A tooth extraction is the removal of a tooth from its socket bone. The most common reason for a tooth extraction is tooth damage due to breakage or decay.
Several other oral conditions may require an extraction; such conditions include extra teeth blocking other teeth from coming in, severe gum disease, fractured teeth and for preparation for orthodontic treatments.
Why Extraction at DDCRC?
- Extraction is the last option at our centre. We are driven by the philosophy of saving a natural tooth as long as it is functional and/or it can be restored to serve its function.
- We discuss the various pros and cons of extracting a tooth along with the cost of the options one has to replace the tooth. This gives an opportunity for the patient, to rethink the whole treatment plan.
- We are aware of the physical and psychological discomfort caused by an extraction. We help all our clients to cope with tooth extraction, despite it being a simple process.
- We use the latest theory of sectioning and luxating the tooth out of socket with minimal trauma to the bone. For this, we take help of luxators along with different elevators and forceps. Minimum trauma means lesser post extraction pain, swelling and faster healing.
- An atraumatic extraction helps to preserve the bone for future placement of implants without any additional cost of bone grafting.
Extractions may be classified into two types based on the procedure and the relative difficulty of the extraction process.
Simple extractions are carried out with local anaesthesia, typically performed on teeth that are easily visible in the mouth. The process is simple, requiring few instruments to hold the tooth and displace it from the supporting alveolar bone. The basic premise of a simple extraction is to physically loosen to tooth by breaking the periodontal ligament (the ligament that connects the tooth to the bone), while widening the supporting alveolar bone.
Surgical extractions on the other hand are complex, performed on teeth that cannot be easily accessed. Teeth that have broken at the gum line or ones that have not erupted fully are ideal candidates for a surgical extraction. A surgical extraction will require removal of the soft gum tissue surrounding the tooth and may even require removal of some surrounding bone. The tooth may also be broken down into multiple fragments for ease of removal.
Disimpaction: Wisdom teeth often cause problems due to their late eruption. Often wisdom teeth are unable to erupt due lack of space and get impacted in to the bone (the chart shows different positions of impacted lower wisdom tooth). In addition, these teeth are located at the back of the mouth bringing in cleaning difficulties. Under such conditions, the teeth are easily get infected and cause severe pain, discomfort in opening the mouth. Such impacted tooth need to be removed surgically and the process is called disimpaction.