Many types of tooth damage - even damage in the central portion of the tooth - can be corrected without extractions. But sometimes, a tooth is so badly damaged that extraction is the best option. For instance, teeth that have broken off below the gumline as a result of extensive decay may be too badly damaged to be repaired. Likewise, teeth that are impacted (“stuck” under neighboring teeth) or causing problems such as overcrowding also may need to be extracted. Before any tooth is extracted, Dr. Sodergren or Dr. Gur-Arie will perform a careful evaluation to ensure that extraction is the best option for your needs.
That depends on why the tooth is being pulled, the location of the tooth, and other factors. For simple extractions, special instruments are used to gently lift the tooth from the socket. More complex extractions, including extraction of wisdom teeth and for teeth that are broken off below the gums, require incisions into the gums to ensure the entire tooth is removed. In some cases, a small amount of bone may need to be removed to access the tooth.
It’s almost always a good idea to have your wisdom teeth pulled. Why? There are a couple of reasons. First, wisdom teeth are the last teeth to emerge, which means your mouth is already pretty full of teeth by the time the wisdom teeth come in. Often, wisdom teeth come in sideways or become impacted under neighboring teeth, or they may push other teeth out of alignment. Removing your wisdom teeth can prevent crowding and similar problems that can lead to significant oral health problems. Even if your wisdom teeth come in without issues, their location makes them very difficult to clean, which means they’re more likely to become decayed or become harbors for disease-causing bacteria. Having them pulled eliminates these risks for better long-term oral health.
If a tooth is pulled because of crowding issues, you won’t need to replace it. But if a tooth is extracted because of decay, disease, or trauma and crowding is not an issue, you should definitely have a restoration like a bridge, denture, or implant to prevent bite balance problems and to avoid future tooth loss.
At First Impressions Dental Care, we accept most insurance plans. Please contact our office if you do not see your provider listed.
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