TOOTH EXTRACTION 

TOOTHACHE PAIN FROM A BROKEN TOOTH

FAILED ROOT CANAL

LARGE DENTAL CAVITY

REASONS WHY A TOOTH NEEDS TO BE EXTRACTED

 

Tooth Infection

Teeth with a dental infection from a large tooth cavity that reaches the nerve can be extracted as an alternative to doing a root canal.

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Periodontal Disease Infection

Teeth with periodontal gum disease infection can cause bone loss, loose teeth, and gum infections.  Sometimes the teeth need to be extracted (removed).

tooth extraction for periodontal disease
Front left tooth fractured
Front left tooth fractured

Tooth root in the bone.
Tooth root in the bone.

Fractured root canal treated tooth requiring extraction.
Fractured root canal treated tooth requiring extraction.

Front left tooth fractured
Front left tooth fractured

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Fractured Tooth 

Teeth fractured at the gum line are extracted if they are not able to be rescued with a filling or a crown and are replaced with an implant or bridge.

Large Cavity

Teeth with large tooth decay (cavity) that cannot be saved with a root canal or a filling will be extracted to avoid a dental tooth infection or toothache pain.

Impacted Wisdom Teeth and Wisdom Tooth Pain

Wisdom teeth can cause pain in the back upper jaw or lower jaw area, ear pain feeling, or tooth pain from not having enough room to grow in or a cavity.

Failed Root Canal

A root canal-treated tooth can fail and no longer be functional because of a tooth fracture, infection or cavity.

Baby Bottle Tooth Decay

Cavities on kids' teeth can occur due to a high sugar diet or baby bottle tooth decay.

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WISDOM TEETH REMOVAL

The last four teeth to come into the mouth in adults are between the ages of 16 to 20, known as "third molars" or wisdom teeth.  The wisdom teeth can erupt in the correct location but usually, they get partially or fully impacted in the jaw bone which requires their removal.

Reasons to remove wisdom teeth because leaving them in can lead to potential future problems such as:

  • Increased Risk of Tooth Decay:  Unable to keep the brush properly that causes a cavity on the wisdom tooth or neighboring tooth.

  • Damage to Neighbouring Teeth:  The wisdom tooth growing sideways or tilted can cause damage to the adjacent tooth's root.

  • Increased Risk of Pericoronitis:  Pericoronitis is an infection of the gum around the wisdom tooth.

  • Cyst formation:  Cysts can cause damage to the bone and affect the nerve.

 
 

HAVING A TOOTH PULLED:

HOW WE EXTRACT A TOOTH AND REMOVE WISDOM TEETH

Regular dental checkups and xrays allow monitoring of the current position of erupting wisdom teeth and any present issues. We generally recommend scheduling a first evaluation during the mid-teenage years, since early evaluation and treatment has been demonstrated to promote the most positive outcomes.

 

Appropriate anesthesia administered during wisdom tooth extraction by Dr. Soordhar or an oral maxillofacial surgeon (aka. oral surgeon) to ensure the patient’s maximum comfort. The procedure typically calls for local anesthesia, nitrous oxide/oxygen analgesia (“laughing gas”) or oral sedation. Dr. Soordhar will discuss the various surgical risks and anesthetic options at length before your procedure. The final steps of the procedure call for suturing the gum after removing the teeth. Biting down on a gauze strip will help control bleeding while you rest in the office before returning home. You will receive a postoperative kit with recovery care instructions, prescriptions for pain medication and antibiotics, and a follow-up appointment one week later.

 

PLACING A DENTAL IMPLANT AFTER TOOTH/TEETH EXTRACTION

Immediate Dental Implant After a Tooth Extraction

An immediate dental implant can be placed in the bone at the same time you extract a tooth (Teeth in a Day), so you can start replacing your missing tooth as soon as possible.

All on 4 & Teeth In a Day After All Teeth Extraction

After all your upper and/or lower teeth have been extracted, they can be replaced with All-on-4, All-on-6 or Teeth In Day.

OPTIONS TO REPLACE MISSING TEETH AFTER TOOTH EXTRACTION

 

Dental Implant

A dental implant is an option to replace a missing tooth after the tooth has been extracted. 

A dental implant can be placed immediately with dental extraction (Immediate Dental Implant Placement) OR  a delayed placement of the dental implant after the bone graft has healed (Delayed Dental Implant Placement)

Implant Bridge

A dental implant bridge is an option to replace multiple missing teeth after a tooth extraction procedure. 

A dental implant can be placed immediately with dental extraction (Immediate Dental Implant Placement) OR  a delayed placement of the dental implant after the bone graft has healed (Delayed Dental Implant Placement)

Dental Bridge

A dental bridge is an option to replace a missing tooth or teeth.  The infected tooth will be extracted and the missing tooth will be replaced by a dental bridge. 

A bone graft can be completed to maintain the esthetics and shape of the bone so it doesn't shrink and the bridge looks natural. 

Flipper or Denture

A missing front tooth can be replaced with a denture flipper or a missing back molar tooth can be replaced with a denture after the tooth has extracted. 

The infected tooth will be removed and can be bone grafted to maintain the esthetic and shape of the bone.  The missing tooth will be replaced with a denture or flipper. 

 
Real human teeth hanging on threads isol

RECOVERY AFTER EXTRACTION:

HOME CARE INSTRUCTIONS

In order to allow the best and quickest healing, Dr. Soordhar will provide you with specific instructions and medications after your tooth extraction or wisdom teeth removal surgery.

Here are some general tips on how to make your tooth removal surgery recovery as quick and painless as possible:

  • Take the pain killer medication and antibiotics as prescribed and on time.  Do not skip any dose or stop taking the medication because you are feeling better, the medication is helping with your recovery.

  • Minimize any physical activity for a few days to a week (depending on the extent of the surgery) to prevent any bleeding after the surgery

  • Hot salt water rinses every 2-4 hours and hot moist compresses over the skin help keep the swelling down and keep the surgical area clean.  For wisdom teeth sometimes an irrigating syringe is provided to flush out the extraction socket.

  • Eat soft nutritious foods (ex. eggs, pasta, pudding, mashed potatoes) and drinks a lot of fluids.  Avoid hard and crunchy foods that can get stuck into the surgical site and cause an infection.

  • Brush your teeth normally except for the area near the surgery.  Specific instruction on how to keep the surgical area and teeth will be provided by Dr. Soordhar but generally, you can use saltwater and a Q-Tip (like a brush) and clean the teeth adjacent to the surgical site; this will prevent you from popping a stitch.

  • Resorbable sutures (self-dissolving stitches) as typically used after wisdom teeth surgery or tooth extraction so they do not need to be removed as they are self-dissolving.  However if an immediate dental implant placement, bone graft, or sinus lift was completed along with the extraction,  the stitches are removed 6 weeks later to allow proper healing.