Wisdom teeth — the third molars in the very back of your mouth — may not need to be removed if they are: Healthy. Grown in completely (fully erupted)
What is the most difficult tooth to extract? Impacted wisdom teeth are wisdom teeth that have failed to erupt properly. They are generally considered to be the most difficult teeth to extract. The higher the degree of impaction, the more difficult the extraction.
Full-mouth extractions usually occur when patients are suffering some severe periodontal (gum) disease. This can lead to excessive tooth decay and infection that can only be stopped by removing all of the teeth.
Many dentists lack the experience and the skill to remove difficult teeth. Teeth that have had root canals, have long roots, or are ankylosed (fused) to your bone tissue are nightmares to take out for a lot of dental practitioners.
The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.
Tooth infections are severe and generally need people to be treated with antibiotics before proceeding with the removal. In such cases, dentists prefer performing endodontic therapy to preserve the tooth. However, if the tooth's internal structure is affected, the only alternative available is to extract the tooth.
A periodontal infection caused by an abscessed tooth can necessitate major oral reconstructive surgery. In some cases, to remove a tooth safely the patient will have to take antibiotics beforehand. That will clear up the infection to the point where an extraction is safe.
The risks of Not Extracting a Tooth
You'll most likely feel significant pain. The problem will only get worse if you wait. If there's an infection present, it won't heal on its own and can damage your gums and bone. Infections also spread to other teeth, putting you at risk for sepsis.
You may need to have a tooth extracted if: Periodontal disease has badly infected the tooth. The tooth is badly damaged and cannot be restored by a filling or a crown. You are suffering from pain even after a filling, crown, or treatment for a root canal.
Benefits of saving a natural tooth
When possible, saving your natural teeth is the best option. While today's dental prosthetics are made to last, they simply don't have the same strength as natural teeth. Not only are natural teeth stronger, but they also offer better functionality than prosthetics or crowns.
Dentures
Dentures are low cost way and cheaper alternative for replacing missing teeth. Dental bridges can be more expensive because in order to replace one tooth you effectively need to pay for three, two abutment teeth (one either side of the gap) and the new pontic (replacement tooth) in the middle.
Many of the front teeth are round, so they can be removed without damaging bone quite easily. However most of your back teeth have two or three roots and cannot just be “pulled out” without breaking something.
It's not uncommon for people to worry that tooth extractions are going to hurt, but don't worry—you won't feel a thing during the procedure. Dr. Harris will discuss options like localized anesthetics or sedation with you to ensure that you're comfortable throughout the procedure.
Root canals are considered to be the most painful because they require removing the nerve tissue on a tooth's root. The removal of the nerve tissue is not only excruciatingly painful but also commonly leads to infection.
Molars tend to be very painful because they're much bigger than other teeth. More often than not, it's the first tooth or teeth that come in which are very painful for a child.
Extracting or removing a tooth that has died is a relatively simple relatively painless form of treatment. You should expect to receive either local or general anesthesia for the procedure, depending on your preference or the recommendation of your dentist.
A broken or cracked tooth treatment does not always need to be an extraction procedure. Sometimes the dentist may recommend alternative reparative solutions like root canal therapy.
In most cases, root canal therapy is a better way to treat an infected tooth than an extraction. However, there are exceptions, such as if the tooth has suffered extreme damage. Your dentist will carefully analyze your oral health before making a treatment recommendation.
For broken teeth, a surgical extraction is usually necessary. In this procedure, Dr. Haycock will clean and numb your mouth, and then create an incision on the gum line near your broken tooth. Through this opening, he will cut the remaining tooth structure into small pieces, and extract them from the socket.
An implant can be placed right after an extraction if you have healthy gums and sufficient jawbone density. Once the tooth has been removed, your dentist can immediately insert the titanium post into your jaw. Then, it gradually fuses with the bone to provide a reliable foundation for a custom dental crown.
Your dentist will tell you how easy or difficult each tooth will be to remove after looking at the x-rays. Upper wisdom teeth are often easier to remove than lower ones, which are more likely to be impacted.
It would be best to replace missing teeth as soon as possible to prevent tooth shifting. However, if you have a tooth extracted, it is advised to wait four to six months to have the tooth replaced. All in all, this interval gives your gums time to heal before performing another operation.
After the tooth removal procedure, you might experience little pain when you bite down on the socket. However, you will not experience any more toothaches since the cause of pain is eliminated after extracting the tooth. The recovery period is between two days and a week.
The easy answer is yes. A dentist can definitely pull out an infected tooth. But it mainly depends on the severity of the case. That is to say, if the dental abscess surrounding your tooth is deep-rooted, the dentist might suggest other treatment options instead of extracting it.
Fever and swelling in the jaw together, with or without difficulty breathing, means you may be experiencing potentially fatal sepsis (or are close to it). Call your emergency dentist, and if they are not available, go immediately to the closest emergency room.