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Texas Periodontal Associates

Frequently Asked Questions (FAQs): Extractions

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We are happy to answer questions about our services and procedures.

These are a selection of some common questions that patients have. If your question isn't answered here, please contact our office. It's important to us that our patients understand their dental care.

Extractions

Tooth extraction is performed by a periodontists and is a relatively quick outpatient procedure with either local, general, intravenous anesthesia, or a combination. Removing visible teeth is a simple extraction. Teeth that are broken, below the surface, or impacted require a more involved procedure.

 

Simple extractions are performed when the tooth is above the gumline and can be removed with a lifter and forceps. The process and healing time are both quick. This may be used for a decayed tooth or a tooth that is broken but is still above the gumline. It’s also used to remove teeth when the root has died or if your teeth are crowded and removal is necessary to facilitate orthodontic treatment.

Surgical extractions, on the other hand, are more complicated. A surgical extraction requires an incision into the gum to get to the tooth. This type of extraction is necessary if your tooth has broken below the gumline or if it is multiple pieces and some are stuck beneath the gums. A surgical extraction is also necessary for impacted wisdom teeth that are partially or completely covered by gum tissue.

The American Dental Association (ADA) Mouth Healthy site suggests teeth are usually removed due to trauma, disease or crowding. When a tooth cannot be repaired with a filling or a crown because of an accident or extensive decay, an extraction may be your best recourse. Teeth that aren't supported by enough bone due to periodontal disease are also candidates for removal. Infected (abscessed) teeth that don't respond to root canal treatment may need to be taken out, as well.

 

It is normal to feel some pain after the anesthesia wears off. For 24 hours after having a tooth pulled, you should also expect some swelling and residual bleeding. However, if either bleeding or pain is still severe more than four hours after your tooth is pulled, you should call your dentist

 

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