Reasons Why You Would Need a Tooth Extraction

Tooth extractions can help prevent further complications and symptoms of an infected tooth. If you’re looking into why it’s important to get a tooth extraction, take into consideration these reasons why it may determine your choice going forward with the procedure. There are many reasons teeth are extracted. Teeth that are severely decayed, broken beyond repair or preparation for a dental restoration are all common reasons to go through with a tooth extraction. Although tooth extractions do have their benefits, they should always be your last option.

Tooth removal can lead to problems with your ability to chew, jaw joint issues and shifting. Extractions should always be your last resort when trying to relive pain and discomfort you may be experiencing. Be sure to discuss with your doctor the different alternatives and extraction replacements before going through with the procedure.

Dental Restoration in Pittsburgh, PA

Infected teeth that cannot be treated with endodontic surgery should be removed immediately. Endodontic procedures refer to root canals. A root canal prevents infection from spreading to the root of the tooth. Root canal procedures are similar to getting a filling. Before receiving a root canal, patients are in pain prior to the procedure because the root contains several nerve endings, so you will know if it is infected. The sooner you receive a root canal, the quicker you’ll be able to ease the pain and discomfort. Getting a root canal will also give you a higher chance of saving your tooth from being removed. If the tooth is severely infected, a root canal will not be able to save your tooth resulting in needing an extraction to replace the tooth with dental restoration: implant, bridge or partial denture.

Broken or Cracked Tooth

If a tooth is severely chipped or broken, it can become infected. This occurs when the chip or crack is able to breach the tooth enamel exposing pulp and resulting in infection. Sensitivity, aching, swelling and discoloration are symptoms of an infection and you will either need a root canal or depending on the severity, an extraction.

Impacted Teeth

Other reasons to go through with an extraction are poorly positioned teeth, preparation for an orthodontic treatment or impacted teeth, also known as crowded teeth in the mouth. Lack of room in the mouth causes teeth to shift and become damaged upon the arrival of wisdom teeth. An impacted mouth often occurs with those who previously have had braces. When your wisdom teeth arrive, your mouth won’t have enough room to accommodate for the extra set of molars. When patients begin to experience discomfort they usually opt for their wisdom teeth be removed once they’ve erupted to prevent future damage to the teeth.

Extraction Process by our Pittsburgh Dentists

When you arrive for your procedure, the first thing the doctor begins to do is a thorough cleaning followed by numbing. The doctor will numb the surrounding area being extracted, tooth, jawbone and gums. Numbing is done with using a local anesthetic. The anesthetic used numbs the nerves preventing pain, but still being able to feel pressure during the procedure. An optional depending on the comfort level of the patient is sedation. Sedation is used to create a better experience of the procedure, helping the patient relax and feel safe.

Widening the Socket

The tooth is loosened by firmly being grasped and moving it out of the socket. Dental forceps are then used to grab the tooth by the root and firmly extracting it out of the mouth. If the socket isn’t able to expand enough to be removed, the tooth will require sectioning.

Sectioning the tooth

Sectioning of the tooth occurs when a tooth is so tightly anchored in the socket that it is unable to be removed. This happens when the root is curved making it impossible to expand the socket wide enough for removal. This is a common simple procedure the doctor performs to remove the tooth. The tooth is removed by cutting it into sections and removing each section one at a time.

Healing After the Extraction

The healing process begins immediately after your appointment. It is important to follow all instructions given by the doctor for a fast recovery.

Dry Socket Prevention

Avoid creating a dry socket at all costs. At the beginning of the healing process it is important to create a blood clot to stop the bleeding. Bite on gauze for 30-45 minute intervals while changing the gauze in between until the bleeding stops. Don’t be alarmed if you have to do this several times before it stops bleeding. When a blood clot forms it is important to not disturb it. Avoid any forceful rinsing and spitting, drinking with a straw, drinking alcohol, smoking, or brushing near the extraction. Also, make sure to avoid heavy lifting and any exercising. This will increase blood pressure and cause the extraction to bleed even more. Dislodging the blood clot with result in a very painful dry socket if you do not follow the healing instructions properly.

Pain and Swelling

It is normal to experience some swelling and pain after your extraction. Using an ice pack on the swelled areas after your appointment will help the swelling go down after 48 hours. Pain medication can be used as directed. After a week the extraction will feel less tender and the inflammation should go down significantly. You should completely heal two weeks after your appointment. Continue to take any prescribed antibiotics throughout the directed length of time even if you aren’t experiencing any more symptoms. You may feel slight tenderness when applying pressure to the extraction after two weeks. If you experience any serious pain, swelling or bleeding after two weeks, you should book a follow up appointment with your doctor to express these concerns.

Continue your regular dental routine after 24 hours. Brushing and flossing will help keep your mouth clean and speed up the healing process as well. Stick to a soft food diet for 5-7 days to prevent disruption with blood clots and any damage to the extraction. Proceed to your normal diet a week after the procedure if the tenderness is gone and you feel comfortable.