Since the dawn of our existence, the procedure of removing teeth has been present. Fortunately, teeth extractions have become a much more refined process in modern times. The dentists at St. Lawrence Dentistry have ample experience in teeth removals should you require this service.
Extractions may be performed for several reasons including severe tooth decay, infection, tooth damage, gum disease, and issues generated from wisdom teeth being impacted under the gum. In addition, sometimes teeth are removed to make space for orthodontic treatment.
Extractions can be simple or surgical. Simple extractions are performed on teeth that are visible and easily accessible in the mouth. Simple extractions do not require an incision, and are performed under local anesthetic. Surgical extractions involve the removal of teeth that are hard to reach because they have broken under the gum line or because they have not erupted fully. Surgical extractions require an incision, and may be performed using sedation such as nitrous oxide. Surgical or ‘complex extractions’ are nothing to worry about and St. Lawrence Dentistry can perform these in a very comfortable manner.
The first step in a tooth extraction will be the dentist obtaining your medical history from you. Then Dr. Hawryluk will go over different options for dental sedation. These include very mild sedation via Ativan tablets, nitrous oxide, or being fully asleep. In general patients tolerate the tooth removal process well without deeper sedation. However, if you wish to be asleep for the procedure please inform our dentists.
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A local anesthetic is then applied to numb the area. Specialized instruments are used such as a dental elevator or forceps to gently loosen the tooth. Dr. Hawryluk focuses on removing teeth with the least possible trauma to the surrounding tissues to ensure the most the most uneventful recovery possible.
Sometimes there is an option of ‘extraction socket grafting’. This is where particulate bone is placed in the socket after the extraction. This ensures the socket heals up with as much bone as possible which, in effect, strengthens your jaw bone. This is especially important if a patient is considering placing a dental implant after the tooth removal. More bone preserved from the socket grafting means a stronger and more robust implant can be placed. Hence extraction socket grafting can enhance the long term survivability of a dental implant after a tooth removal. We will discuss this important bone preservation method with you if your specific circumstance pertains to it.
St. Lawrence Dentistry will be everything possible to mitigate the healing period following a tooth extraction. We will inform you prior to the extraction what you can possibly expect post tooth removal. In general, the extent of the healing period is proportionate to the amount of work needed to remove the tooth. Some swelling, minor bruising are common tooth removal issues. Dr. Hawryluk will assess if antibiotics and/or pain medication is warranted in your particular situation. If you have a question or issue in the post extraction period please call our office. In non-business hours we have a 24 hour answering service. There are instructions we will go over with you after your tooth extraction which can help avoid complications. These include, but are not limited to, no rising for 24 hours, and no smoking for at least 3 days.
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Sometimes it is prudent to replace a missing tooth following a dental extraction. This is because once a tooth is removed; the space created by the missing tooth can 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. For these reasons, it’s sometimes important to consider replacing the tooth with a dental appliance such as a bridge, a removable partial denture or an implant.
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If you need a tooth removed St. Lawrence Dentistry will do everything possible to make sure it is as pleasant an experience as possible. If you live in the Mississauga or surrounding area and would like to learn more about this service please call us.