Tooth Extraction

Durango, CO

When Is a Tooth Extraction Necesssary?

While dentists will often do everything possible to save a tooth no matter the age of the patient, there are some situations where tooth extraction is necessary. When it comes to removing teeth, there are two different types of extractions a dentist or oral surgeon can use depending on the reason for removal: Simple extraction and surgical extraction.

A simple extraction can be used when the tooth is already fully emerged past the gum line and can be easily removed using forceps. A surgical extraction involves cutting into the gums to retrieve a tooth, usually because it is impacted. Here are some common reasons a patient might need to have either a simple or surgical extraction performed.

Reasons for a simple tooth extraction  

A dentist might suggest pulling a patient’s tooth because of infection or overcrowding in the mouth. Continue reading to learn more about each of these reasons for a tooth extraction.

• Tooth decay or gum disease

Fillings or root canal treatment can often treat minor cases of tooth decay, but severe deterioration can warrant the need for extraction. This situation often occurs if the patient has not had a dental exam in a while and the decay has gone untreated for a long period of time. Eventually, the decay can extend to the pulp of the tooth leading to an infection.

If the infection is too severe to be treated by root canal therapy, the extraction of the tooth is necessary to keep the infection from spreading. Gum disease is another type of infection that causes the degeneration of the bones and tissues surrounding a tooth. If not addressed early on, these structures can deteriorate to the point that the tooth either falls out or needs to be pulled.

• Overcrowding

If teeth are severely misaligned or overcrowded, it might be necessary to pull teeth to open up space in the mouth or to make an opening for an impacted tooth. Most often, the removal of the tooth or teeth is combined with orthodontic treatment. Braces are used after the tooth is removed to further expand the jawbone and balance the bite.

• Impacted teeth and surgical extraction

An impacted tooth is one that has been blocked from emerging from the gums and is often discovered during a dental X-ray. Some impacted teeth will eventually break through the gums without treatment; also, removing baby teeth or orthodontic treatment can sometimes allow the teeth to come in properly. Other times, tooth extraction is necessary if the teeth are unable to erupt through the gums on their own. Often, surgical extraction is used on wisdom teeth or maxillary canines that cannot be guided to the correct position.

Conclusion

Typically, a dentist will do everything possible to preserve a tooth if possible before choosing to extract it. However, if the patient is suffering due to an infection of the tooth or gums it might be necessary to quickly remove the tooth to avoid even more harm from occurring. If teeth are overcrowded or impacted, a treatment plan can be made to determine if a tooth extraction is the best line of action.

The process of having a tooth extraction

If you do need to have a tooth extraction, there are several ways that we can go about the procedure. First, we will numb the area of your mouth so that you do not feel any direct discomfort. You will feel pressure during the procedure but otherwise remain relaxed and comfortable. If your tooth has matured and broken through the gums, we can use dental tools to wiggle the tooth and pull it out of the socket. Afterward, the area will be thoroughly cleaned, and gauze will be used to stop the bleeding while you recover. If your tooth is impacted or still below the surface, as is common with wisdom teeth, oral surgery may be necessary to remove it. When completing this procedure in our dental office, we typically create an incision in the gums so that there is a flap. The flap is gently lifted so that we have access to the impacted tooth. In many cases, we can wiggle the tooth and lift it out of the socket. However, if there is bone or tissue on top of the tooth, it will need to be cut away first. If the tooth is particularly stubborn and not budging, we might need to break it into several pieces and remove it that way. Once the tooth has been removed from the socket, the area will be thoroughly cleaned before the flap is placed back down and sutured in place. Gauze is then used to stop the bleeding.

How to care for your mouth after a tooth extraction

At Durango Dentistry, we perform a tooth extraction in the least invasive manner possible to shorten the recovery time. Most of our patients will recover in the office for around an hour while we make sure that the bleeding has sufficiently slowed down, and any anesthesia is wearing off. We typically recommend having someone pick you up after having a tooth extraction. At home, you will want to rest and taking a nap is highly recommended. Be sure to drink plenty of water but avoid drinking anything that is too hot or too cold as this could lead to sensitivity for the first couple of days. We also recommend avoiding the use of a straw, for the first few days, as the suction could cause the affected area to start bleeding. How the procedure was completed will influence how long it takes to recover but, in general, the swelling will go down after a few days. In our family dentist's office, we recommend taking ibuprofen to help reduce the swelling and to use an ice pack or cold compress for 15 minutes at a time. During your recovery, you should eat foods that are high in nutrition but soft. Drinking a smoothie with vegetables, fruit, yogurt, and protein powder is an excellent way to keep your nutrition levels up without needing to bite down on anything. As you add foods back in, be sure to start with things that are soft like noodles and gradually work your way up to a full diet. While caring for your mouth after a tooth extraction, you also need to keep your mouth as clean as possible. Brush your surrounding teeth like normal while carefully avoiding the surgical site. You can also rinse with water and baking soda or an antibacterial mouthwash to reduce the risk of an infection developing. We may want to see you for a follow-up appointment, as well.

What you should know about wisdom teeth removal

If you still have your wisdom teeth, you may need to have them removed. We invite you to schedule an appointment with our dentist office so that we can examine your teeth and take X-rays to determine whether or not you should keep your wisdom teeth. Not everyone needs to have them out, so it depends on how much room you have and whether they are growing in straight or impacted. Also, if you have worn braces, they might need to be removed to prevent them from pushing the other teeth forward. The process of removing wisdom teeth is roughly the same as any other tooth with the exception of when and why we perform the procedure. At Durango Dentistry, we typically recommend wisdom teeth removal in the teenage years. General extractions are more common as people age and have a tooth that needs to be removed due to a severe infection or significant damage. To find out whether or not you should keep your wisdom teeth, call (970) 259-1646 to schedule an appointment to speak with Dr. Greg Mann and Dr. Steven Reed.

Oral Surgery

If you are in need of oral surgery, call (970) 259-1646 to schedule an appointment with our Durango, CO dental office. At Durango Dentistry, we can provide you with the surgical procedure you need to maintain or restore your oral health. When it comes to dentistry, only certain dentists perform surgical procedures. Whether you are looking for a new dentist or are currently under the care of one and need more intensive procedures, we welcome your call. We can examine your teeth, give you an opinion regarding whether or not you need surgery, what procedure will benefit you, and what you can expect from the process. Feel free to ask as many questions as you need in order to feel prepared and comfortable. In the meantime, here are a few frequently asked questions we hear in our Durango dentist office.

Looking for information on oral surgery? If you are currently in need of a simple surgical procedure in order to improve your dental health, then learning more about the different types of oral surgery procedures that dentists can perform is a great idea.

General dentists and oral surgery

Understanding more about oral surgery is a great idea, as there are different types of dental professionals who can perform oral surgical procedures. General dentists are your primary dental-care providers. They are the first person to contact when you are in need of any dental-related care, as they diagnose, treat and manage their patients' overall dental care needs. A few examples of procedures general dentists perform include examinations and cleanings, placing crowns and implants and performing simple oral surgery procedures, such as extracting a wisdom tooth. However, in some cases you may need to be referred to a Periodontist, Endodontist or Oral Surgeon for more difficult cases. The list below includes some of the more common types of simple oral surgery procedures:

• Dental implants

Many dental patients who are missing one or more of their teeth and therefore need to choose a tooth-replacement option are choosing dental implants for this purpose. They want to experience the many benefits that implants offer, including their ability to look and act just like a real tooth. The reason why implants are able to closely resemble a natural tooth is that it is surgically inserted into a patient's jawbone, allowing it to fuse with the gum tissue and jawbone.

• Wisdom tooth extraction

The extraction of wisdom teeth is necessary when they begin to grow in and cause problems to the rest of the teeth. While many dental patients can accommodate this third set of molars without experiencing any problems, some patients will experience problems such as impacted or crooked teeth. Any patient who is experiencing wisdom teeth problems needs to make an appointment with a general dentist as soon as possible for a proper diagnosis.

• Root canals

When tooth decay enters the pulp of a tooth, it means that the tooth is infected and a root canal needs to be performed in order to save the tooth. It is always recommended to save a tooth, as once a dental patient loses one of their teeth, they need to find a tooth-replacement option as soon as possible in order to have a healthy mouth. The root canal procedure is one that requires a general dentist to remove the nerve and the infected pulp, thoroughly clean the area and then seal the tooth so it can once again function normally.

Why do people get oral surgery?

There are three main reasons that a surgical procedure could be necessary. The first is your health. Tooth decay is incredibly common, and if you receive regular dental care, it is easy to catch and treat before it causes discomfort or spreads. Unfortunately, too many people do not visit the dentist on a regular basis, and this can allow infections to set in. Occasionally, the decay becomes so bad, the tooth has to be removed. Other times, it can be saved with a root canal, but regardless, immediate dental care is necessary to stop the discomfort. It may also be necessary for us to perform oral surgery to correct a problem with your gums. If you have gum disease and suffer from gum recession, you could need a surgical gum graft, for example.

The second reason we perform oral surgery is to remove wisdom teeth. While they do not always pose an immediate health risk, they can grow in impacted and cause discomfort. Removing them can prevent future infections and stop your wisdom teeth from pushing your other teeth forward.

Lastly, our Durango patients receive oral surgery for cosmetic reasons. Primarily, this is to replace missing teeth with dental implants. An implant is the most secure and durable solution for tooth loss, because it is the only solution that replaces the root in addition to the tooth. To do so, we implant a titanium post under the gums and secures it to the jaw bone. Titanium is a strong metal that the body treats like natural matter. As a result, the implant and jaw bone will fuse together through the process of osseointegration. This takes a few months, but once complete, a new root system is developed, and when the new tooth is attached, it will be as secure as a natural one. To learn more about this process, call (970) 259-1646 and schedule an appointment with our dental office.

Is oral surgery used with orthodontics?

Yes, when an orthodontist straightens teeth, one of the issues they address is overcrowding. There are certain procedures that can create space in the mouth, and one of them is to extract teeth. While not always necessary, some orthodontists will make a recommendation to have one or several teeth removed as part of the treatment process. An orthodontist is also concerned about jaw alignment. Overbites and underbites can often be treated non-invasively. However, in severe cases, oral surgery is necessary to change the position of the jaw. Whether or not you will need oral surgery as part of your orthodontic treatment is something to discuss during your initial consultation.

How do I prepare for oral surgery?

At Durango Dentistry, we will do whatever we can to keep you comfortable during your procedure, and part of that is helping you to be prepared. We believe in patient education and will go over the procedure with you step by step. Since each patient and surgery is unique, our overview here is more generic in nature, and we will take time with you individually. Typically, however, you will want to avoid eating food for a few hours (possibly starting the night before). This is standard protocol when receiving anesthesia. We also recommend that you purchase some ice packs and place them in the freezer. You should plan ahead and buy soft foods, plenty of water, and anything you need to relax and stay comfortable, which should certainly include ibuprofen.

Can you provide me with oral surgery if I am currently being treated by another dentist?

Yes, we can. When you visit our Durango dental office, let us know if you are being treated by a dentist and if they mentioned you needing oral surgery. Not everyone performs surgery, so if you want to remain in their care after the procedure has been completed, you certainly can. Otherwise, we welcome you as a new patient to our practice.

What is the recovery like from oral surgery?

This really depends on the type of surgery being performed. As a general rule, you can expect there to be some level of bleeding that is temporary and can be controlled with the gauze that we give you. You can also expect there to be swelling. This is where most of the discomfort comes from. To control it, you will want to place an icepack on your face for 15 minutes at a time, rest for 15 minutes and then use it again. Just be careful not to irritate your skin, and use a light cloth if you need to. Simultaneously, you should use ibuprofen to keep the swelling and discomfort at minimum. The ice is typically only used for a day or two where the ibuprofen may be needed for a week or so. At Durango Dentistry, we may also give you antibiotics to take in order to prevent an infection. When it comes to food, you will want to stick with things that are soft and either do not require chewing (like soup) or can be chewed very easily (like steamed vegetables). Buying these items ahead of time will make your recovery easier. Just remember to take it easy and not to push yourself. It is best to follow our instructions than to risk irritating your surgical site.