In case there’s too much damage for the tooth to be repaired, the tooth needs to be extracted. A very loose tooth also will require extraction if it can’t be saved even with bone replacement surgery (bone graft).
If you’re experiencing dental discomfort, you may need a tooth removed. Here are some reasons for the discomfort and to have your tooth removed:
You have extra teeth that block other teeth from coming in.
Sometimes baby teeth don’t fall out in time to allow the permanent teeth to come in.
If you’re getting braces, you may need teeth extracted to create room for the teeth that are being moved into place.
People receiving cancer drugs may develop infected teeth because these drugs weaken the immune system. Infected teeth may need to be extracted.
Some teeth may need to be extracted if they could become a source of infection after an organ transplant.
Wisdom teeth, also called third molars, are often extracted either before or after they come in.
There are two types of extractions:
A simple extraction is performed on a tooth that can be seen in the mouth. In a simple extraction, the tooth is loosened with an instrument called an elevator. Then the tooth is removed using an instrument called a forceps.
A surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not come into the mouth yet. Surgical extractions commonly are done by oral surgeons.A small incision (cut) is made into the gum. Sometimes it’s necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.
Most simple extractions can be done using just an injection (a local anesthetic). You may or may not receive drugs to help you relax. For a surgical extraction, you will receive a local anesthetic, and you may also have anesthesia through a vein (intravenous). Some people may need general anesthesia. They include patients with specific medical or behavioral conditions and young children.
During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your doctor.
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