When the damage to the tooth is beyond repair, only then tooth removal is suggested.
Here are some other common reasons for tooth removal:Some people are known to never develop wisdom teeth, while there are others who develop all four wisdom teeth – one in each corner of the mouth.
- Some people have extra teeth that block other teeth from coming in.
- A badly decayed and abscessed tooth that cannot be saved by conventional root canal.
- Repeated failure and frequent complain of pain of long standing chronic root canal treated tooth
- Cracked tooth – Vertical fracture of tooth
- Baby teeth that don’t fall out in time to allow the permanent teeth to come in.
- Therapeutic Extractions – People getting braces may need teeth extracted to create room for the teeth that are being moved into place.
- Wisdom teeth, also called third molars, are often extracted either before or after they erupt in the mouth.
They commonly come in during the late teens or early 20’s. They need to be removed if they are decayed, infected, or if there is not enough room in the mouth.
- People receiving radiation to the head and neck may need to have teeth in the field of radiation extracted.
- People receiving cancer drugs may develop infected teeth because these drugs weaken the immune system. Infected teeth may need to be extracted.
There are two types of extractions:
A simple extraction
This is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called forceps to remove the tooth.
A surgical extraction
This is a more complex procedure, which is used if a tooth may have broken off at the gum line or has not erupted in the mouth. Oral maxillofacial surgeons typically perform this procedure, though general dentists can also perform them. The doctor makes a small incision (cut) into your gum to surgically to remove the broken tooth or impacted wisdom tooth. It may be necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.
Most extractions can be done using just an injection (a local anesthetic). Some people such as patients with specific medical or behavioral conditions and young children — may need general anesthesia.
If you are receiving conscious sedation, you may be given steroids, as well as other medicines in your intravenous sedation line. The steroids help to reduce pain and swelling after the procedure.
During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your dentist.
- Having a tooth taken out is a surgical procedure. You can expect some mild discomfort even after simple extractions. Research has shown that taking drugs that include ibuprofen, such as Advil, Motrin and others, can greatly decrease pain after a tooth extraction. Take the dose your doctor recommends, 3 to 4 times a day. Take the first pills before the local anesthesia wears off, and continue taking the mediations for 3-4 days following or as your dentist has recommended.
- Surgical extractions generally cause more pain after the procedure than simple extractions. The level of discomfort and how long it lasts will depend on how difficult it was to remove the tooth. Your dentist may prescribe pain medicine for a few days. Most pain disappears after a couple of days.
Tips to help minimize your discomfort and speed recovery:
- Eat soft and cool foods for a few days. Usually for non-diabetic patients ice cream is advised.
- Do not rinse vigorously or spit until 24 hours of tooth removal.
- A gentle rinse with warm salt water, started 24 hours after the surgery, can help to keep the area clean. Use one-half teaspoon of salt in a cup of water. Most swelling and bleeding ends within a day or two after the surgery.
- Cold compress – You can put ice packs on your face to reduce swelling. Typically, they are left on for 20 minutes at a time, done 4 -5 times a day until the swelling reduces.
- Complete healing takes at least two weeks.
- Hot compress– After a few days if your jaw is sore and stiff after the swelling goes away, try warm compresses.
- You should not smoke, use a straw or spit after surgery. These actions can pull the blood clot out of the hole where the tooth was.
Suture (Stitches) – If you need stitches, your doctor may use the kind that dissolves on their own. This usually takes one to two weeks. If the sutures are removable ones, the dentist might call you a week later to check the site for healing and remove the stitches.
Call your dentist or oral surgeon if:
- The swelling gets worse, instead of better.
- You have fever, chills or redness.
- You have trouble swallowing even after two weeks
- You have uncontrolled bleeding in the area.
- The area continues to ooze or bleed after the first 24 hours.
- Your tongue, chin or lip feels numb more than 3 to 4 hours after the procedure.
- The extraction site becomes very painful — This may be a sign that you have developed a dry socket.
Antibiotics and painkillers (Analgesics) as prescribed by the dentist should be taken as per advice.
WHAT HAPPENS IN CASE OF IMPACTED TEETH?
When impacted, Wisdom Teeth can:
- Cause pain, swelling, infection or damage to the teeth next to them.
- Make the Jaw feel stiff and sore if the whole of the gum around the wisdom tooth gets swollen.
- Cause bad breath and bad odour that can result from the infection at the back of the mouth.
In all of the above cases, the surgical removal (extraction) of one or more wisdom teeth can relieve the problems. However, people who have impacted wisdom teeth that do not cause problems need not have them removed.
NOTE: Though Antibiotics can provide temporary relief, the symptoms tend to flare up again in the future.
Since in most cases, most of the wisdom teeth get impacted (embedded fully or partially within the bone), they require a surgical extraction. Such surgery can be done at Siri Dental Hospital by experienced oral surgeons in accordance with strict standards of hygiene and sterilization.