Tuesday, August 4, 2009

An Unerupted Tooth Must Be Extracted and Replaced With a Single Dental Implant

When a tooth forms but does not emerge into the mouth, it is known as an unerupted tooth. This can create other problems in the mouth, such as damage to surrounding tooth gums and supporting bones. It can even contribute to cyst and tumor formation, which in turn can damage the jaw bone. Dentists take no chances with unerupted teeth. We extract them.

This condition occurs most frequently with the wisdom teeth in the back of the mouth, which are also known as third molars. These are the last teeth to develop, but by the time they are ready to emerge, there is no room left for them in the mouth. Other teeth that sometimes fail to emerge are the cuspids, which are the four pointy teeth that dog lovers nickname canine teeth, and the bicuspids, which are between the cuspids and the molars.

The most common symptom of this condition is painful swelling in surrounding gum tissue. X-rays will indicate if there are one or more unerupted teeth. We can then extract them before they lead to further, more serious complications. If this sounds intimidating, keep in mind we can make it painless for you with either oral or intravenous sedation.

Prior to extraction, we take a close look at your medical history to see if you are allergic to anything and to study any relevant dental history, such as previous extractions, root canals, etc. We also x-ray the tooth and measure its full shape, size, and position of impact.

Once the tooth has been extracted, there are specific instructions that we give patients to follow. You should put pressure on the area by biting gently on a roll that we give you. Do this for several hours until a clot forms. After this, do not disturb the area. Also, avoid rinsing, spitting, smoking, and drinking with a straw for 24 hours at last. For the first 48 after having an unerupted tooth removed, drink only liquids and eat the softest foods only. Chew on the side of your mouth opposite the extraction area. You can brush your teeth, but do not brush near the open wound.

It is important to follow these instructions without exception to avoid complications. There are postoperative infections that can develop, and nerves can become temporarily numb. There have also been cases of dry socket, jaw joint pain, and even jaw fracture resulting from the failure of blood to clot and the subsequent exposure of bone to air.

As extreme as tooth extraction sounds, keep in mind that the Houston Medical Center Dental Group also specializes in cosmetic dental implants. Once you have healed up from the tooth extraction, we can replace the unerupted tooth with a single dental implant and restore the beauty and the health of your smile.

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