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Tooth Removal/Extraction
Provided by Colgate
Why are Teeth Removed?
Teeth are extracted for a variety of reasons:
- Decay has reached deep into the tooth
- Infection has destroyed a large portion of the tooth or surrounding bone
- There is not enough room for all the teeth in your mouth
Many dentists recommend
extracting impacted teeth that are only partially erupted. Bacteria can enter
around a partially erupted tooth and cause an infection, which can extend
into the surrounding bone and become extremely serious. Impacted teeth continue
trying to break through the gum tissue even if there is not enough room to
accommodate them. The continued pressure caused by this attempted eruption
can eventually damage the roots of nearby teeth. Removing a tooth that is
impacted can often prevent infection, damage to adjacent teeth and bone, and
save pain in the years to come.
How are Teeth Removed?
Before a tooth is removed, your dentist will thoroughly review your medical
and dental history and take the appropriate X-rays.
X-rays reveal the length, shape, and position of the tooth and surrounding
bone. From this information, your dentist can estimate the degree of difficulty
of the procedure and decide whether to refer you to a specialist called an
oral surgeon.
Before removal, the area around your tooth will be anesthetized. Dentists
use a local anesthetic to numb the area of the mouth where the extraction will
take place.
For a simple extraction, once the area is anesthetized, the tooth is loosened
with the help of a tool called an elevator, then extracted with dental forceps.
Your dentist may also want to smooth and recontour the underlying bone. When
he or she is finished, they may choose to close the area with a stitch.
What can I Expect After an Extraction?
It is critical to keep the area clean and prevent infection immediately following
the removal of a tooth. Your dentist will ask you to bite down gently on
a piece of dry, sterile gauze, which you must keep in place for up to 30
to 45 minutes to limit bleeding while clotting takes place. For the next
24 hours, you shouldn't smoke, rinse your mouth vigorously, or clean the
teeth next to the extraction site.
A certain amount of pain and discomfort is to be expected following an extraction.
In some cases, your dentist will recommend a pain killer or prescribe one for
you. It may help to apply an ice pack to the face for 15 minutes at a time.
You may also want to drink through a straw, limit strenuous activity, and avoid
hot liquids. The day after the extraction, your dentist may suggest that you
begin gently rinsing your mouth with warm salt water (do not swallow the water).
Under normal circumstances, discomfort should lessen within three days to two
weeks. If you have prolonged or severe pain, swelling, bleeding or fever, call
your dentist at once.
- Braces - the most common fixed appliances, braces consist of bands, wires
and/or brackets. Bands are fixed around the teeth or tooth and used as
anchors for the appliance, while brackets are most often bonded to the front
of the tooth. Arch wires are passed through the brackets and attached to
the bands. Tightening the arch wire puts tension on the teeth, gradually
moving them to their proper position. Braces are usually adjusted monthly
to bring about the desired results, which may be achieved within a few months
to a few years. Today's braces are smaller, lighter and show far less metal
than in the past. They come in bright colors for kids as well as clear styles
preferred by many adults.
- Special fixed appliances - used to control thumb sucking or tongue thrusting,
these appliances are attached to the teeth by bands. Because they are very
uncomfortable during meals, they should be used only as a last resort.
- Fixed space maintainers - if a baby tooth is lost prematurely, a space
maintainer is used to keep the space open until the permanent tooth erupts.
A band is attached to the tooth next to the empty space, and a wire is extended
to the tooth on the other side of the space.
| Tooth Removal/Extraction |
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| The area around the tooth is numbed before extraction. |
An elevator helps loosen the tooth. |
Dental forceps are used to remove the tooth. |
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