
  • Shortness of breath
  • Gum swelling and redness

Should you experience any of the aforementioned side effects, promptly contact our dentist office in Orlando for treatment.

Tooth Extraction Aftercare

After tooth extraction, patients will be asked to bite on a piece of gauze for 20-30 minutes — this pressure will allow the blot to clot. However, patients should expect a small amount of bleeding for the following 24 hours. Patients are advised to avoid disturbing the clot that forms of the wound — smoking, spitting, and the use of straws should be avoided after surgery — to prevent the occurrence of dry socket. Ice packs may be used to reduce swelling, and patients can use a warm compress to ease pain from a sore jaw. For a few days after the procedure, patients should eat only soft and cool foods, gradually incorporating other foods as they feel comfortable. A gentle rinse with warm salt water, as soon as 24 hours after the procedure, can help keep the area clean. Most swelling and bleeding dissipate within 1-2 days after the procedure.

Initial healing typically takes at least 2 weeks. Patients will be provided with detailed instructions regarding what to do and what to expect following their dental extraction procedure. With general or simple tooth extractions, patients can expect some mild discomfort. Taking non-steroidal anti-inflammatory drugs (NSAIDs) can greatly decrease pain following an extraction — as your doctor for complete instructions on how and when to take them. Surgical extractions, such as a molar extraction procedure, generally cause more pain after the procedure than simple extractions. The degree and duration of discomfort will depend on the level of difficulty during the tooth removal — pain medication may be prescribed to help ease the resulting pain and discomfort. Feel free to contact our office with any questions.

Socket Preservation After Tooth Extraction

Tooth extraction leaves behind a hole vulnerable to dry socket, teeth moving out of alignment, and other problems. One of the most important reasons to protect the socket is to avoid dry socket, which occurs when a blood clot in the affected area is loosened, leaving the nerve exposed. Protecting the socket ensures the alveolar ridge, the bone surrounding the roots of teeth, is preserved. If there are deformities, it can lead to complications when getting a dental implant from Biohorizons®.

The bone previously supporting the tooth naturally dissolves because it doesn’t serve a purpose anymore. When this happens, a gap forms in the teeth and they move out of alignment. A socket preservation procedure involves placing a bone graft in the socket where the tooth was. The graft is usually made of synthetic material, such as a bone from other animals or human bone. After, the dentist covers it with a collagen membrane and sutures the opening. Socket prevention is the key to a beautiful smile after a tooth extraction and is also helpful during a dental implant procedure.
Watch Video About Bone Graft (Socket Preservation)

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