While many teenagers and adults have their wisdom teeth extracted, there are other reasons why adult tooth extraction may be required.
Tooth extraction may be required due to serious tooth decay, infection, or crowding. Those who get braces may need one or two teeth pulled to provide room for their other teeth as they shift into place. Additionally, those who are undergoing chemotherapy or are about to undergo an organ transplant may require the removal of compromised teeth in order to maintain their oral health. Removing visible teeth is a simple extraction. A more involved procedure is required for teeth that are broken, below the surface, or impacted.
How to prepare for a tooth extraction?
Before scheduling the procedure, We will take an X-ray of your tooth. Don’t forget to tell us about any medications you’re taking, including vitamins, supplements, and over-the-counter medications.
We need to know if you are about to be treated for another medical condition with an intravenous drug called a bisphosphonate. If so, the extraction should be done before the drug treatment, or your jaw could be at risk for osteonecrosis (bone death).
Also, we need to know if you have following conditions:
- a congenital heart defect
- liver disease
- thyroid disease
- renal disease
- an artificial joint
- damaged heart valves
- adrenal disease
- an immune system that is jeopardized
- a bacterial endocarditis history
Before we extract your tooth, we want to make sure that all of your conditions are stable or treated. Sometimes we prescribe antibiotics in the days leading up to the procedure if:
- It is expected that your surgery will take a long time.
- You have an infection or your immune system is weakened.
- you have a specific medical condition
In order to ensure quality treatment on the day of the tooth extraction, keep the following in mind:
- Wear a short-sleeved shirt or loose-fitting clothing if you’ll be getting IV anesthesia, and don’t eat or drink for six to eight hours before your appointment.
- Don’t smoke before you proceed.
- If you have a cold, please let us know so we may reschedule you.
- Tell us if you had nausea or vomiting the night before, This may require a change in anesthesia or rescheduling.
- Have someone with you to drive you home if you’re having general anesthesia.
What are the risks of a tooth extraction?
Normally, a blood clot forms in the socket — the hole in the bone where the tooth was extracted — after a tooth extraction. The bone inside the socket can be exposed if the blood clot does not form or dislodges, a medical condition called as “dry socket.” If this occurs, we will cover the area with a sedative dressing for a few days to protect it. A new clot will form during this time.
Other risks include:
- Bleeding that continues for more than 12 hours
- The presence of a high fever and chills indicates the presence of an infection.
- nausea or vomiting
- chest pain and shortness of breath
- The surgical site is swollen and red.
What is the procedure for a tooth extraction?
Depending on whether your tooth is visible or impacted, you will have a simple or surgical extraction.
You’ll probably get both local and intravenous anesthesia, the latter of which will make you feel calm and relaxed. Depending on your medical history, you may also be given general anesthesia. You will be completely unconscious during the procedure if you have general anesthesia.
We will cut into your gum with a small incision. We often remove bone around your tooth or cut your tooth before it can be extracted.
You’ll be given a local anesthetic, which numbs the area around your tooth so that all you feel during the procedure is pressure rather than pain. Then we will use an elevator to loosen the tooth before removing it with forceps.