Even the healthiest teeth do not come with any guarantee to last a lifetime. There are a number of reasons that tooth extraction may be needed. Most common are severe tooth decay, unrestorable teeth, trauma, unfavorable fracture, severe infection, crowding and malocclusion. The “Wisdom Teeth” or third molars, are often indicated for prophylactic extraction due to its likelihood of pericoronitis, periodontal defects and decay. Most extractions can be performed under local anesthesia. If you feel that a deeper level of sedation is necessary for this procedure, you may be referred to an oral-maxillofacial surgeon whose facility is equipped to accommodate such a deeper level of sedation.
Exodontia or tooth extraction is a very safe procedure when proper steps are followed. If you have a condition that puts you at high risk for developing a severe infection, you may need to take antibiotics before and/or after the extraction. When scheduling an appointment, let your dentist know your complete medical history, the medications and supplements you take currently and any allergies.
The initial healing period usually takes about one to two weeks. New bone and soft tissue will grow into the extraction socket. Over time, however, having a tooth (or teeth) missing can cause the remaining teeth to shift, affecting your bite and making it difficult to chew. For that reason, your dentist may advise replacing the missing tooth or teeth with an implant, fixed bridge, or denture.