Extraction Starting at $135.00
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What It's Used For
If a tooth has been broken or damaged by decay, your dentist will try to fix it with a filling, crown or other treatment. Sometimes, though, there's too much damage for the tooth to be repaired. In this case, 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).
Here are other reasons:
Some people 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.
People getting braces may need teeth extracted to create room for the teeth that are being moved into place.
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.
Some teeth may need to be extracted if they could become a source of infection after an organ transplant. People with organ transplants have a high risk of infection because they must take drugs that decrease or suppress the immune system.
Wisdom teeth, also called third molars, are often extracted either before or after they come in. They commonly come in during the late teens or early 20s. They need to be removed if they are decayed, cause pain or have a cyst or infection. These teeth often get stuck in the jaw (impacted) and do not come in. This can irritate the gum, causing pain and swelling. In this case, the tooth must be removed.
If you expect to have treatment with intravenous drugs called bisphosphonates for a medical condition, be sure to see your dentist first. If any teeth need to be extracted, this should be done before your drug treatment begins. Having a tooth extraction after bisphosphonate treatment increases the risk of osteonecrosis (death of bone) in the jaw.
Your dentist will take an X-ray of the area to help plan the best way to remove the tooth. Be sure to provide your full medical and dental history and a list of all medicines you take.
If you are having wisdom teeth removed, you may have a panoramic X-ray. This X-ray takes a picture of all of your teeth at once. It can show several things that help to guide an extraction:
- The relationship of your wisdom teeth to your other teeth
- The upper teeth's relationship to your sinuses
- The lower teeth's relationship to a nerve in the jawbone that gives feeling to your lower jaw, lower teeth, lower lip and chin. This nerve is called the inferior alveolar nerve.
- Any infections, tumors or bone disease that may be present
Some doctors prescribe antibiotics to be taken before and after extraction. This practice varies by the dentist.
If you have a cough, stuffy nose or cold up to a week before the extraction, call your doctor. He or she may want to avoid anesthesia until you are over the cold. If you had nausea and vomiting the night before the procedure, call the doctor's office first thing in the morning. You may need a change in the planned anesthesia or the extraction may have to be rescheduled.
Do not smoke on the day of extraction. This can increase the risk of a painful problem called dry socket.
There are two types of extractions:
A simple extraction 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 a forceps to remove the tooth.
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. However, they are also done by general dentists. The doctor makes a small incision (cut) into your 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.
During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your dentist.
Your dentist will give you detailed instructions on what to do and what to expect after your extraction. If you have any questions, make sure to ask them before you leave the office. Having a tooth taken out is surgery. You can expect some discomfort after even simple extractions. Usually it is mild. Research has shown that taking nonsteroidal anti-inflammatory drugs (NSAIDs) can greatly decrease pain after a tooth extraction. These drugs include ibuprofen, such as Advil, Motrin and others. Take the dose your dentist recommends.
A cut in the mouth tends to bleed more than a cut on the skin because it cannot dry out and form a scab. After an extraction, you'll be asked to bite on a piece of gauze for 20 to 30 minutes. This pressure will allow the blood to clot. You will still have a small amount of bleeding for the next 24 hours or so. It should taper off after that. Don't disturb the clot that forms on the wound.
Call your dentist or oral surgeon if
The swelling gets worse instead of better.
You have fever, chills or redness
You have trouble swallowing
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.
If you have an infection, your dentist usually will prescribe antibiotics.