If you have one or more teeth that are broken or decayed, then applying a filling, crown or other relevant treatment will always be the primary course of action. However, if irreparable damage has taken place, we will likely have to take the affected tooth out. As specialists in oral surgery, we are often referred teeth with an increased level of complexity such as abnormal root anatomy, previous root can treatment, tooth fractures, active infections, or close proximity to nerves and sinuses.
During your consultation, Dr. Raju will perform a focused exam and review your x-rays with you. He will use your x-ray to show you where the irreparable damage has occurred as well as the important anatomy of the tooth and surrounding structures like your sinuses and nerves. A review of sedation options will be presented and the proper instructions will be provided for your surgery. If you have questions regarding any aspect of your treatment, Dr. Raju encourages you to ask questions.
About The Procedure
Tooth extractions procedures are generally performed in the office. We use local anesthetic to numb the area and then use surgical instruments to remove the tooth from its socket. During the actual procedure you can expect to feel pressure, but you should not feel any sharp pain. If you are tense or uncomfortable with the thought of this procedure then should strongly consider sedation for your comfort.
Attempts are made to preserve as much bone surrounding the tooth as possible. Once the tooth is extracted the area is inspected and cleaned. If a bone graft is planned, it placed in the socket at this time. Bone grafts maximize the bone at the surgical site whether to facilitate placement of dental implants or for optimal aesthetics and hygiene for a dental bridge. Stitches are sometimes used to bring the tissues back together. Surgery time varies greatly for tooth extractions.
After your tooth is extracted, you will need to decide what you would like to do with the space. There are up to four options for you to decide on – a dental implant, a dental bridge, a removable prosthesis (a denture), or to leave it as a space. Click here for a handout regarding each option!