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Tooth removal

Tooth Extraction – What you should know.

Tooth Extraction - The Removal of a Tooth - A minor oral surgery procedure. Why, When, and what to expect.

Tooth extraction is a dental procedure (minor oral surgery procedure) that involves the removal of a tooth from its socket in the jawbone. It is often necessary when a tooth is damaged beyond repair or when it is causing pain and discomfort. While tooth extraction may sound intimidating, it is a routine oral surgery procedure that is performed by dentists every day. In this blog post, we will explore the reasons why a tooth may need to be extracted, what to expect during the procedure, and how to care for your mouth afterward.


Reasons for Tooth Extraction

There are several reasons why a tooth may need to be extracted. Some common reasons include:

  1. Decay or damage: If a tooth is severely decayed or damaged, it may not be possible to repair it with a filling, crown, or other dental procedure. In this case, extraction may be necessary to prevent further damage or infection.
  2. Crowded teeth: If your teeth are overcrowded, a dentist may recommend extracting one or more teeth to create more space in your mouth.
  3. Impacted wisdom teeth: Wisdom teeth, also known as third molars, often become impacted or trapped beneath the gum line. This can cause pain, swelling, and infection, and may require extraction.
  4. Gum disease: Advanced gum disease can cause teeth to become loose and may require extraction to prevent the spread of infection.

The following images show examples of cases from our office – Dr. Thomas Kaus Dentistry, where teeth had to be removed in our uptown Waterloo dental clinic.

Tooth requiring extraction due to decay
X-ray of a decayed tooth requiring removal (decayed area indicated by the circle)
Teeth requiring extraction due to periodontitis
X-ray of teeth that lost the supporting bone structure (circled area) due to gum disease (periodontitis). The teeth were mobile and had to be removed.
Wisdom tooth and adjacent tooth requiring extraction due to infection and decay
Impacted wisdom tooth that caused decay and infection requiring removal of the wisdom tooth and adjacent tooth
crowding 01 1

Severe crowding

3D computer model of a case showing severe crowding of the lower front teeth. The circle indicates a tooth that will have to be removed to align the front teeth.

crowding 02

Severe crowding

3D computer simulation showing the space created after tooth removal.

crowding 03

Severe crowding

3D computer simulation showing the final alignment after tooth extraction and clear aligner treatment.


What to expect during the procedure

Before the procedure, your dentist will numb the area around the tooth with a local anesthetic. If you are anxious or nervous, you may also be given a sedative to help you relax. Once you are numb, the dentist will use special tools to loosen the tooth and remove it from its socket. In some cases, the dentist may need to make an incision in the gum to access the tooth. After the tooth is removed, a blood clot will form in the socket. You will be given instructions on how to care for the socket to promote healing and prevent infection.


How to care for your mouth after tooth extraction

After the procedure, it is important to follow your dentist’s instructions carefully to ensure proper healing. Here are some general tips for caring for your mouth after tooth extraction:

  1. Bite down gently on a piece of gauze to help stop bleeding. Change the gauze as needed.
  2. Avoid rinsing your mouth or spitting forcefully for at least 24 hours after the procedure.
  3. Eat soft foods and avoid using a straw, as sucking can dislodge the blood clot.
  4. Brush and floss your teeth as usual, but be gentle around the extraction site.
  5. Take any pain medications as directed by your dentist.
  6. Contact your dental office if there is continuous or worsening pain, bleeding, swelling, or you think that you lost the blood clot.

Conclusion

In conclusion, tooth extraction is a common dental procedure that may be necessary for a variety of reasons. While it can be uncomfortable, proper aftercare can help promote healing and prevent complications. If you think you may need a tooth extracted, talk to your dentist about your options and what to expect.

Further Reading:

Dental associations can be an excellent source of information for patients looking to learn more about dental health and dental care. Dental associations are professional organizations made up of dentists and dental professionals who work together to promote dental health and improve the quality of dental care.

These associations typically have websites that provide a wealth of information on a range of topics related to dental health, such as oral hygiene, dental procedures, and dental technologies. They may also provide resources for finding a dentist, understanding dental insurance, and managing dental anxiety.

The following links to the Canadian Dental Association (CDA), the American Dental Association (ADA), as well as a link to a German Dental Association describe minor surgical procedures such as a tooth extraction.

  1. Canadian Dental Association – Care after Minor Oral Surgery
  2. American Dental Association – A Few Facts You Should Know About Getting A Tooth Extraction
  3. American Dental Association – Extractions – Having a tooth removed
  4. Kassenzahnärztliche Bundesvereinigung – Wann muss man einen Zahn ziehen?

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