The mention of tooth extraction might give us chills, and when we know it is about to happen to us, we might feel even more dreadful. Tooth extraction is the process of detaching a tooth from its socket and separating it from the jaw bone. It might sound scary if it has never happened to you. But an expert dentist can do it very easily and with much less pain, specifically if it is the extraction of the front tooth.
A dentist tries his/her level best to repair a tooth if there are any changes. However, if there are no hopes, then tooth extraction is the last solution. A person would need a front tooth extraction in the following cases:
If a tooth is severely damaged, and it is difficult to repair, then the dentist pulls it out to protect the surrounding teeth. In case of severe gum disease, a tooth may become loose and would need extraction
Any tooth that is not straight and has come out slant disturbing the other teeth would require extraction. A misaligned tooth, if stays in the mouth, can impact the oral health of a person.
Some people may have an extra row of teeth or may have some extra teeth. These extra teeth may disturb a person in speaking properly.
The process of straightening the teeth may require some adjustment in the teeth. The dentist may also need to remove some teeth to make the alignment straight.
I injured a tooth years ago and now my dentist says it needs to be removed. She said, “It’s a simple extraction,” but is referring me to an oral surgeon. Does this sound simple to you?
It sounds like there may be a difference in perception of the word, “simple.” From the dentist’s perspective, this probably implies a routine extraction. To you, the patient, it may well be a totally new experience, so it’s a reasonable question.
The ease or difficulty of tooth removal is related to the size, length and the number of the roots as well as the location of the tooth in the mouth. This picture is for illustrative purposes only and not meant as an exhaustive guide.
From a procedural or professional standpoint, a simple extraction refers to removing a tooth in which the shape of the root or roots lends to easy removal. This usually involves teeth that have a single and straight root shape, which allows for a more or less straight path of removal. In the case of an upper front tooth, the root is generally cone-shaped, so there is not too much resistance to removal. One source for this particular procedure’s name is from the dental insurance code ascribed to it, “simple uncomplicated extraction.”
Removing teeth, while not a particularly pleasant experience, is a routine and uncomplicated procedure in the hands of an expert. And for most oral surgeons it is a mainstay of oral surgical practice. What keeps a tooth in place in its native bone is a membrane or ligament that surrounds the tooth root called the periodontal ligament (“peri” – around; “donut” – root). The main fibers of the ligament surround the tooth at a slanted angle similar to a hammock and attach it to the bone. By carefully manipulating the tooth, these fibers can be fairly easily dislodged, allowing the tooth to be removed quite simply. Believe it or not, there is a real art and “feel” involved in tooth removal, making it both uncomplicated and relatively simple. It is certainly easier in experienced hands and therefore inconsequential for a patient on the receiving end.
To ensure the extraction is “simple” in the professional sense, involves proper assessment and diagnosis beforehand, in particular of the shape and status of the tooth or teeth to be removed, and the surrounding bone in which they are encased. Routine radiographic (x-ray) examination will allow that determination. The oral surgeon will also take a thorough medical and drug history, to ensure that you are healthy enough to undergo this minor surgery and that you have normal blood clotting and wound healing mechanisms.
A simple extraction refers to removing a tooth in which the shape of the root or roots lends to easy removal.
It may also be likely that the surgeon will fill the socket (the space formerly occupied by the tooth), with a bone substitute or other grafting material if it is necessary. Most grafting materials today act as scaffolds upon which your body builds or replaces the grafting material with bone. This ensures that any existing boney defect is reconstructed and the original bone mass or volume is reestablished. This is particularly necessary if a dental implant is contemplated to replace the tooth root. However, your oral surgeon should let you know whether or not your socket(s) will require grafting before your treatment.
Another important factor in making an extraction procedure “simple” is recognizing what to do if there are any minor complications. For example, if a tooth root is brittle it may fracture due to previous trauma and/or a root canal treatment. This may require some surrounding bone removal to access and remove the fractured root fragments. While this complication may sound dramatic, it is not—and is routinely encountered and planned for by an experienced oral surgeon.
Immediately after tooth removal, it is normal to place sterile gauze over the socket for 10-20 minutes with gentle pressure to control bleeding while a clot forms. Some small sutures (stitches) may also be placed over the socket to help control bleeding. As for your after-surgery care, you will receive instructions for cleaning and caring for the extraction site. You may also be provided with any or all of the following: antibiotics, anti-inflammatory (swelling control) and analgesic (pain control) medication, usually of the aspirin/ibuprofen family of drugs as well as saline or antibacterial mouth rinses.
Tooth extraction is usually carried out with local anesthesia, numbing the teeth to be removed together with the surrounding bone and gum tissues. Also, oral sedation medication, nitrous oxide and/or conscious sedation can be used to render the experience anxiety-free, relaxing and amnesic (“a” – without; “mnesia” – memory). This is usually required for more complicated or multiple tooth extraction. By the time the sedation medication has worn off, you won’t even know it has been done.
It is important that all the potential risks, benefits and possible outcomes of tooth removal are reviewed with you beforehand, so you know what to expect. We hope that this puts your mind at ease and addresses your question.
We love our patients and love to help them form healthy dental life that will last them a lifetime. For more information call us to answer all of your questions so get an appointment today