Family and    Cosmetic Dentistry

 

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A BEAUTIFUL SMILE IS THE ULTIMATE ACCESSORY

 

Dentist & Cosmetic Dental Services from new patient exams, dental x-rays, clear braces and teeth whitening, to lumineers, veneers, dentures, crowns and oral surgery. Serving Rochester and Rochester Hills, MI., Troy, Utica, Shelby Twp., Sterling Heights MI., and all other surrounding Oakland & Macomb County communities in Northern Detroit Michigan suburbs.

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Smile Shapers Dentist Office  |  44627 Mound Road  |  Sterling Hts, Michigan

 

 

Tooth Extractions

A tooth extraction refers to the procedure of removing a tooth from its socket.


Procedure On Removing A Tooth
First, a local anesthetic is applied to make the procedure more comfortable. In some cases your dentist will elect to use nitrous oxide gas in addition to the anesthetic.


A dental instrument called an elevator is used to wiggle the tooth in its socket. After the tooth is loosened it is removed using forceps.

Extraction's Possible Complications
Like most other procedures, tooth extraction is not free of possible complications. You should be aware that there is a slight chance of infection, tenderness, prolonged bleeding, dry socket and loosening of neighboring teeth or their fillings or crowns.


Another rare possibility is of an upper tooth getting displaced into the sinus. Lastly, jaw fracture and temporary or permanent numbness is also very rare possibilities.

 

 

 

Dental Office Hours:
Monday 9:00am - 6:00pm
Tuesday 10:00am - 7:00pm
Wednesday 9:00am - 6:00pm
Thursday 10:00am - 7:00pm
Friday

by appointment only

 

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Importance Of Replacing The Missing Tooth
You need to be aware of the importance of replacing this missing tooth. Why? Once a tooth is removed, the space created by the missing tooth will allow the surrounding teeth to shift into that space. This shift could cause a misalignment in your mouth that can result in chewing or jaw-joint problems. These shifted teeth are harder to clean, making them more susceptible to gum disease, decay or even additional tooth loss. For these reasons, it's important to replace the tooth with a dental appliance such as a bridge, a removable partial denture or an implant.

In some instances you may be considering the option of pulling a tooth rather than simply repairing it. While it may be less expensive in the short run, in the long run it may cost you more. As you just heard, once a tooth is pulled you still need to fill the space with a dental appliance to avoid future complications. If you add the cost of extraction plus the replacement of the tooth, you may simply be better off repairing it.

Why might a person require a tooth extraction?

There are a number of reasons why your dentist might recommend that you have a tooth, or even several teeth, extracted. Listed below are some of these reasons:

1) A tooth extraction might be indicated if repairing a damaged tooth is not practical.

a) Broken, cracked, or extensively decayed teeth can be extraction candidates.

Some teeth will have extensive decay (dental caries) or else will have broken or cracked in such an extreme manner that an extraction might be considered the best, or at least a reasonable, solution. Of course there will be a number of factors that will come into play with any specific situation. In some cases the obstacles that present themselves might be so formidable that a repair for the tooth is simply not possible. In other cases the cost of needed dental treatment or else a questionable long-term outlook for the success of the treatment may be the reason an extraction is chosen.

b) Teeth that are unsuitable candidates for root canal treatment should be extracted. Some teeth may require treatment of the nerve space that lies within them (root canal treatment) in order to make a repair. While most teeth typically are candidates for root canal treatment there can be complicating factors that remove this option. If this is the case and needed root canal treatment cannot be performed then the extraction of the tooth is indicated.

c) Teeth associated with advanced periodontal disease (gum disease) may need to be pulled.

By definition, teeth that have experienced the effects of advanced periodontal disease (gum disease) are teeth whose supporting bone has been damaged. In general, as periodontal disease worsens, a tooth is supported by less and less surrounding bone, often to the point where the tooth becomes loose. In those cases where significant bone damage has occurred and a tooth has become excessively mobile extraction of the tooth may be the only option.

2) Malpositioned or nonfunctional teeth may need to be extracted.

Some teeth are extracted because they are malpositioned. As an example, sometimes when wisdom teeth come in they lie in a position that proves to be a constant source of irritation to the person's cheek (by either rubbing against the cheek or causing the person to bite it). As a solution, a dentist may suggest that the offending wisdom teeth should be extracted.

Some teeth might be extracted because they provide very little service to the dental patient but do offer risk for becoming problematic. A common example is a wisdom tooth that has come in but has no matching tooth to bite against. Wisdom teeth are typically in a region of the mouth that is hard to clean, thus placing them and their neighboring tooth at greater risk for decay and periodontal disease. Depending on the precise circumstances that they find, a dentist may advise their patient that removing a nonfunctional tooth might be in that patient's best long-term interest in regards to maintaining good oral health.

Impacted teeth are often extracted. Impacted teeth are teeth whose positioning in the jaw bone is such that they cannot erupt into normal alignment. So by definition, impacted teeth are malpositioned and because they are malpositioned they are often nonfunctional. This combination of factors makes impacted teeth common candidates for extraction.

3) Tooth extractions may be required in preparation for orthodontic treatment (braces).

When orthodontic treatment is performed for a patient the dentist is trying to perfect the alignment of the patient's teeth but they can only do so within the confines of the size of the person's jaws. Especially in those cases where a large discrepancy exists between the size of the patient's jaws and the needed space required for the improved alignment of their teeth, some strategically located teeth may need to be extracted.

When might a tooth extraction be a bad idea?

During their examination of your teeth and mouth it is possible that your dentist will be able to recommend one or more alternative treatments to having a tooth extraction. While extracting a tooth might be less expensive than the other treatment options your dentist proposes, it may not be the least expensive treatment in the long-run.

When a tooth is removed its neighboring teeth will tend to shift, sometimes significantly. Any alignment changes that do occur can have a major impact on your dental health. Removing even a single tooth can lead to problems associated with chewing ability or jaw joint function. Additionally, teeth whose alignment has changed can become traps for food or be harder to clean thoroughly, thus placing them at greater risk for tooth decay and gum disease.

So to avoid these types of complications, in most cases your dentist will probably recommend to you that you replace any tooth that has been extracted. Replacing a tooth after an extraction with an artificial one can easily cost more than the alternative of not extracting a tooth and instead rebuilding it.

Whether your family needs a child's loose baby tooth removed or an adolescents wisdom teeth extracted or an adult tooth removed for various reasons, we can help.

We cater to all our patients needs, from Conscious Valium Sedation to Nitrous Oxide Gas we apply what ever you need to help you get through a procedure.

Ask for headphones and a comfortable blanket and your all set.

 

 

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