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April 29, 2013

The major reason teeth get extracted is because the patient is in pain and they want to relieve the pain instantly at a low cost.   For many patients, extractions are the solution because other alternatives are too expensive or the tooth might not be able to be repaired.  The only viable treatment would be to remove the tooth entirely.  In some cases this occurs when the decay has gone below the gum line.  Another reason a tooth cannot be saved is if periodontal disease has caused bone loss causing the tooth to not remain in place.  Infected teeth can also lead to health complications and death which is why it is crucial to remove these teeth.  Patients with infected teeth can also risk their life when swelling creates a brain abscess.  Orthodontists require removal of teeth in some cases to provide more room in the mouth to move crowded teeth with braces.

The three major types of extractions are:  simple, complex, and impacted.  The general dentist can perform a simple extraction by moving the tooth side to side with forceps as seen to the left.  The forceps hold the crown of the tooth as the doctor moves the tooth separating the periodontal ligament, sheathe, from the tooth and bone.  Complex surgical extractions are performed on teeth that can�t be pulled through a simple extraction as seen below which requires bone and gum tissue to be cut away in order to extract the entire tooth.  Sutures are then placed to put the tissue back in its place and the healing process begins.  The third type of extraction is impacted teeth extraction.  Impacted teeth are those that do not erupt and remain under the surface of the gums.  These teeth can create health issues for patients in the future therefore are extracted prior to further complications.  Raising the tissue flap allows the impacted tooth to be exposed and the extraction can then be performed by removing the gum tissue and bone covering the tooth.  These types of extractions are done in fragments in order to assure the entire tooth is taken out.  Usually the tooth will be cut into two or three sections in order to remove every piece.

After extractions take place the replacement would be an implant, partial denture, or denture.  Our dentists at 7 Day Dental are always happy to help you decide which treatment option is best for you.

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