Severely Broken tooth? No need to panic!

Tooth Extraction

Removing a tooth no longer has to be something to fear. The horror stories that we all have heard no longer have to exist as long as teeth are extracted correctly. We understand the psychologic stress of knowing a tooth must be removed, as a result, we will walk you through the entire experience and have you walk out of our office highly appreciative and relieved.

There are many reasons teeth must be removed. Among the more common reasons include periodontal disease, failed root canals, traumas, and financial hardships. Removing teeth is not a negative situation as long as you understand what happens to your bone, tissue, and teeth when you choose not to replace the missing space and tooth. First, after a tooth is taken out of the bone, the bone is no longer stimulated to remain present. As a result, your bone will disappear forever. Studies claim that within the first year after tooth extraction, you may lose up to 40-60% of the bone volume width. This may lead to teeth shifting and interfering with how your teeth function, may increase periodontal problems, may prevent future dental implant placement, and effect how your smile looks. Thus, if we must extract the teeth, we need to preserve the bone to prevent the quick initial bone loss. We may do this with an immediate placement of a particulate bone graft. We will place the bone graft (looks like sand) immediately after the tooth is removed. This will prevent the immediate bone loss and will allow us to later place a dental implant in this area to maintain the height and width of the bone.

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We will ensure that your tooth to be extracted will become profoundly numb and check and double check your comfort before starting. First we will check to make sure your gum tissue is numb. Next we will gently push directly around the tooth to ensure that it is also numb. From this point on, you will feel a “pressure” feeling and should never feel anything that resembles a pinch, needle, sharpness, or anything close to this. The pressure will never go away and is not painful, however “pinchy” we can give you more anesthetic to eliminate that feeling. We will start with gently wiggling the tooth back and forth. We will start very slowly to get you used to this feeling. Once we confirm you are ok, we will proceed with more pressure. The tooth will then start to slightly move. Once we see the tooth moving, you are almost finished. We then will embrace the tooth with special instruments and gently lift the tooth out of its socket.

Some teeth will need to be surgically removed with a surgical handpiece. Teeth that are impacted, broken and badly decayed, some previously root canaled, or extra curved roots. We start with the same protocol as above, however we may need to locally reflect the gum tissue and use our surgical handpiece to section on or around the tooth. Remember, you will not feel anything during the procedure. After the tooth is out, we will place sutures to hold the gum tissue for better healing. The dental assistant will then go over your post of instructions and home care protocol as well as educate you how and when to take your medication if given. Please see the “post op instructions” on the above toolbar for a complete description of home care.

A Few Words on “Wisdom Teeth”

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. When wisdom teeth come in, a number of problems can occur:

Your jaw may not be large enough to accommodate them, and they may become impacted and unable to break through your gums.
Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can become trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or the development of a cyst.
One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

Wisdom tooth removal usually is effective in preventing:

  • Crowding of the back teeth.
  • A wisdom tooth becoming stuck in the jaw (impacted) and never breaking through the gums.
  • Red, swollen, and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in.
  • Gum disease and tooth decay in the wisdom tooth, which may be harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth.