Modern dental approach involves restoration of decayed and damaged teeth by all means. Preventive dentistry has been considered as the mainstay of dental management. Dental health professionals focus upon saving the decayed and carious teeth through the provision of dental restorations and root canal treatment procedures. Removal of teeth is only indicated when all other possible options are not possible. Dental extraction can be the treatment option in severely damaged teeth, broken down un-restorable cases, severe tooth rotations, teeth in line of radiotherapy or during chemotherapy of cancers and as part of an overall orthodontic treatment planning.
Dental extractions need thorough evaluation through complete history taking and comprehensive clinical and radiographic examination. Pre-medication is often required for medically compromised patients. Profound local anesthesia is essential for carrying out the whole procedure. Minimal discomfort and trauma remains the goal of simple as well as complex teeth extraction procedures. However, certain complications often occur irrespective of the care and treatment planning of the stepwise procedure. Common complications of teeth removal include dry socket, damage to adjacent teeth, bone fractures, loss of sensation or paresthesia and infection.
Also called exodontia or tooth-pulling, dental extraction is the process of completely removing a tooth from its socket. Tooth extractions are performed as a last resort when a tooth is too badly damaged to be saved by other types of dental treatment. A simple extraction refers to the removal of a tooth that is visible in the mouth. Surgical extractions are performed on teeth that are buried beneath gum tissues, such as impacted wisdom teeth. In some cases, teeth are removed to resolve crowding issues.
Before a dental extraction, your dentist will record your medical history carefully. You may receive antibiotics if you have a heart murmur, weak immune system, or infection is likely. You’ll also have the opportunity to discuss anesthesia and sedation options such as local anesthetic injection, nitrous oxide, oral sedation, and general anesthesia.
Dry socket occurs when no blood clot forms in the socket or a formed one becomes dislodged. The absence of the clot exposes sensitive nerves and bone to air. The condition is painful, but it is easily treated with a medicated dressing.
Frequently asked questions about tooth extraction