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Removal of Teeth

Permanent (Adult) Teeth: 

Permanent teeth can be difficult to remove secondary to curve, multiple roots and dense bone.  Teeth that have had a root canal done are more difficult to remove due to changes in the tooth ligament, which causes less movement of the tooth.

Baby Teeth

  1. It’s just a baby tooth:  Primary (baby) teeth can be difficult because of their long, thin roots and possible damage to the permanent tooth buds that are below.
  2. Removal of baby teeth in children can be a difficult experience under local anesthesia.  Even though the child has adequate local anesthesia, the sensation of pressure while pushing on the tooth may elicit a painful response from a child and thus, an unpleasant experience may occur in which many children will not want to return.  By safely using a general anesthetic, the child has no recall of the procedure and returns to the dentist without pending fear.  Primary teeth are often removed for orthodontic indications as in tooth guidance.

Wisdom Teeth (Third Molars) / Impacted Teeth

Wisdom teeth or third molars are the last teeth to develop.  Due to a discrepancy between the size of jaws and teeth, many times there is inadequate space between these teeth and they remain embedded (impacted) in the jaw.  Other teeth can also be embedded (impacted) due to lack of space during growth.

“Preventive Dentistry dictates the treatment of impacted teeth”

Why remove embedded (impacted) teeth
  • Prevent infection
  • Prevent loss of bone and destruction of adjacent teeth
  • Prevent pain of unexplained origin
  • Prevent possible movement of adjacent teeth, especially if you have had orthodontic therapy
  • Assist with orthodontic therapy
  • Prevention of cyst and tumors
  • The bacteria around wisdom teeth have now been shown to be related to heart disease.
  • Now almost 1 of every 5 patients is a high-risk patient over the age of 40! 
  • There is a large increase in complication rates.  In the elderly, this can be “life-threatening”.

Click on the following link for further information on “wisdom teeth” from the American Association of Oral and Maxillofacial Surgeons.

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