Tooth extraction is the removal of a tooth from its socket in the bone.
Some people have extra teeth that block other teeth from coming in.
People getting braces may need teeth extracted to create room for the teeth that are being moved into place.
People receiving cancer drugs may develop infected teeth. Infected teeth may need to be extracted.
• People receiving an organ transplant may need some teeth extracted if the teeth could become sources of infection after the transplant. Some wisdom teeth are blocked by other teeth or may not have enough room to come in completely.
If you are having all of your wisdom teeth removed, you may have a panoramic X-ray.
The relationship of your wisdom teeth to your other teeth
The upper teeth's relationship to your sinuses
The lower teeth's relationship to a nerve in the jawbone that gives feeling to your lower jaw, lower teeth, lower lip and chin. There are two types of extractions:
A simple extraction is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions. Then the tooth will be pulled out. Sometimes the dentist will use a dental "elevator" to help loosen the tooth. A surgical extraction involves teeth that cannot be seen easily in the mouth. To see and remove the tooth, the dentist or oral surgeon must cut and pull back the gums. Pulling back the gum "flap" provides access to remove bone and/or a piece of the tooth.
Surgical extractions commonly are done by oral surgeons. In a surgical extraction, the dentist will need to make a cut (incision) in your gum to reach the tooth. If you need all four wisdom teeth removed, they are usually taken out at the same time. The top teeth are usually easier to remove than the lower ones.
Partial-bony impacted (partially stuck in the jaw)
Also, if your wisdom teeth are tilted sideways, they can be harder to remove than if they are vertical.
Dry socket occurs 20% to 30% of the time when impacted teeth are removed.
Accidental damage to teeth near the surgical site, such as fracture of fillings or teeth
An incomplete extraction, in which a tooth root remains in the jaw — Your dentist usually removes the root to prevent infection, but occasionally it is less risky to leave a small root tip in place.
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If not, more surgery may be required.