Reasons for tooth extractions

There are times that your dentist may recommend that one or more teeth of your teeth be extracted.

  • When your tooth cannot be repaired due to fracture or extensive decay.

  • When extra teeth block new teeth from erupting.

  • To make room for your other teeth to be moved during orthodontic treatment (braces).

  • When wisdom teeth are impacted (stuck in the jaw) and will disturb neighboring teeth if they emerge, or that become painful due to position, decay or infection.

  • When severe gum disease threatens the supporting tissues and bone structure.

  • When decaying teeth increase the risk of infection in people with a compromised immune system (due to chemotherapy treatment or other health conditions).

What if my tooth is broken at the gum?

Extractions range from simple to complex. If your tooth is intact, visible and easily accessible, a simple extraction may be all that’s needed. If your tooth has extensive decay, is broken off at the gum line or is still under the gum, a complex extraction may be indicated. complex extractions are a little more involved and  almost always require an incision.  In a Complex extraction the doctor may elevate the soft tissues covering the tooth and bone and may also remove some of the overlying and/or surrounding  Bone tissue with a drill. Frequently, the tooth may be split into multiple pieces to facilitate its removal.

Does extraction hurt?

All tooth extractions are done using local anesthesia so you’ll be completely numb in that area of your mouth. You may choose to additionally use inhalation anesthesia (Nitrogen Gas) or IV Sedation if you are anxious about the procedure.

I’m a chicken. Can you put me to sleep during the procedure?

Some of our patients choose to have IV sedation during extraction treatment. It requires advance planning to schedule an extraction appointment but it’s a good option if you’re fearful or anxious. Read our page about Sedation Dentistry or ask about sedation when you call or email us.

Can I get my tooth extracted today?

Generally, you’ll have two appointments if you’re having a tooth extracted. Your first appointment includes:

  • Your history of the problem, your general dental history and a detailed medical history

  • X-rays of your tooth/teeth

  • A focused examination of that area

We’ll give you:

  • The results of what we find during the exam

  • Options for treatment you can consider

  • What to expect during and after any treatment

  • An antibiotic prescription if you have an active infection

During your second visit you’ll have the tooth extracted. In some cases, depending on your unique situation and the time we have available, we may do same-day extractions.  After the extraction you’ll always receive written post-operative instructions, a care packet and a follow up call from us.

What about pain after the extraction?

Since most simple extractions do not cause much discomfort afterwards, an over-the-counter pain reliever is usually all that is needed. For pain control following Complex extractions Dr Kiel may prescribe prescription pain medication. In most cases, any discomfort will be gone after a couple of days. If pain develops a day or two after extraction we’ll need to evaluate you for dry-socket – a potential problem after some extractions but easily treated. Full healing of dry-Socket takes one to two weeks.

Tooth replacement options

Extracting a tooth leads to other concerns about the bone and gum tissue in the area of the extraction, the effect on adjacent teeth moving, the change to your bite (how your upper and lower teeth meet), as well as possible changes in chewing, speaking and esthetics. In most cases you will want to consider replacing the tooth/teeth that will be extracted. There are many options available

  • Dental Implants

  • Fixed Bridges

  • Partial Denture

You can discuss all the options with Dr Kiel or your General Dentist and decide what is best for you.

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