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Tooth Extractionsx

Tooth Extraction When it is Absolutely Necessary

While it may be embarrassing to have a tooth extracted, it is actually very common in adults. Over 74 percent of all adults have had at least one tooth extracted during their life. Don’t worry, Smooth Sailing Dental will only extract a tooth if it is absolutely necessary. If a tooth does need to be extracted, it is important not to wait as it can cause further complications that can damage your surrounding teeth or health as a whole.

Tooth Extractions

Common Causes for Tooth Extraction


Wisdom teeth sometimes grow in impacted, meaning they are at an angle and not erupting properly, which may damage or shift surrounding teeth and nerves. Wisdom teeth may also cause crowding or shifting of the surrounding teeth if not extracted.


In some cases, baby teeth do not fall out on their own, may be in an incorrect position or be blocking a permanent tooth from erupting. During these situations, extracting the baby tooth may help prevent further complications.


In the case of an accident or trauma to the mouth, a damaged tooth might be past saving and need to be extracted. Dental implants are usually recommended as a natural-looking replacement for extracted teeth.


If periodontal disease has caused significant damage to the tooth root and gums, then extraction and replacement with a dental implant may be the only way to save your surrounding teeth, jaw bone and gums.


When you need to have a tooth or teeth extracted, whether it be due to decay, abscess, gum disease, or injury, it is usually in your best interest to preserve as much underlying bone as possible. The amount of shrinkage that occurs after a tooth is removed is unpredictable. This shrinkage is a natural process, but it is an undesirable result of tooth removal.

To minimize the rapid shrinking of bone, a procedure called socket preservation may be performed at the time of the tooth removal. Small bone chips are placed into the socket to help the bone “grow” into the space. Think of it as putting a grain of sand in an oyster to make a pearl. This type of bone graft is straightforward and produces little to no discomfort. A socket preservation procedure can prevent the need for major bone grafting in the future.

Why is it important to preserve the bone?

You have several choices of how you can replace your newly missing teeth and all of them rely on bone support and bone contour for the best function and esthetics.

  1. Dental implants – These are root-shaped supports that hold your replacement teeth. The more bone support you have, the stronger the implant replacement will be. In some cases of extreme bone loss, more complex bone grafting procedures may be needed.
  2. Fixed bridge – This is a restoration that is supported by the teeth adjacent to the missing space. If the bone is deficient, there will be an unsightly indentation in the gums and jawbone under the pontic that will trap food and affect your speech.
  3. Removeable partial or full denture – These appliances often perform better with more supporting bone.
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