While we always aim to preserve your natural teeth, sometimes removing a tooth is the best option for your overall health and comfort. Whether it's due to severe decay, damage, or overcrowding, a tooth extraction may be necessary to prevent further complications. At Hoffman Dental, we understand that this can be an overwhelming decision, but we're here to guide you through the process with care and expertise. Our goal is to make the experience as smooth and pain-free as possible, using advanced techniques and sedation options tailored to your needs.
Why Do You Need an Extraction?
Damaged teeth need to be treated. When you have a damaged tooth, we do everything we can to save it. However, there are times when saving the tooth may not be possible:
| • | Your tooth has experienced severe damage. Teeth that have been cracked or chipped can usually be restored with dental crowns. However, if the damage extends below the gum line, crowns cannot provide the protection the affected tooth needs. |
| • | Significant decay. While cavities can usually be restored with fillings, large cavities, or multiple cavities in the same tooth, can compromise the tooth (and filling them can put them at risk for shattering). |
| • | An impacted tooth. An impacted tooth is one that cannot emerge properly through the gums. These teeth can cause infections or potentially damage adjacent teeth. While a common issue with wisdom teeth, any tooth can be impacted. |
| • | Overcrowding. When your teeth are overcrowded, it can throw off your bite. This can lead to bruxism (grinding and clenching) and severe jaw pain. Typically, overcrowding is treated with orthodontics. An extraction can help to create the space necessary to properly align your teeth. |
Tooth Extraction Process
There are two different types of extractions. The first is known as a simple extraction. This type is typically done under a local anesthetic. The affected tooth is gripped and moved back and forth, widening the periodontal ligament. When the ligament is wide enough, the tooth is simply lifted out. The other type of extraction is a surgical extraction. This type of extraction is done under local anesthetic, but sedation may also be used.
A surgical extraction is usually necessary for removing wisdom teeth. Incisions are made in the gums, exposing the root of the tooth and the surrounding jawbone. Next, the tooth is removed. This may involve the removal of some of the surrounding jawbone. If the tooth is shattered, every piece is carefully removed. In some instances, the tooth may need to be broken and removed in segments. Once the tooth is removed, the socket is cleaned, and the wound sutured closed.
Aftercare
After a tooth extraction, proper care is crucial for a smooth recovery and to prevent complications like infection or dry socket. For the first 24 hours, avoid rinsing your mouth vigorously, drinking through a straw, or smoking, as these can dislodge the blood clot forming at the extraction site. Apply an ice pack to reduce swelling and take prescribed or over-the-counter pain medication as directed. Stick to soft foods, like soups or yogurt, and gradually reintroduce solid foods as you heal. Be sure to keep the area clean by gently rinsing with salt water after 24 hours. If you notice any excessive pain, swelling, or bleeding, contact our office immediately for assistance.
Contact Us Today
When you have a damaged or impacted tooth, it is important to treat it as soon as possible. In the instance that the tooth cannot be treated, an extraction may be required. For more information, or to schedule your consultation, contact Hoffman Dental today at (503) 648-7700.
