Extractions

What is a Tooth Extraction?

Tooth extraction is the surgical removal of a tooth, often due to damage or disease. While your dentist will typically try to save a tooth using treatments like fillings or crowns, sometimes the damage is too extensive for repair. In these cases, extraction may be necessary to restore your oral health.

Types of Tooth Extractions

There are two primary types of tooth extractions:

• Simple Extraction: This procedure is used for teeth that are visible and easily accessible in the mouth. The dentist uses a special tool called an elevator to loosen the tooth and then removes it with forceps.

• Surgical Extraction: This more complex procedure is performed when a tooth is broken off below the gum line or has not fully erupted. The oral surgeon makes a small incision in the gum tissue to access and remove the tooth, such as an impacted wisdom tooth.

Preparing for a Dental Extraction

Before performing an extraction, your dentist or oral surgeon will likely take X-rays of the area to plan the procedure. Be sure to provide a complete medical and dental history, including any medications, supplements, and vitamins you are currently taking. This information helps ensure the safest approach to your extraction.

In cases like wisdom tooth removal, a panoramic X-ray may be used to provide a full view of your teeth and surrounding structures. This helps guide the extraction process by revealing:

• The relationship between your wisdom teeth and other teeth
• The position of the upper teeth in relation to your sinuses
• The location of nerves that affect sensation in your lower jaw, teeth, lip, and chin
• Any underlying infections, tumors, or bone issues

In some cases, your dentist may prescribe antibiotics before and after surgery to reduce the risk of infection. This is more likely if:

• You have an existing infection
• You have a weakened immune system
• Your surgery is expected to be lengthy
• You have specific medical conditions that may complicate healing

Why Might You Need a Tooth Extraction?

Tooth extractions are commonly performed for various reasons, including:

• Impacted Teeth: A tooth that fails to emerge properly, often due to surrounding bone or gum tissue, is considered "impacted." This is common with wisdom teeth, which may need to be extracted to prevent further complications.

• Orthodontic Treatment: Sometimes teeth need to be extracted to create space for proper alignment during braces or other orthodontic treatments.

• Severely Decayed or Damaged Teeth: When a tooth is too damaged by decay or trauma to be repaired with a filling or crown, extraction may be the best solution.

• Extra Teeth: In some cases, people have extra teeth that block the eruption of permanent teeth.

• Baby Teeth That Won’t Fall Out: Occasionally, baby teeth don't fall out on time, preventing the permanent teeth from coming in.

• Dental Issues Due to Radiation or Cancer Treatment: People undergoing radiation treatment to the head or neck, or those receiving chemotherapy, may need extractions if the teeth in the radiation field are at risk of infection or decay.

• Organ Transplant Patients: If you’ve had an organ transplant, your immune system may be suppressed by medications, increasing your risk of infection. In such cases, teeth at risk of becoming infected may need to be extracted.

Wisdom Teeth Extractions

Wisdom teeth (third molars) are commonly extracted in the late teens or early twenties. These teeth can become problematic if they are impacted, decayed, infected, or causing pain. In some cases, they may develop cysts or other complications. If you require removal of all four wisdom teeth, they are typically extracted at the same time.

Trust Your Tooth Extraction to Our Experienced Periodontists

At Texas Periodontal Associates in Houston, we frequently perform tooth extractions, including wisdom teeth removal and surgical extractions. Whether you need a simple procedure or more complex surgical care, you can count on us to provide the highest level of expertise and patient care.

Why Choose Us?

• Experienced and skilled periodontists
• Comprehensive care with personalized treatment plans
• State-of-the-art facilities and technology
• Focus on patient comfort and safety

If you’re experiencing tooth pain, discomfort, or need an extraction for any reason, contact us today to schedule a consultation with one of our experienced periodontists.

While both periodontists and oral surgeons are highly skilled in tooth extractions, periodontists offer unique advantages when it comes to preserving gum health. A periodontist specializes in the care of the gums and bone structures, ensuring the area is properly sutured after an extraction. This focus on gum health minimizes the risk of complications like dry sockets, which can occur when the extraction site isn't properly cared for. For wisdom teeth extractions or any other dental extractions, a periodontist ensures precise and gentle care, promoting faster healing and better long-term oral health.