Extraction And Impaction

Additional Details

Extraction of teeth is the most undesirable treatment in dentistry today. With the advanced techniques to save the broken, decayed or loose teeth, the no. of extractions in a dental office has considerably come down. These extractions are carried out for unsalvageable teeth, impacted wisdom teeth or for orthodontic purposes. So the extraction of teeth could be a simple extraction for a loose tooth, a socket preservation extraction for planning a dental implant or a surgical extraction for impacted teeth.

Simple Extraction:

We perform extraction procedure with the help of standard tools. The tooth socket collapses after the extraction thereby causing the decreases bone height & width. A good bone height & width is required for replacing teeth a bridge or a dental implant. This is by far inexpensive.

Socket Preservation Extraction:

This extraction is planned with the type of tooth replacement in mind. Special extraction tools (periotomes) are used to cut the supporting fibers slowly & slip the tooth out of the socket without damaging the bone. In some cases, the socket is filled with a bone graft & a membrane to achieve a good quality bone for placing a dental implant later. In other cases, the dental implant is placed immediately to achieve the twin purpose of bone preservation & immediate function. This procedure involves the higher cost.

Impacted Wisdom Teeth Extraction

Due to the deficiency in the jaw size as a result of the evolutionary changes, wisdom teeth do not erupt in a desirable position thus getting stuck at different bone levels & varied directions. Depending upon their position, they can give rise to different problems as pain in the overlying soft tissue, decay in itself or the molar next to it, root resorption of the adjacent molar, all contributing to pain at some point or the other.

The impaction could be a bony impaction ( when the tooth totally within the bone ) or a soft tissue impaction ( when the tooth is partially out of the bone & covered with soft tissue).

The only treatment of choice is extraction. Since this is a surgical extraction, this is carried out by an oral-maxillofacial surgeon. A flap is raised and the tooth is loosened in total or in pieces & is removed. The flap is sutured & patient is given an ice-pack to avoid the swelling. Anti-biotic regime is prescribed. The sutures are removed after a week.