A surgical tooth extraction is required when a simple pliar is not enough to extract the tooth.
In case of severe gum disease or tooth decay, tooth extraction may become unavoidable. The dentist will check the crown, roots, and fillings if they do not cause the problem before removing the tooth.
In what cases should a tooth be removed?
extensive decay, immense teeth
strong moving or heavily damaged tooth (due to an accident or tooth decay)
painful wisdom tooth
losing milk teeth late, blocking the growth of adult teeth
genetic causes or unnecessary tooth to orthodontic
Tooth extraction is a routine intervention. There are some cases where the tooth can be removed with a simple tooth extraction, and in other cases, oral surgery is needed.
Simple tooth extraction can be considered when there is a suitable part of the tooth above the gum. The dentist pulls it with the help of pliers in local anesthesia.
When is surgical tooth extraction needed?
In the following cases, this more complex intervention may be necessary:
in case of an extensive tooth decay, when tooth could easily break
if the tooth root is heavily twisted or too branched in the gum
in case of an impacted tooth and if the root is still in the gum (broken tooth)
In this case, the oral surgeon cuts the gum at the affected area, so can access the broken or stuck tooth.
Special case: wisdom tooth
On the two sides of our lower and upper jaws, the last tooth is the wisdom tooth. In some cases, it develops and hides, but the phenomenon is not uncommon that the tooth can not break out, just stays in the jaw.
In this case, we can talk about an impacted wisdom tooth which can be removed by oral surgery, with special tools. The oral surgery procedure is performed in local anesthesia and most of the teeth are removed in several parts, if necessary, we can access the lower parts by “scraping” some of the jaw bone.
It may be an unpleasant procedure, as the patient should keep the mouth open for a longer period of time and the pain or swelling after surgery may last for days.
However, in most cases, oral surgery is unavoidable as local inflammation, fever, jaw closure may occur.
Impacted wisdom teeth
Angular impacted wisdom teeth
it cannot break from the gum and the soft tissues, its crown is laying towards the roots of the adjacent tooth
in extreme cases it may even break the root of the adjacent tooth
the wisdom tooth can only partially break out from the gum, its crown “fouls” under the crown of the adjacent tooth
there is a very high risk of unnoticed caries of the adjacent tooth root
Horizontal impacted wisdom teeth
the wisdom tooth cannot break from the gum because the crown of the wisdom tooth leans horizontally on the adjacent tooth root
in this case, it is almost certain, that it can only be removed in pieces
Horizontal impacted wisdom teeth
the tooth cannot break from the gum because it is embedded vertically under the crown of the adjacent tooth
in such cases, the oral surgeons remove the adjacent tooth before the wisdom teeth
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