Simple & Surgical Extractions
A dental extraction (also referred to as exodontia) is the removal of a tooth from the mouth. Extractions are performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to render the tooth non-restorable. Extractions of impacted or problematic wisdom teeth are routinely performed, as are extractions of some permanent teeth to make space for orthodontic treatment.
The most common reason for extraction is tooth damage due to breakage or decay. There are additional reasons for tooth extraction:
- Severe tooth decay or infection (acute or chronic alveolar abscess). Despite the reduction in the worldwide prevalence of dental caries, still, it is the most common reason for extraction of (non-third molar) teeth with up to two-thirds of extractions.
- Extra teeth which are blocking other teeth from coming in.
- Severe gum disease which may affect the supporting tissues and bone structures of teeth.
- In preparation for orthodontic treatment (braces)
- Teeth in the fracture line
- Teeth which cannot be restored endodontic ally
- Fractured teeth
- Supernumerary, supplementary or malformed teeth
- Cosmetic teeth of poor appearance, unsuitable for restoration
- Receiving radiation to the head and neck may require extraction of teeth in the field of radiation.
- Reduced cost compared to other treatments
- Extractions are often categorized as “simple” or “surgical.”
Simple extractions are performed on teeth that are visible in the mouth, usually under local anesthetic, and require only the use of instruments to elevate and grasp the visible portion of the tooth. Typically the tooth is lifted using an elevator, and using dental forceps, rocked back and forth until the periodontal ligament has been sufficiently broken and the supporting alveolar bone has been adequately widened to make the tooth loose enough to remove. Typically, when teeth are removed with forceps, slow, steady pressure is applied with controlled force.
Surgical extractions involve the removal of teeth that cannot be easily accessed, either because they have broken under the gum line or because they have not erupted fully. Surgical extractions almost always require an incision. In a surgical extraction, the doctor may elevate the soft tissues covering the tooth and bone and may also remove some of the overlying and surrounding jawbone tissue with a drill or osteotome. Frequently, the tooth may be split into multiple pieces to facilitate its removal.
A maxillary sinus floor augmentation procedure (sometimes known informally as a sinus-lift or sinus procedure) is a surgical procedure performed by an appropriately trained dentist or dental specialist to increase the amount of bone in the posterior maxilla, or upper jaw bone.
While there may be some reasons for wanting a greater volume of bone in the posterior maxilla, the most common reason in contemporary dental treatment planning is to prepare the site for the future placement of dental implants.
Sinus augmentation (sinus lift) is performed when the floor of the sinus is too close to an area where dental implants are to be placed. This procedure is carried out to ensure a secure location for the implants while protecting the sinus. Lowering of the sinus can be caused by Long-term tooth loss without the necessary treatment, periodontal disease, trauma.