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Extractions



Woman holding cheek due to tooth acheTooth extraction is the removal of a diseased, damaged or problematic tooth from its socket in the alveolar bone. At Kevin Kay DDS Family & Cosmetic Dentistry, it is our top priority to ensure that you retain your teeth. Some cases, however, warrant tooth removal.

Reasons for Tooth Extraction


Your oral health may be better off if your tooth is extracted for the following reasons:
•  Your tooth is decayed and damaged beyond recovery and cannot be saved even with bone graft surgery.
•  Your primary tooth is blocking your adult tooth from emerging.
•  Your mouth is crowded, and a tooth or multiple teeth need to be extracted for orthodontic purposes.
•  A problematic tooth may be causing misalignment of other teeth.
•  Some teeth may have to be removed if they succumb to periodontal disease after an organ transplant.
•  You will need to remove teeth that are in the field of radiation if you are undergoing cancer treatment.
•  Wisdom teeth often cause a lot of problems. These teeth usually do not erupt properly, or are tilted, and can cause damage to their neighboring teeth. Wisdom teeth are also hard to reach with a toothbrush and dental floss since they grow far back in the mouth and may become liable to dental caries.

Types of Tooth Extraction


There are two types of tooth extractions:

Simple Extraction


Simple tooth extractions are performed on teeth that can be seen above the gumline. The surgery involves loosening the tooth with equipment called the elevator and then pulling out the tooth with forceps.

Simple extractions can be done under local anesthesia. Any pain, swelling or bleeding from the surgery usually resolves itself within 24 to 48 hours, and sometimes even less time.

Surgical Extraction


A surgical extraction is more complex than a simple extraction. This surgery is performed on a tooth that has either broken off at the gumline or has not erupted into the mouth. Wisdom teeth are removed through surgical extractions.

This extraction involves making a small incision in the gum to expose the underlying tooth. Oftentimes, it is necessary to split the tooth into two or multiple sections so that it is easy to pull out. The surgical site may also require sutures to stop the bleeding.

Surgical extractions can be performed under local anesthesia, though people who have anxiety problems may be given a mild sedative to relax them. You may also be given intravenous medication to reduce swelling and help with the pain.

Pain, swelling, and bleeding from surgical extraction may take three days to a week to resolve, though many people recover more quickly.

Risk of Tooth Extraction


Tooth extraction may be accompanied by complications in a few cases. Most of these issues can be managed by Dr. Kevin Kay.
•  Dry socket can develop, particularly after difficult surgical extractions. This happens when the blood clot on the surgical site either gets dislodged or does not properly form. This condition is very painful and can lead to a bad taste in the mouth. People who smoke or women who take contraceptive pills are more susceptible to dry sockets. Dry sockets can be treated with some medication that boosts healing.
•  Sometimes, dentists will leave in a small portion of your tooth root as removing it could result in damaging a nerve. This root can develop an abscess, though the chance of this is minute and the risk is smaller than nerve damage.
•  A hole may appear in the upper sinus while removing an upper molar. This wound can repair itself. If it cannot, a small surgery may be needed.
•  In very rare cases, you may experience lasting numbness in your chin and lower lip. This may be due to damage to the inferior alveolar nerve. This issue may resolve itself within a few months or, in extremely rare cases, may be permanent.
•  If you expect to be treated by the IV drug bisphosphonates for a medical condition, your tooth extraction needs to be done before the treatment starts. Having a tooth removed during a phosphonate treatment may cause necrosis of the jawbone.

If you experience any of the above problematic symptoms, call us at (425) 738-8476 to schedule an urgent appointment so that we can quickly fix the issue.

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