Thursday, April 29, 2010

Extracting a Single Tooth

As cosmetic dentists we recommend treatments that save teeth. There are times, though, when a tooth is so badly damaged that it cannot be saved and a single tooth extraction is the only choice.

Examples of these times include:

· Teeth fractured below the gumline
· Severe tooth decay
· Advanced gum disease
· Impacted wisdom tooth

Before the procedure, we might give you nitrous oxide as a relaxant. We also numb the area around the tooth with anesthetic so as to make the procedure painless. We want you to be as comfortable as possible. We will make sure that the area is completely numb before we begin extracting the tooth.

During the tooth extraction, you will feel pressure, but you should not feel any pain. If you do feel pain, we stop and give you more anesthetic.

The procedure varies per location and condition of the tooth. For instance, if the tooth has not emerged through the gums, we begin by making a small incision in the gum. We then use an instrument called an elevator, which is placed next to your tooth, to gently loosen it.

After the tooth is loose, we then use forceps to grip the tooth and carefully pull out the tooth with as little bleeding as possible.

Single tooth extractions procedures are more complicated if tooth roots are curved. If we find this, we often have to cut the tooth into sections to remove it.

In any event, any time we make an incision during a procedure, we always close it up with a few stitches after completing the extraction.

It is mandatory that you take care of yourself after a tooth extraction. We want you to minimize all potential problems after your tooth has been removed. The most critical time to be on guard is during the first 24 hours after the procedure, when bleeding and infection are most likely to occur

To help you do this, we give you detailed post-operative instructions which we advise you to follow implicitly. These post-operative instructions include information on how to control bleeding, how to minimize pain, and how to reduce swelling.

We also give you instructions on the prevention of dry sockets, and we give you a list of recommended foods you should eat, and foods you should avoid.

As cosmetic dentists, we are not here to promote the benefits of extracting teeth as the first option for any of our patients. However, we do admit that there are those times when it becomes necessary as a last resort. Single tooth extraction is sometimes the only way to reduce the risk of infection, the spread of periodontal disease, jawbone cysts, or severely crowded and misaligned teeth.

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