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Teeth Extractions, Perio Surgery

There are many reasons for your dentist to remove a tooth or teeth. Some of those reasons are:

  • Decay or infection
  • Gum disease
  • Preparation for orthodontic treatment
  • Insufficient space for wisdom teeth

Due to there being many different reasons to have a tooth or teeth removed, extractions are classified under simple or surgical.

Simple extractions

This is performed on teeth that are visible in the mouth. These extractions are used on an local anaesthetic. In these extractions the tooth or teeth are removed by rocking the tooth back and forward until the periodontal ligament is broken, and the supporting alveolar bone has been sufficiently widened to make the tooth loose enough to be removed from the gum.

Surgical extractions

This is the removal of teeth that can’t be easily accessed. A few reasons for why they can’t be easily accessed is because either the tooth has been broken under the gum line, or because it has not fully grown in. Consequently because of the nature of these extractions an incision is almost always required. The tooth or teeth are often divide into multiple pieces so it’s easier to remove. This type of extraction is preformed under an general anaesthetic.

Wisdom Teeth Extractions

What are the impacted wisdom teeth?

In dental terminology an “impacted tooth” refers to a tooth that has failed to emerge fully into its expected position. This failure to erupt properly may occur either because there is not room enough in the jaw for the tooth, or because the angulation of the tooth is improper.

Indications for Removing Wisdom Teeth.

Wisdom teeth generally cause problems when they erupt partially through the gum. The most common reasons for removing them are: decay, saliva, bacteria and food particles can collect around an impacted wisdom tooth, causing it, or the next tooth to decay. It is very difficult to remove such decay. Pain and infection will usually follow.

The Pros and Cons of Wisdom Tooth Removal

Some pros of removing a wisdom tooth: wisdom teeth may be hard to access with your toothbrush or floss. Over time, the accumulation of bacteria, sugars and acids may cause a cavity to form in the tooth. If it is not restored with a filling, the cavity may spread and destroy more tooth structure causing severe consequences to the tooth and surrounding supportive structures.

Perio Surgery

Perio surgery or periodontal surgery is the removal of unhealthy tissue around your teeth. There are many ways to remove the tissue but the most commonly used are :

  • Pocket reduction procedures
  • Regenerative procedures
  • Crown lengthening
  • Soft tissue grafts

Perio surgery is only for those diagnosed with a periodontal disease and your dentist recommends this surgery.