PRINTED IN TCI FREE PRESS
March 8th, 2012
Why would I need a dental extraction?
There are a number of reasons for an extraction.
1) If a tooth is too decayed and broken down to fix
2) If restoring the tooth is not in the best interest of your overall mouth
3) If the tooth is too loose (due to gum disease) to recover
4) To relieve overcrowding.
Is it better to have an extraction or a filling?
It is nearly always preferable to save a tooth than to remove it. Therefore, if possible, having the tooth filled is the better option. However, if the tooth is beyond repair an extraction is advisable and is preferably to simply doing nothing. If a tooth requiring extraction is not treated, infection will develop which will cause pain and over time will destroy bone.
If a tooth is removed will the remaining teeth either side move?
It is a common problem that the teeth either side of an extraction site can drift and the tooth in the opposite jaw can move up into the space.
What can I do to fill the space if I have a tooth removed?
There are a number of options that can successfully fill the gap after a tooth has been removed. A bridge is where the gap is filled by a new tooth which is fixed in place and supported on either side on the adjacent teeth. Dentures are removable and often used when there are multiple teeth missing or the adjacent teeth are not strong enough to support a bridge. An implant is where a new titanium root is placed in the bone and a replacement crown attached. The best option for you is dictated by a number of factors including your suitability from a clinical perspective, your personal preference and your budget.
My tooth is shaky. Should I have it pulled out?
Some shaky teeth can recover with the correct treatment and become firm and solid again. If a tooth is loose but functional and not causing pain it can be kept providing that is it reviewed regularly to ensure no infection sets in.
Should I have my wisdom teeth removed?
Historically it was the practice that the majority of people had their wisdom teeth removed. This however is not the case any more. Wisdom teeth should only be removed if they are consistently causing problems and there is a sound clinical reason to do the surgery.
