First, a local anesthetic is applied to make the procedure more comfortable. In some cases, your dentist will elect to use nitrous oxide gas in addition to the anesthetic. Once the area is numb, the extraction begins.
A dental instrument called an elevator is used to wiggle the tooth in its socket. After the tooth is loosened, it is removed using forceps, or in some more complicated cases, a surgical handpiece is also used to assist with the removal of the tooth.
Tooth extraction is not free of possible complications. You should be aware that there is a slight chance of infection, tenderness, prolonged bleeding, dry socket, loosening of neighboring teeth or their fillings or crowns. Another rare possibility is a tooth being displaced into the sinus during the extraction of an upper tooth. Lastly, jaw fracture is also an infrequent possibility.
You need to be aware of the importance of replacing this missing tooth. Once a tooth is removed, the space created by the missing tooth will allow the surrounding teeth to shift into that space. This shift could cause a misalignment in your mouth that can result in chewing or jaw joint problems. These shifted teeth are harder to clean, making them more susceptible to gum disease, decay, or even additional tooth loss.
It’s essential to replace the tooth with a dental appliance such as a bridge, a removable partial denture, or an implant. In some instances, you may be considering the option of pulling a tooth rather than simply repairing it. While it may be less expensive in the short run, in the long term, it may cost you more. As you already know, once a tooth is pulled, you still need to fill the space with a dental appliance to avoid future complications.
If you add the cost of extraction, plus the replacement of the tooth, you may be better off repairing it. Please be sure to ask your dentist for proper home care and post-operative instruction care.
Are you ready to get one or several dental implants ?
Missing teeth should always be replaced, as otherwise, the remaining teeth may move to cause the bite to collapse. Correcting this can be costly and complicated. Before deciding on dental implant treatment, your dentist will take a complete medical and dental evaluation and develop a plan. This is to ensure you do not have any health conditions that could make surgery inadvisable. Also, the dentist will use some different diagnostic tools such as CT scans or dental x-rays. Implants can be placed with precision, and with minimal risk.
The process for having dental implants involves two separate surgical procedures. The initial surgery is to place the implant post in the jawbone and is usually carried under a local anesthetic. An incision is made in the gum tissue before a hole is precisely created.
The second surgical procedure is shorter and takes place between three and eight months later, at which stage the implant will be exposed and evaluated. This is a process to determine if the implant post has successfully locked into the jawbone. At this point, it may be necessary to make some changes. If the implant has failed to close in, then it may need to be removed.
Options at this stage can include changing the implant or placing the implant at a different area. If the implant post has been successful, then the second surgical procedure is to create an opening in the gum to expose the implant and placing a post known as a healing cap. This is so a tooth can be attached that will extend above the gum line into the mouth. The cap is used to shape the gum tissue to give support to the crown or bridge. The final phase is to thread a metal sleeve know as an abutment into the implant, and this will be used to hold the crown, bridge, or denture firmly in position. At this stage, your final prosthesis can be constructed.
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