Tooth Extraction

Teeth, like other parts of our body, may wear out over time. If a tooth cannot be repaired with treatments such as root canals, crowns, or other treatments, then extraction (removal) of the tooth may be warranted. There are two types of extractions:

Simple – the tooth is intact and extends beyond the surrounding gum tissues. The dentist loosens the tooth with elevators, luxators or peritomes and then grabs the tooth with a forcep.

Surgical – the tooth is severely decayed or may be under the surrounding gum tissues. The tooth may need to be cut into smaller pieces and the gum tissues may need to be lifted to gain access to the root structure. Stitches (sutures) may be used to close the wound site.

The goal in extraction is to remove the tooth with minimal trauma to the surrounding tissues, gum and bone. Studies have shown that pail relief medications such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) 60 minutes prior to extraction provide better overall pain relief than taking medications after the procedure. As part of treatment planning, Drs. Black or Itagawa consult with each patient regarding pre-operative medications. In some cases, oral sedation may be recommended. If a greater level of sedation is required, or the case is particularly complex, referral to an Oral Surgeon may be the best option.