Any time a dentist is preparing for tooth extraction, he or she will always perform an oral examination and x-ray the tooth. The exam gives the dentist an assessment of the tooth and surrounding tissues to ensure the proper measures are taken while doing the extraction and to establish guidelines to follow for any future replacement teeth options.
Dentists are aware that some patients may experience anxiety about having their teeth pulled—especially if they are already experiencing pain from their dental issue. Sedation combined with the normal anaesthesia may be the best solution for patients who are prone to having anxiety in a dentist’s office. That way, the patient can get the treatment done without the added discomfort of feeling anxious. The confidence this gives to complete all treatments is worth the suggestion for anxious patients.
Tooth extraction is a simple process. The dentist removes the tooth and discusses the at-home care procedures with the patient. Typical at-home care includes specialized care of the extraction area, restricted eating and drinking and rest.
Extracting Wisdom Teeth
The wisdom teeth—the teeth found at the back of the mouth that come in after all your other adult teeth have come through—are often extracted. The reason why is because by the time they start to come in—usually in the late teens or early twenties—the other 28 teeth have already taken up the room in the mouth for teeth. So, by the time wisdom teeth arrive, there isn’t much room for them. The lack of space may cause these teeth to get stuck while trying to come through or come through at an odd angle. When this happens, it is said the tooth is impacted.
Sometimes, wisdom teeth don’t break through the gum at all. Therefore, it will take x-rays to discover how your wisdom teeth are positioned. At other times, your wisdom teeth will let you know they are there because they have become infected and may have an abscess. An oral exam will determine the extent of the infection and whether there will be a need for an extraction once the infection is treated. The exam can also provide insight on whether future extractions of the other wisdom teeth will be needed.
Always schedule an appointment to see your dentist if you are having extreme pain from a tooth—including your wisdom teeth. Your dentist will examine your teeth and give any recommendations on the need for extraction.
X-rays will be used to help the dentist understand the positioning of the wisdom teeth while they are extracting them. After careful examination of your mouth and x-rays, your dentist will give you detailed information about your tooth extraction treatment plan. You will know what type of anaesthetic to be used, and you will be given details on how to care for the extraction site once the tooth is removed. If the treatment needs to be done by an oral surgeon, this recommendation will be given during the consultation.