With the advancement of technology and science, as well as their contributions to dentistry, the primary objective is to treat and preserve the tooth in the mouth. Tooth extraction is the surgical procedure for extracting a tooth from its socket in the bone.

How Is Tooth Extraction Performed?
Tooth extraction can only be performed by oral surgeons and dentists who have received specialized training in surgical intervention. Prior to the tooth extraction, the dentist will administer local anesthesia to the specific area where the tooth will be removed. In certain situations, such as the extraction of an impacted wisdom tooth, the dentist might opt for a more potent general anesthesia. This anesthesia will induce a state of sleep and effectively alleviate any discomfort during the procedure.

The dentist will carefully remove the bone and gum tissue that is covering the tooth. The tooth will be gently grasped with forceps and carefully loosened from its ligaments in the jawbone, allowing it to be moved. There are instances where a tooth that is challenging to extract can be removed in multiple pieces.

It is common to experience bleeding following a tooth extraction. A blood clot develops in the space left after the tooth is removed. The dentist places a gauze pad inside the tooth cavity and advises the patient to bite down in order to control the bleeding. There are instances where self-resolving sutures can be used to effectively close the edges of the meat surrounding the extracted tooth.

Sometimes, the blood clot in the socket may become dislodged and disintegrate, exposing the underlying bone within the cavity. This can be a challenging and potentially risky. During the healing process, it is important for a blood clot to form. To assist with this, the dentist may apply a paste that contains antibiotics or antiseptics to the socket for a few days.

What is Impacted Tooth Extraction?
An impacted tooth refers to a tooth that is not properly positioned and has not fully erupted. It can also occur when other teeth become trapped in their usual pathway or position. It is typically seen in wisdom teeth and often necessitates surgical treatment. Impacted wisdom teeth can be problematic due to their lack of evolutionary necessity and the shrinking size of our jaws over time. As our jaws shrink, wisdom teeth face challenges in finding sufficient space to grow, unlike other teeth. Wisdom teeth often struggle to find their proper position, resulting in pressure that can push against the front tooth and cause misalignment. Furthermore, the gums surrounding them may become inflamed due to their abnormal positioning and being located too far back.

Why Is a Tooth Extracted?
In some cases, it may be necessary to remove teeth in adult individuals. Although it is ideal for adult teeth to replace baby teeth in childhood and be used throughout life, there are situations where tooth extraction becomes necessary for various reasons.

One of the most frequent causes for this issue is severe tooth damage caused by decay or trauma. In addition, dentists may consider tooth extraction  necessary as a preliminary step in oral preparation, particularly in cases requiring orthodontic treatment where there is an abundance of teeth that do not align properly in the jaw. In similar cases, dental professionals may need to perform impacted tooth extraction procedures for teeth that have not fully emerged from the gum line, such as wisdom teeth.

If the tooth damage or decay has extended to the tooth pulp, which is the central part containing blood vessels and nerves, it can lead to an infection as bacteria from the mouth can infiltrate this area. This condition can typically be resolved through root canal treatment. However, in cases of severe infection, antibiotics or root canal treatment alone may not be enough, and tooth extraction may be necessary to prevent the infection from spreading.

In a similar situation, if the immune system is compromised due to another medical issue, the possibility of infection in the tooth may be a sufficient reason for tooth extraction.

Before Tooth Extraction
Although the tooth extraction procedure is generally considered safe, it is important to be aware that it can introduce harmful bacteria into the circulatory system. In addition, there is a risk of gum tissue infection during the procedure.

If there is a high probability of developing a severe infection due to another medical reason, the use of antibiotics will be necessary before and after tooth extraction. Therefore, it is important to provide our professional team with a complete medical history prior to undergoing tooth extraction. Aside from the regular supplements and medications, it is important to provide our dentist with thorough information regarding conditions such as artificial or damaged heart valves, bacterial endocarditis, artificial joints like hip prostheses, liver disease, impaired immune systems and congenital heart defects.

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