Lake Oswego, OR
Extracting a tooth involves entirely removing it from its socket. Teeth may be removed for a variety of reasons, including damage, decay, being impacted or poor positioning. Our team at Nicholas Dose, DMD, including Dr. Dose, can examine your teeth, review digital x-rays, and determine the best course of action for treatment, which may include extraction. If extraction is needed, we will also determine the next steps of action if restoration is needed, which may include a bone graft and a dental implant.
The most common dental extraction performed is the removal of wisdom teeth. Also known as the third molars, wisdom teeth are traditionally a problematic set of teeth. Eventually, most people, approximately 85% of the population, will need to have their third molars removed. Wisdom teeth are frequently impacted, unable to fully extend into place, and are much more susceptible to decay due to their positioning. If a cavity develops on a wisdom tooth, we frequently can not restore it due to its positioning.
Having your wisdom teeth removed younger, in your teenage years, is ideal. We recommend having them removed at the time when the roots are long enough to have something to pull, and yet short enough that the roots havent not extended to the nerve, creating a hook shape, making the process more difficult and painful. Having your wisdom teeth pulled before the age of 25 has been shown to be less painful, with faster healing.
Simple Extraction and Surgical Extraction
We generally refer to extraction in two different categories, either simple extractions or surgical extractions.
||Simple Extraction: Simple extractions are done if a tooth is fully erupted, and Dr. Dose can visually see the tooth in the patient's mouth. Dr. Dose will use a dental tool, known as an elevator to loosen the tooth and then extract it using forceps. Extraction is not entirely pain free, but the patient will be prepared anesthetized using a local anesthetic and then advised on some post-op tips to reduce pain and swelling. A simple extraction can quickly turn into a surgical extraction.
||Surgical Extraction: Surgical extractions are more complex extractions. We use the term surgical because cuts need to be made in order to remove the tooth. Surgical extraction is required when the tooth is not fully erupted, or has fractured at the gum line. Wisdom teeth extractions are often surgical extractions. The process to surgically remove a tooth involves making the necessary incision, in some cases, Dr. Dose may need to remove some bone around the tooth. In some cases, Dr. Dose may need to section the tooth and remove it piece by piece. This procedure is most often done with local anesthetic, but in some situations, we may recommend general anesthesia. Surgical extractions often require an extra day or two of healing versus simple extractions, and we may prescribe medication to relieve pain.
Following Your Extraction
Extractions often leave our patients feeling uncomfortable for a day or two. We will provide care instructions following your procedure. You will be advised how to handle pain management and bleeding. Over the counter pain medication will be advised in most situations, we will also discuss the use of an ice pack to reduce swelling, and caution the patient to eat cautiously for the next few days.
Are you in need of a tooth extraction? Give us a call at (503) 765-7300
or book an appointment
with us online today!