When Do You Need a Tooth Extraction?

There are several reasons to get your teeth pulled. A tooth extraction may be recommended by your dentist because of:

  • Depression or severe trauma
  • To ease crowding
  • The baby tooth should be extracted so that a permanent tooth can develop
  • To remove troubled teeth of wisdom
  • Parodontal disease (gum),
  • Making dentures easier

Severe dental decay (cavities) is the most likely cause for a tooth extraction.

Everybody’s got bacteria in their mouth. Some types of bacteria make acids which dissolve the enamel of the tooth. When banding together these bacteria produce a plaque coating that binds to the tooth. If brushing and flossing doesn’t remove the plaque, the acids dissolve the mineral crystals that make up the enamel of the tooth, creating a hole. This opening is called a cavity.

If the dental decay persists, the bacteria disintegrate the enamel all the way back down to the tooth’s soft nerve centre. That’s when many other patients usually feel toothache, or a greater sensitivity to warm or cold foods and drinks. The cavity also destabilizes the tooth which can cause chipping, cracking, or breaking.

A damaged tooth may also be saved by means of a root canal and a crown. If the tooth decay is too serious, however, your surgeon can prescribe an extraction of the tooth.

What to expect when you extract tooth

Tooth extractions are an extremely common dental procedure. First, your doctor or oral surgeon will discuss to you about whether you’d like to take a pre- or post-extraction antibiotic. The dentist will then numb the area around the tooth and avoid you feeling pain.

The dentist would then cut the tooth. When the tooth is damaged, as with many wisdom teeth, then before separating the tooth from the jaw bone and ligaments, the dentist must remove any gum and bone tissue that protects the tooth. The dentist uses forceps back and forth to gently to loosen the tooth and to remove it.

The dentist may put a few self-dissolving stitches over the site of the extraction to close the gum. Your dentist can also do a bone graft in some cases to protect the socket, so you can retain the bone. If you intend to replace the natural tooth with a dental implant, or endorse a denture or partial denture, you’ll need that bone.

Things to Do After Tooth Extraction

After a tooth extraction, your dentist will give you instructions on what to do. Usually, these instructions include:

  • Sit and keep your head high until the bleeding stops. Use pillows to prop up your head when you lie down.
  • Apply pressure to the area where the tooth was removed, usually by softly biting down on the gauze the dentist put in the area before the bleeding lessens. Gauze should be changed from time to time.
  • Put ice pack to control swelling. Place it outside your mouth.
  • Avoid athletics until a scab has formed to cover the missing tooth socket.
  • Keep your mouth healthy by squeezing the areas around the socket.

Place your trust in Dr Wooten associated with Oral & Facial Surgery in OKC. His tooth extraction process is smooth and painless.

**Disclaimer: This site content is not intended to be medical advice nor establishes a doctor-patient relationship.

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