Simple extractions are performed on teeth that can be seen in the mouth. They are removed due to decay or injury and are usually performed under a local anesthetic. During this procedure, the doctor will grasp the tooth with forceps and loosen it by moving the forceps back and forth. The loosened tooth will then easily come out.
Surgical extractions are performed on teeth that have broken off at the gum line or that have not yet come in (ie: wisdom teeth). To remove the tooth, the doctor will have to cut and pull back the gums, which allows access to the area. This is necessary so that they can see the tooth that needs to be removed. Surgical extractions are usually done with local anesthesia but a general anesthesia is sometimes preferred.
Reasons for Tooth Extraction
The most common reason for removal of a tooth is severe decay or breakage of a tooth. However, teeth may also be removed because of:
· Severe tooth decay or infection
· Extra teeth that are blocking other teeth from growing in
· Severe gum disease
· To make room for orthodontic treatment
· The tooth can not be restored endodontically
· Fractured teeth
· To make room for a dental prosthesis (i.e.: bridge or denture)
· Cosmetic reasons
Regardless of the reasons a tooth must be pulled, extraction is usually reserved only for cases in which no other treatment option will cure the infection or problem.