At Coral Coast Dental we aim to retain all teeth for as long as possible. Unfortunately though extractions may be the only option for multiple reasons including:
- Severe Periodontal disease- The tooth may become mobile due to gum infections and loss of supporting bone
- Infection/abscess – This can be caused by things such as trauma or tooth decay affecting the pulp where the nerves and blood vessels lay. Abscesses occur due to bacterial infiltration into the dead pulp of the tooth.
- Tooth decay – extensive decay in the tooth that renders the tooth as non- restorable, this will contribute to risk of abscess if left unattended.
- Fractured or broken teeth– Trauma dental caries, large restorations and wear & tear may cause teeth to crack. If the broken tooth is severely damaged cracked below the gum and is unrestorable the option is an extraction.
- Wisdom Teeth – These can be impacted or problematic for some people as they cause crowding and infection and even become a food trap. If your wisdom tooth is impacted and unable to erupt completely into the mouth it can be very hard to keep clean, caries and bacteria will easily to develop and cause dental problems.
- Orthodontic treatment- When an orthodontist suggests removal as the space may be required in order to complete orthodontic treatment.
A radiograph is necessary at the beginning of each appointment to determine the need for and what type of extraction may be required. This can help determine if the tooth has curved roots or is close to any nerves or the maxillary sinus. The tooth may also be fused to bone. In some cases an OPG (Full Jaw) radiograph will be taken.
Types of Extractions
Simple Extraction – generally done under local anaesthetic the Dental Professional will elevate the tooth and grasp with forceps for removal.
Surgical removal- This will occur when the tooth cannot be easily accessed such as impacted wisdom teeth or fractured and broken teeth that make it difficult to grasp. In order to remove the tooth the dentist may be required to make an incision into the surrounding gum to gain easier access to the tooth roots for removal.
Surgical with bone removal – After making an incision it is sometimes necessary to section the tooth and remove some of the surrounding jawbone tissue with a drill. This can come about if the tooth is fused to bone impacted. If very broken down, or has very thick or curved roots or if the jaw bone is very dense. The procedure can be planned to be done under general anaesthetic however is sometimes unavoidable if a tooth cannot be simply removed under local anaesthetic.
Sectioning – To removal the roots of a tooth separately, the tooth may be split into half or multiple pieces using a drill. This is not necessarily only required only during a surgical extraction but can be done if the tooth is not becoming mobile during simple removal. It can greatly assist in helping the Dental Professional to facilitate its removal.
Post Extraction Healing
At the end of the appointment your Dental Professional will give you a leaflet on post operative instructions to follow and go over the main priorities to ensure healing is quick and effective.
- Following or prior to an extraction your Dental Professional can discuss options for replacing the tooth if required.
For more information contact our clinic at Coral Coast Dental on (07) 4154 7122.share