Why does a tooth need extraction?

Removal of a tooth

You will know a good dentist by the fact that he tries with all his efforts to save the sick tooth from extraction. Many years ago, when dentistry was not yet advanced enough, the pain in a tooth was accepted as a sufficient reason to remove it. Today – thankfully – these antiquated concepts are forever crossed out. And modern dentistry offers more and more effective methods of treating dental diseases.

But there are still cases in which even they cannot help. Then extraction of the diseased tooth becomes the only and inevitable alternative.

Causes Of Treatment

When is it recommended?

Extraction is a procedure that is only resorted to as a last resort.

Most of these “extreme” cases are associated with severe destruction of the tooth and its roots, with serious inflammatory processes or untreated, complicated conditions. All of these result in the tooth being unable to perform its normal functions, and could pose a risk to the patient’s overall oral health:

Serious fractures

This type of damage most often occurs as a result of severe trauma – a blow or an accident. Up to one situation, dentistry has the means to treat such cases. But if the tooth or its root is severely destroyed, they cannot be saved.

Aggressive and untreated periodontitis

Periodontitis is an infectious disease that attacks the gum tissue around the teeth and subsequently – if left untreated – the bone. As a result, it begins to “melt” and the risk of tooth loss appears. To prevent the spread of infection and complete decalcification, the dentist may recommend extracting the problematic tooth and replacing it with a dental implant.

Other severe infections and inflammations

Persistent and recurrent granulomas, incurable cysts and other complications could also be a reason for forced extraction. In principle, inflammatory processes are treated medically, but sometimes even the most powerful antibiotic is not able to control them. Depending on your condition, the dentist will decide whether to try other treatments or to proceed with tooth extraction.

In incorrectly positioned or retinized wisdom teeth

It happens that the wisdom teeth, which come into the world long after the other teeth, sprout incorrectly. In these cases, they begin to “push” the neighboring ones and their removal is advisable. Sometimes the wisdom teeth do not pierce at all, but with improper placement can exhibit painful symptoms and inflict identical lesions inside the bone. Again, wisdom teeth are most at risk for developing periodontitis because the area around them is the most inaccessible and does not allow for precise cleaning. In all these cases, the dentist will assess whether their extraction is necessary. 

Lack of space

Sometimes the reason to lose a tooth is not damage, but purely orthodontic considerations – when it needs to be corrected with braces or dental aligners. If the teeth are too large, your dentist may recommend extracting one or more to open up space for the proper dental arch alignment.

How does the standard tooth extraction procedure work?

It wouldn’t be fair if we started convincing you how pleasant the tooth extraction procedure is. It is not pleasant. But it’s not scary either, so there’s no reason to panic. Here’s what to expect:

Administration of anesthesia

We’ll inject a medication into the area around the tooth so you don’t experience pain during the procedure. More commonly used is local anesthesia, which affects only the relevant area. We only resort to full anaesthesia if several teeth need to be extracted in one visit.

Preliminary preparation

Before proceeding to the actual extraction, we will prepare the area around the tooth by peeling the gum off using a special instrument.

Shaking the tooth

The actual procedure of extracting a tooth begins with shaking it. For this purpose, the dentist covers the tooth with forceps and performs successive careful but decisive movements of the tooth in both directions. It is his judgment when the shaking is enough and the tooth is ready for extraction.

The tooth extraction itself

With smooth movements and gentle wriggling, the tooth is removed from the bony alveolus. It is mandatory to check the site for remaining parts of the tooth and its roots.

Disinfection and wound closure

After the final procedure, the dentist will disinfect the area to ensure a quick and safe healing. The walls of the wound will be cleaned precisely and the cavity will be pressed with gauze for a few minutes to close. In more serious cases, such as the removal of a retinated wisdom tooth, it is sometimes necessary to close the wound with several sutures.

In the first few days after the procedure, it is normal to have mild complaints, but we hasten to reassure you – there are no signs of complication or danger. You may have light bleeding that will subside quickly. Or feel mild to moderate pain that standard painkillers deal with quite successfully.

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Why trust Medical Dent?

We know that the loss of a healthy tooth is too high a cost for any patient. That’s why our doctors will do their best to save even those you yourself have come to love. 

But if it is still unavoidable – the right place for tooth extraction in Sofia (and why not in Bulgaria) – is Medical Dent Dental Clinic. 

Extraction is not a simple job, especially in the more convoluted cases. It requires good judgment, precision, caution, experience and determination. At Medical Dent, we have a wealth of expertise and an even richer track record to prove it all. 

Contact us quickly and easily!

We believe that each tooth is a complex organism and its different problems require different specialists.

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