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Posts for tag: tooth extraction


The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.

A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.

The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.

Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.

This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.

But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.

To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.

Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.

If you would like more information on correcting poor bites, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”

By All Smiles
October 27, 2017
Category: Dental Procedures
Tags: tooth extraction  

Every single one of your teeth is important and resides in your mouth for a reason. Proper jaw development, clear speech, personal tooth extractionappearance and of course, biting and chewing, depend on a complete set of primary, followed by adult, teeth. Your dentist in the Palos Park area, Dr. Frederick Mueller, and his professional colleagues work as a team to ensure positive oral health outcomes for their patients. Unfortunately, however, tooth loss happens, and so, too, does tooth extraction. Read here about the reasons why a tooth may have to be pulled at All Smiles in Worth, IL.

Preserve your teeth

That's what preventive dentistry is all about. A tooth-friendly diet (low in carbs and high in fiber, calcium and protein), along with routine check-ups and cleanings at All Smiles support your careful brushing and flossing habits.

However, oral injury can irreparably damage a tooth. Sports and auto accidents wreck dental havoc. So can deep decay and infection that creeps up on a weak tooth unexpectedly. Besides damaging teeth above the gum line, roots deteriorate, fracture and loosen when decaying, and the connective tissue--specifically the periodontal ligament--no longer functions as it should. So those teeth must be extracted as your Worth and Palos Park area dentist determines.

Other reasons for extraction

Then, there's wisdom teeth. Five million people have them pulled annually says the American Dental Association. These third molars which appear during adolescence often trouble patients with:

  • Decay and gum disease because they are hard to clean
  • Impaction, or encasement, in the gums or jaw
  • Poor position
  • Interference with orthodontic treatment

So when wisdom teeth compromise oral health and function, they have to go.

Finally, some teeth are just in the way of important dental and medical procedures. Baby teeth intruding on orthodontic correction should be pulled, and sometimes, teeth are in the path of radiation treatment for cancer.

Removing a tooth

Most extractions performed by your Worth and Palos Park area dentist are simple extractions. After injecting a local anesthetic to numb the tooth, the dentist rocks it gently back and forth to loosen it in the socket. Then, he or she uses a forceps to pull it free. Most of these extraction sites require a few sutures.

Other teeth need surgical extraction because of their position or state of decay or infection. Other kinds of sedation may be necessary to provide maximum comfort for the patient. Incisions are common, and difficult teeth may be extracted in pieces.

Remember, the staff at All Smiles offers emergency care as needed, including extractions. If you have a severe toothache or sustain an injury to the mouth, contact the office right away for advice and an appointment if needed.

Do all you can

Work hard to keep your teeth and gums healthy, and the professional staff at All Smiles will partner with you on that important task. If you are concerned about the health of a tooth, please contact the office for a consultation. Phone (708) 448-0333.