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Surgical and Non Surgical Dentistry

SURGICAL AND NON-SURGICAL EXTRACTIONS

A dental extraction is the removal of a tooth from the mouth. Extractions are performed for a wide variety of reasons. Tooth decay that has destroyed enough tooth structure to prevent restoration is the most frequent indication for extraction of teeth. Extractions of impacted or problematic wisdom teeth are routinely performed, as are extractions of some permanent teeth to make space for orthodontic treatment.

ABDent Care is equipped with the most modern and high-end extraction instruments and expertise for atraumatic dental extractions. All work here is done under complete asepsis and it is a zero contamination zone.

Reasons for tooth extraction

The most common reason for extracting a tooth is tooth damage such as breakage or fracture. Some other possible reasons for tooth extraction are as follows:

  • Extra teeth which are blocking other teeth from coming in.
  • Severe gum disease which may affect the supporting tissues and bone structures of teeth.
  • Severe tooth decay or infection.
  • In preparation for orthodontic treatment (braces)
  • Insufficient space for wisdom teeth (impacted wisdom teeth).
  • Receiving radiation to the head and neck may require extraction of teeth in the field of radiation.

Types of extraction

Extractions are often categorized as "simple" or "surgical". Simple extractions are performed on teeth that are visible in the mouth, usually under local anesthetics, and require only the use of instruments to elevate and/or grasp the visible portion of the tooth. Typically the tooth is lifted using an elevator, and subsequently using dental forceps, rocked back and forth until the periodontal ligament has been sufficiently broken and the supporting alveolar bone has been adequately widened to make the tooth loose enough to remove. Surgical extractions involve the removal of teeth that cannot be easily accessed, either because they have broken under the gum line or because they have not erupted fully. In a surgical extraction the doctor may elevate the soft tissues covering the tooth and bone and may also remove some of the overlying and/or surrounding bone tissue with a drill or osteotome. Frequently, the tooth may be split into multiple pieces to facilitate its removal.

Problems with dental extractions

A dental extraction, or having a tooth pulled, is one of the most frequently requested services by people who come to a dental office in pain.Although a root canal is often a more preferable option to relieve pain from an infected tooth, in some cases a dental extraction is the best or only choice available.Even though most dental extractions proceed without any complications, some can occur. The most likely problems include pain, bleeding, infection, swelling, broken root tips, and bone chips and fragments.

Most people who have had a tooth extracted know that a certain degree of pain and bleeding is normal.Pain that lasts for up to a week or so but is gradually improving and bleeding that continues for up to 12-24 hours but is slowing down should be considered typical and will most likely not require follow-up care. Pain that seems to be getting worse after two days should be considered abnormal and may require evaluation by the dentist. Pain that increases after a dental extraction might be due to a dry socket, usually treated by the dentist rinsing the socket with an antiseptic mouth rinse, packing the area with a medicated dressing and putting the patient on pain medication. Another problem is bleeding that lasts for more than twenty four hours or is increasing several hours after the extraction.This may point to a serious problem that requires prompt attention from the dentist.Prolonged bleeding may occur if there is damage to a blood vessel or other tissue during an extraction, if a patient is taking certain medications or has a predisposing medical condition.Excessive bleeding can also be caused by a patient rinsing, spitting, or smoking after a dental extraction.To stop the bleeding, a dentist can pack and stitch the socket closed.

An infection and swelling are also potential complications from a dental extraction.An infection can be caused if debris or bacteria gets into the socket.Swelling is usually due to the trauma of having the tooth extracted, or can occur from a spreading infection. Swelling can be reduced by salt water rinses (after 24 hours) and an ice compress. Infections and swelling are usually treated by the dentist with rinsing the socket, antibiotics, and in some cases draining the infection surgically.

Broken root tips, bone chips and fragments are fairly common complications following a dental extraction.A small uninfected root tip can sometimes be left inside the jaw after a dental extraction if its removal might be too difficult or cause too much trauma for the patient.Often root tips, bone chips and fragments will work their way out on their own, but may also need some help from the dentist to remove them completely. An infected root tip stuck in the jaw bone will require surgical removal. Problems with dental extractions are fairly common, but can be minimized and resolved by a dentist experienced in oral surgery.