Being dental professionals, we always aim to restore as much of the tooth structure as we can in order to prevent it from future infection and decay. However, in certain cases where a tooth is damaged beyond the restorative stage, extraction becomes compulsory in order to prevent the tooth from further infection.
Many people develop impacted wisdom teeth — these are the teeth that don’t have enough space to erupt into the oral cavity or develop normally. Impacted teeth are usually spotted on routine X-rays. Impacted wisdom teeth can be symptomatic or asymptomatic, and they may erupt only partially in the mouth or do not erupt at all. Sometimes, impacted wisdom teeth start erupting in the oral cavity at some wrong angles, which causes pressure against other teeth in the oral cavity. It can cause painful symptoms and other serious problems of gums and bone and may result in pericoronitis, cavities, food impaction, infection, and other gum diseases. At this stage, it is compulsory to extract the wisdom tooth in order to relieve other problems of the mouth.
A dental extraction is the procedure of removal of a tooth from the socket. A dentist experiences a lot of people who are panicking and fearing the idea of a tooth extraction. There may be two reasons for this, when they’ve had a bad experience of visiting a dental clinic, or they’ve had a painful tooth extraction in the past, or the extraction has not been managed in the proper way, for example where someone must have been trying to pull the tooth out in an improper way when the tooth should have been sent to a dental specialist. At the dental office, dental professionals should make sure to take good care of our patients so that their visit to the dentist can become a good memory and not a fearful event. The patient’s comfort should be the dentist’s first priority. That’s why every dentist must try his best to make the tooth extraction painless.
Reasons that made a tooth extraction necessary
There are some reasons that make tooth extraction procedures necessary. They include the following-
*When there is decay of a tooth that has reached deep into the tooth, including the pulp
*If the infection has destroyed a large portion of the tooth
*In case of infection that has spread to the surrounding bone
*In order to make space when there is not enough room for all the teeth in your mouth
*When there is a need to make space for teeth moved with orthodontic treatment
*In order to eliminate teeth overcrowding to modify occlusion
*It may become compulsory after an accident or trauma
*In case of an impacted tooth that may cause damage to the surrounding structures
*In order to get cured of the periodontal diseases
*When there is present irreparable damage to the tooth tissue or surrounding structures
*When there is the presence of an abnormal tooth development
*In a condition when baby teeth don’t shed in time for permanent teeth to come in
*Following trauma or injury to the face in which tooth structure gets damaged
Steps involved in tooth extraction
There are two types of teeth that need to get extracted. The procedure of either type include:
Examination of the affected tooth:
The dentist first examines the affected tooth clinically and with the help of radiographs such as an X-ray in order to carefully examine the damaged erupted tooth while an impacted tooth is usually only visible during routine radiographs or advised radiographs in the case of painful symptoms and swelling around the crown.
Procedure of erupted tooth extraction:
The erupted tooth usually requires a simple extraction procedure which includes the removal of a tooth that is clinically visible in your mouth. It's a common procedure performed by all dentists in everyday practice. During the erupted tooth extraction, a dentist will first anesthetize the tooth and surrounding gum tissue and then loosen the tooth from its socket with the help of an instrument called an elevator before removing it with dental forceps.
Procedure of impacted tooth extraction:
An impacted tooth usually requires a surgical extraction procedure which is relatively a more complex procedure and is used for a tooth that may have broken off at the gum line or has not erupted into the mouth yet. Oral maxillofacial surgeons usually perform surgical extractions to extract impacted teeth; however, general dental professionals can also perform these extractions as well. During a surgical extraction of an impacted tooth, the doctor will simply make a small incision (cut) into your gum tissue which has already been anesthetized with a suitable anesthetic drug, and then remove the underlying impacted tooth.
After the tooth extraction procedure, the most important thing to keep up with after a tooth extraction is keeping the affected area clean and germ-free in order to prevent secondary infection. Immediately following the extraction procedure, the dentist might ask the patient to bite down gently on a small piece of clean, dry, sterile gauze, which the patient should keep in that area for up to 30 to 45 minutes to limit bleeding while clot formation takes place. The dentist will give the patient detailed aftercare instructions, but for the period of 24 hours following the extraction, the patient shouldn’t smoke, spit forcefully or rinse their mouth vigorously, or clean the teeth next to the extraction site.
Medication to reduce pain:
The patient usually experiences a certain amount of pain and discomfort after an extraction procedure. In some cases, the dentist will recommend a suitable painkiller. It might be helpful to apply an ice pack in place of the affected area on the cheek in order to reduce the swelling. The patient should also limit any strenuous type of activities, as well as avoid hot drinks and beverages. Dentists should also advise the patient not to drink through a straw. Under normal circumstances, the pain, swelling, and discomfort should lessen within a couple of days or weeks.