Here at Buhite & Buhite DDS we will go to every length possible to try and repair or “save” a damaged tooth. However, there are some cases where there is no other choice than to extract the tooth. Such is the case of a broken tooth that is extremely difficult to repair and where restoration may not lead to success. Typically, a tooth needs to be extracted as a result of trauma, disease or crowding. Periodontal disease is an infection of the gum and bone which causes bones to be weakened, and puts teeth at risk by not being supported enough resulting in mobility and pain. Infected teeth are most likely to be removed if the infection cannot be controlled.
Oftentimes, when a tooth has a large cavity, we will recommend root canal treatment. During a root canal, decay, as well as nerve and blood vessel tissues which are a part of the infected material, are removed from the tooth. Another procedure that may need to be done is called an apicoectomy which removes infected material surgically but comfortably from above the root of the tooth.
Cracked and fractured teeth can be difficult to diagnose and manage because they don’t show up on routine dental x-rays and are mostly diagnosed by symptoms. If the cracked tooth is discovered from x-rays, even if the patient doesn’t suffer any symptoms, we may recommend removing the tooth altogether before any issues arise. If the fractured area of the tooth stays above the gumline we may be able to repair it with a crown, which covers and protects the tooth. The determining factor between extracting or repair is if the fracture extends underneath the gum and into the bone area. If this is the case, the tooth would need to be extracted and an implant may be considered as an option.
Simple extractions vs. Surgical Extractions
Surgical extraction is the most common surgical procedure in the United States. Surgical extraction is required when bone or tissue has to be removed when extracting a tooth. A surgical extraction also requires stitches to close the site so that it can heal properly. When a tooth is visible above the gum line and can be removed with forceps, this is classified as a simple extraction. These procedures are done comfortably and routinely at Buhite & Buhite DDS. Following the procedure, we may prescribe a pain medication to manage any discomfort and swelling.
After care instructions
-Avoid unnecessary talking, eating or drinking for the first two hours after the extraction.
-Drink cold or lukewarm liquids for the first 24-48 hours.
-Stick to clear liquids and soft foods for the first few days.
-Don’t vigorously rinse your mouth for 48 hours and avoid disturbing the surgical area.
-Don’t use straws, smoke, or spit forcefully.
-Follow the instructions for any prescribed medication(s).
-Contact Buhite & Buhite DDS if you have any pain or bleeding or swelling that persists.
Although this may cause distress and anxiety, be rest assured you are in good hands at Buhite & Buhite DDS. If you do decide to have a tooth removed, give us a call to discuss your options for a replacement to restore the beauty and function of your smile.