Tooth Extraction: Causes, Preparation and Expectations
Tooth extraction is the procedure that involves completely removing a tooth or more from their sockets. Before settling from this procedure as a last resort, your dentist in Leland, NC, considers possible ways of salvaging your tooth. The specialist responsible for performing this procedure is referred to as an oral surgeon. In kids, the shedding of milk teeth doesn’t need a dentist appointment, but in adults, several reasons warrant going to the dentist’s to have your teeth removed. Here are some of them:
- Severely Damaged Teeth: If your tooth is badly damaged from decay or trauma and there is no hope for salvaging it, your dentist will recommend a tooth extraction.
- Crowded Mouth: Your oral surgeon near you may remove your teeth to prepare your mouth for orthodontic treatment. Orthodontia’s primary goal is to align your teeth properly, which isn’t possible when there is little room in the mouth.
- Impacted Teeth: Sometimes, when there is no enough space in the jaw, your teeth may get impacted. This means they get stuck below your gum surface and develop at a peculiar angle, causing complications.
- Infection: If the damages left by tooth decay extend to your tooth pulp, bacteria present in your mouth could get into the pulp and cause infections. This is the inner part of your tooth that contains blood vessels and nerves. When detected early, root canal therapy could remedy the situation. However, a very severe condition calls for a tooth extraction to stop the spread of the infection.
- Periodontal Disease: This is an infection of the teeth’s surrounding and supporting bones and tissues. If this infection causes loosening of your teeth, it is reason enough for the dentist to pull it out.
Preparing For Tooth Extraction
Before booking you in for the procedure, Dr. Geeson at Complete Dental Leland will perform an x-ray of the affected tooth. Ensure you let your dentist know about any medications you are on, including supplements, over-the-counter drugs, and vitamins.
You should also reveal if you will soon be treated for other medical conditions as the tooth extraction could cause significant interferences. If you have any of these conditions, you should also tell the dentist:
- Liver disease
- Congenital heart defects
- Renal disease
- Thyroid disease
- Adrenal disease
- Artificial joints
- Weakened immune system
Knowing all your pre-existing medical condition, the dentist could stabilize them or ensure they are treated before going through with the extraction. Days before the procedure, your dentist may prescribe antibiotics if:
- The procedure is expected to take long
- You have a weakened immune system
- You have an infection or a particular medical condition.
Here are some essential tips to help you prepare:
- If you are going to receive intravenous anesthesia, wear a sleeveless shirt. Also, fast for about eight hours before the procedure.
- Don’t smoke
- If you develop a cold, inform your dentist because rescheduling could be necessary
- If you experienced nausea or vomiting the previous night, inform your dentist so they may change the anesthesia or reschedule.
- Come with someone to drive you home after the procedure
What to Expect
Depending on the condition of your tooth, the dentist will perform either a simple or surgical extraction.
During a simple extraction, local anesthesia is administered to numb the region surrounding your tooth. This way, no pain is felt throughout the procedure. Afterward, the dentist uses a tool called an elevator to loosen your tooth then proceeds to take it out using forceps.
During a surgical extraction, both local and intravenous anesthesia is administered. Sometimes, you may receive general anesthesia too. The oral surgeon then makes a small incision into your gum. There may be a need to remove the bone surrounding your tooth or cut the affected tooth before extracting it.
When Do You Need Oral Surgery?
If you find yourself in any of these situations, the only option is finding a surgeon near you that performs oral and maxillofacial surgery for surgical extraction. A simple extraction won’t be effective:
- Broken Teeth: If a large part of your tooth is missing, the remaining pieces may be intricate for your dentist to grasp using extraction equipment.
- Cracked or Fragile Teeth: When a teeth cracks, the remnants are usually very fragile and may get fractured during the tooth removal procedure.
- Teeth with Curved/Long Teeth: Removing teeth like molars with crooked or curved roots is quite tricky. A simple extraction may require excessive force, which may break your tooth or bone.
- Large and Long Roots: Compared to small and short roots, large and long roots are more difficult to extract and will therefore require a complicated procedure such as surgical extraction.
- Impacted Teeth: If the tooth is stuck below the gum surface, simple extraction won’t be appropriate.