Extraction

Although dentist do their best to try and save teeth sometimes it's necessary to remove teeth. The following shows examples of why a tooth may need to be removed:

• Unrestorable damage caused by decay or fracture
• Gum disease causing severe tooth mobility
• Removal of extra teeth
• Removal of retained deciduous (baby) teeth
• Teeth which are source of infection
• Due to orthodontic reasons prior to brace fitting

Extraction can be performed by the dentist or an oral surgeon (dentists specially trained in performing surgery)

Following the initial assessment and x-rays the dentist will decide the best approach for tooth removal. Local anaesthesia is used to numb the area around the tooth.

There are two types of extractions

A non surgical extraction - this is done commonly by general practitioners using instrument called elevator to loosen the tooth and forceps to remove the tooth. Surgical extractions are more complex and sometimes require a referral to an oral surgeon. These extractions are performed on teeth that are fractures at the gum level or are impacted. The dentist will make a small incision into the gum and sometimes it's necessary to remove some bone around the tooth before finally elevating the tooth.

A gauze pad is packed over the socket to help stop bleeding. Sutures (stitches) may be required to help close the socket and reduce post op bleeding. The dentist will provide verbal and written instructions on how to look after the socket before you leave the surgery.