Family Cosmetic Dentist Blog

Posts for tag: tooth extraction

By Cornerstone Dental Group
June 06, 2018
Category: Dental Procedures
Tags: tooth extraction  

Tooth extractionIf you have a damaged or decayed tooth, your dentist will do everything in their power to save the tooth’s natural structure. However, in some cases, this is simply not possible and an extraction becomes necessary to remove the entire tooth altogether. Learn more about this common dental procedure and when it is necessary with Dr. Ron Solomon and Dr. Angela Burleson-Ott at Cornerstone Dental Group in Cincinnati, OH.

When is an extraction necessary? 
A tooth extraction is necessary if the tooth has become so damaged or decayed your dentist cannot repair it using a dental restoration like a crown or a procedure like a filling or a root canal. An impacted tooth may also require extraction due to not erupting through the gums adequately or at all. Extractions may be traditional or complex, depending on the situation. Traditional extractions are those teeth which your dentist can remove with forceps and complex extractions require a surgical procedure to open the gum tissue in order to reach the tooth.

What can I expect during and after my extraction? 
Before your procedure, your dentist will numb the area of the tooth to ensure you do not feel any pain or discomfort during your extraction. Then, during a traditional extraction, they will use forceps to grasp the tooth and gently rock it back and forth to expand the socket and dislodge the roots from the ligament which holds them in place. A special tool called a dental elevator helps your dentist further loosen the tooth. During a complex extraction, your dentist will open the gum tissue to reach the tooth. You will feel pressure during your extraction procedure, but should never feel any pain. You may hear some startling noises, but this is normal. After your procedure, your dentist washes out the socket of the tooth and places pressure on the area to compress it and help with controlling bleeding. Stitches can help close the socket in some situations, usually after a complex extraction.

Teeth Replacement Options in Cincinnati, OH 
For more information on extractions or replacing your missing teeth, please contact Dr. Solomon and Dr. Burleson-Ott at Cornerstone Dental Group in Cincinnati, OH. Call (513) 631-8920 to schedule your appointment with your dentist today!


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?