Extractions

What is Extraction?

The surgical removal of a tooth, including but not limited to wisdom teeth. If a tooth has been broken or damaged by decay, your dentist will try to fix it with a filling, crown or other dental treatment. But when there's too much damage for the tooth to be repaired, the tooth may need to be extracted — or removed — from its socket in the bone. 

There are two types of extractions: 

  • A simple extraction – this procedure is on a tooth that can be seen in the mouth. For a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses forceps to remove the tooth.

  • A surgical extraction – this is a more complex procedure, which is used if a tooth may have broken off at the gum line or has not erupted in the mouth. The oral surgeon will make a small incision into your gum to surgically remove the broken tooth or impacted wisdom tooth.

Preparation for Dental Extraction. 

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

Some doctors prescribe antibiotics to be taken before and after surgery. This practice varies by the dentist or oral surgeon. Antibiotics are more likely to be given if:

  • You have infection at the time of surgery

  • You have a weakened immune system

  • You will have a long surgery

  • You have specific medical conditions

  • 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

Who Needs a Dental Extraction?

Extraction is performed for positional, structural, or economic reasons. Teeth are often removed because they are impacted. Teeth become impacted when they are prevented from growing into their normal position in the mouth by gum tissue, bone, or other teeth. Impaction is a common reason for the extraction of wisdom teeth. Extraction is the only known method that will prevent further problems. Teeth may also be extracted to make more room in the mouth prior to straightening the remaining teeth (orthodontic treatment), or because they are so badly positioned that straightening is impossible.

Extraction may be used to remove teeth that are so badly decayed or broken that they cannot be restored. In addition, patients sometimes choose extraction as a less expensive alternative to filling or placing a crown on a severely decayed tooth. 

 

Here are other reasons:

  • Some people have extra teeth that block other teeth from coming in.

  • Sometimes baby teeth don't fall out in time to allow the permanent teeth to come in.

  • People getting braces may need teeth extracted to create room for the teeth that are being moved into place. 

  • People receiving radiation to the head and neck may need to have teeth in the field of radiation extracted. 

  • People receiving cancer drugs may develop infected teeth because these drugs weaken the immune system. Infected teeth may need to be extracted. 

  • Some teeth may need to be extracted if they could become a source of infection after an organ transplant. People with organ transplants have a high risk of infection because they must take drugs that decrease or suppress the immune system. 

  • Wisdom teeth, also called third molars, are often extracted either before or after they come in. They commonly come in during the late teens or early 20s. They need to be removed if they are decayed, cause pain or have a cyst or infection. These teeth often get stuck in the jaw (impacted) and do not come in. This can irritate the gum, causing pain and swelling. In this case, the tooth must be removed. If you need all four wisdom teeth removed, they are usually taken out at the same time.

Any of this sound familiar? If so rest assured we can handle it. As a Periodontist in Houston, we handle extractions often.