Dentist - Cumberland
2138 Mendon Rd, Suite 202
Cumberland, RI 02864

Posts for tag: tooth extraction

By Dental Associates of Cumberland
September 29, 2018
Category: Dental Procedures
Tags: braces   tooth extraction  

We treat most malocclusions (bad bites) with braces or clear aligners. But not all malocclusions are alike — some can require extra procedures to achieve successful results.

One such example is when incoming teeth crowd other teeth and cause them to erupt abnormally. The crowding also reduces the space needed to move the misaligned teeth to better positions. To make more room we'll often remove some of the teeth before undertaking orthodontics.

The key is to extract the right teeth. The best candidates are those whose absence will have minimal effect on both appearance and dental function. That's commonly the bicuspids, located right on the edge of the “smile zone” (the teeth most visible when we smile) between the cuspid (eye) teeth and the back molars.

Once we choose and remove the teeth our next concern is to protect the bone at the extraction site. The bone in our jaws benefits from the pressure created when we bite or chew. This stimulates new bone cells to form and replace older cells. Without it, as when we have a missing tooth, the amount of bone can diminish over time and affect the success of any future orthodontics.

To prevent this, we take care not to damage the gums and bone removing the tooth. We may also install a graft under the empty socket to encourage bone growth.

If we've removed teeth outside the smile zone, the resulting orthodontics will move teeth into the opened space. In the end, you won't even notice they're gone. Teeth lost or congenitally missing in the smile zone, though, may eventually require a replacement tooth. A dental implant is the best choice, but it should be put on hold for a younger person until their jaw has fully developed.

In the meantime, we can install a spacer or a temporary restoration to hold the empty space and prevent other teeth from drifting into it. This can be incorporated into braces or aligners, or with a removable partial denture or a temporary modified bridge.

Extracting teeth to aid orthodontics first requires a well-laid plan that could encompass several years. The end result, though, can be well worth the time and effort — better function and a new, attractive smile.

If you would like more information on the process of straightening teeth, 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 Dental Associates of Cumberland
July 23, 2018
Category: Dental Procedures
Tags: tooth extraction  

Improving your oral health may involve extracting a tooth occasionally. Our Cumberland, RI, dentist, Dr. Angeles Felix, performs tooth tooth extractionextractions and offers many other dental services and treatments that help you and your family keep your smiles strong.

Why are teeth extracted?

Your Cumberland dentist may recommend extractions for one or more of these reasons:

  • Impacted or Decayed Wisdom Teeth: Wisdom teeth become partially or fully impacted (blocked) if they're unable to push through tissue or bone. In addition to causing pain, impacted wisdom teeth may also damage nerves or cause nearby teeth to move out of alignment. Luckily, this third set of molars isn't absolutely necessary and can be removed without affecting your ability to chew. In some cases, erupted wisdom teeth must be removed if they become decayed.
  • Orthodontic Treatment: Your dentist may recommend removal of a few teeth before orthodontic treatment begins if your teeth overlap or are crooked due to crowding issues. If the teeth aren't removed, there may not be enough room in your mouth to move your teeth into the proper alignment.
  • Tooth Decay: Fillings are usually the best way to restore teeth damaged by tooth decay. Unfortunately, if your cavity is so large that most of your healthy tooth structure has been destroyed, adding a filling or other restoration won't work. Once your tooth is extracted, you can fill the gap in your smile with a bridge or dental implant.
  • Trauma: Your tooth may be damaged if you fall and happen to strike your mouth or you experience a blow to the mouth when you're playing your favorite sport. If the accident causes severe damage or splits a tooth root, it won't be possible to save the tooth.
  • Dental Abscess: Dental abscesses are serious bacterial infections that occur when your tooth pulp becomes inflamed or infected. Abscess signs and symptoms include pain, fever, pus around a tooth, facial swelling, and swollen lymph nodes. A root canal can save your tooth in many cases, but sometimes, the infection doesn't go away even after you've had the therapy. If your tooth is still infected after treatment, or you don't want to undergo a root canal, an extraction will be needed.

Do you need a dental extraction? Call our Cumberland, RI, dentist, Dr. Felix, at (401) 723-0350 to schedule an appointment.

By Dental Associates of Cumberland
August 24, 2016
Category: Dental Procedures
Tags: tooth extraction  

Removing a problem tooth (extraction) is a common dental procedure. But not all extractions are alike — depending on the type of tooth, its location and extenuating circumstances, you may need an oral surgeon to perform it.

Fortunately, that's not always the case. Teeth with straight or cone-shaped roots, like an upper front tooth, have a fairly straight removal path. A general dentist first carefully manipulates the tooth loose from the periodontal ligament fibers that help hold it in place (experienced dentists, in fact, develop a “feel” for this process). Once it's loosened from the fibers it's a simple motion to remove the tooth.

But as mentioned before, a “simple extraction” won't work with every tooth or situation. To find out if it can we'll first need to determine the true shape of the tooth and roots, as well as the condition of the supporting bone. We might find any number of issues during this examination that make a simple extraction problematic.

For example, teeth with multiple roots (especially in back) may have complicated removal paths. If the roots themselves are unhealthy and brittle from previous injury or a root canal treatment, they can fracture into smaller pieces during removal. A tooth could also be impacted — it hasn't fully erupted but remains below the gum surface. It's these types of situations that require surgery to remove the tooth.

During a surgical extraction, the oral surgeon will first numb the area with a local anesthetic, as well as a sedative if you have issues with anxiety. They then perform a surgical procedure appropriate for the situation to remove the tooth. More than likely they'll insert bone grafts before closing the site with stitches to deter bone loss (a common occurrence after losing a tooth).

Afterward, your provider may prescribe antibiotics and an antibacterial mouthrinse to ward off infection. You'll also be given care instructions for the extraction site to keep it clean. Any discomfort should subside in a few days and can be managed effectively with a mild anti-inflammatory drug like ibuprofen or aspirin.

It can be overwhelming having a tooth removed. In your dentist's capable hands, however, the experience will be uneventful.

If you would like more information on tooth extraction, 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 “Simple Tooth Extraction?



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