Tooth Extraction
It is the process of removing the teeth that cannot be treated, with local anesthesia, from the tooth socket without damaging the surrounding tissues. It is a quick procedure that goes into an outpatient procedure.
In which cases should teeth be extracted?
- Teeth that have lost too much material to be saved by filling or root canal treatment due to caries or trauma
- Teeth with excessive mobility as a result of advanced gum disease
- Teeth with severe and non-healing infections to prevent the infection from spreading to the jawbone and other teeth
- Teeth that cause overcrowding in patients who will undergo orthodontic treatment
- Teeth that will be considered a risk factor for the immune system in patients who will undergo chemotherapy or organ transplant
Wisdom Tooth Extraction
Wisdom teeth are the last teeth to erupt and are located in the back of the jaws. In some patients, it can come out without any problem, while in some patients it can be painful. Sometimes it may not come out completely or not at all due to the lack of space in the jaws. Extraction may be required due to the risk of damaging neighboring teeth due to pain and infection. Although the difficulty of extraction depends on the relationship of the tooth with the bone and the position of its roots, an unimpacted wisdom tooth is no different from a normal tooth extraction.
Impacted Tooth Extraction
Teeth that are not in the place where they should be in the mouth even though the eruption time has come and even passed, are called impacted teeth. These teeth may remain completely within the bone or may be covered only by soft tissue. Semi-impacted teeth, on the other hand, are teeth that remain under the gums, while some of them are visible. While it is seen that the wisdom teeth are most impacted, it is frequently observed that the incisors, like canines, are also impacted. There can be many reasons why teeth remain impacted:
- Insufficient space on the jaws to erupt
- Closure of the erupted tooth due to the displacement or positioning of the adjacent teeth
- Genetic factors
After the infections in the primary teeth are not treated, the inflammation stops the eruption of the underlying tooth.
Impacted teeth may not be extracted if they do not cause any problems and do not disturb the patient. However in the presence of such conditions;
- Caries that may occur in semi-impacted teeth
- Gingival infections, which we call pericoronitis
- Pain due to pressure on other teeth
- Being an obstacle for prosthesis construction
- Presence of cysts
Impacted teeth may need to be surgically removed.