Nothing is better than a
healthy set of teeth, and many advances in dentistry allow us to
save teeth that we could not previously, but sometimes an extraction
is necessary.
A tooth that is severely damaged may need to be removed. An extraction
should be done as soon as possible to avoid the spread of infection
and more serious problems. Before a tooth is removed, your dentist
will thoroughly review your medical and dental history and take
the appropriate X-rays. The 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
(oral and maxillofacial surgeon).
One or more reasons for an extraction are:
Advanced Gum
Disease. This is the #1 reason adults loose their
teeth!
A tooth that has broken
at the gum line and cannot be saved.
Some Orthodontic
cases require that one or more teeth be extracted.
Extraction is the complete removal of a primary or a permanent tooth.
No one looks forward to an extraction, but modern local anesthesia
will help keep you comfortable throughout the procedure. A stronger,
general anesthetic may be used, especially if several or all of your
teeth need to be removed. General anesthetic prevents pain in the
whole body.
Post Surgery: After the tooth is removed, you may need stitches.
You can gently bite down on a cotton gauze pad placed over the wound
to help stop the bleeding. The dentist will remove the stitches after
a few days. The removed tooth can be replaced with an implant,
a denture,
or a bridge.
A bridge is a replacement for one or more (but not all) of the teeth
and may be permanent or removable.
In most cases, the recovery period lasts only a few days. The following
will help speed recovery:
Take painkillers as prescribed by your dentist or oral surgeon.
Rinse your mouth with warm salt water several times a day to
reduce swelling and relieve pain. Change gauze pads before they
become soaked with blood.
Relax after surgery. Physical activity may increase bleeding.
Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually
add solid foods to your diet as healing progresses.
Do not lie flat. This may prolong bleeding. Prop up your head
with pillows.
Avoid rubbing the area with your tongue.
Continue to carefully brush your teeth and tongue.
Understand the Risks: Dental surgery can allow bacteria in
the mouth to enter the bloodstream and cause infections in other parts
of the body. People who have difficulty fighting off infections may
need to take antibiotics before and after dental surgery. This includes
those who:
Have liver disease (cirrhosis).
Have artificial joints, such as a hip replacement.
Were born with heart defects.
Have damaged or artificial heart valves.
Have had bacterial endocarditis, an infection of the lining of
the heart.
Take steroids for other conditions, such as Crohn's disease or
asthma.
Have diabetes or another disease that causes an impaired immune
system.
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Statutory Warning: The information is intended
to help you better understand dental conditions and procedures and should
not be construed as specific medical advice or recommendation. The general
information provided here is not a substitute for a consultation with the
dentists. Only personal discussion of your individual needs with a professionally
qualified doctor / dentist will determine the best method of treatment suitable
for you.
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