Wednesday, January 19, 2011

The Tooth about Dental Extractions

The term "harder than pulling teeth" has been toss around for years now. It gives a very scary impression of what its like to have a tooth pulled. Lets see if we can dispel some of the rumors.

Again I will start with the most important: HAVING A TOOTH PULLED DOES NOT HURT. Just like root canals, a dental extraction, when fully numb, is done without pain. The one difference between an extraction and other procedures is the physical pushing you feel in your mouth. While there is no pain, there is the sensation of something wedged between your teeth which takes some time getting used to.

Now lets talk about the actual procedure. Many times patients are amazed how quickly it is done. Most of the time it takes more time to get numb than to actually take out the tooth. Most of the time it is not difficult nor long to encourage a tooth to come out. When pulling an adult tooth people get the wrong idea of how it is done. We do NOT just grab it an yank it out. Taking out a tooth is approched similarly to removing a nail from a very dense piece of wood: pulling it will feel like you're doing nothing. We take an very thin instrument and wedge it next to the tooth until the jaw bone around it eases up. Once the bone expands in all directions we simply can pluck the tooth out like a flower.

Pulling baby teeth conversely seems like we're pulling. This is because baby teeth are gradually eaten away by the body as they get older and when we pull them out theres just only the top portion of the tooth remaining that is stuck to the gums. They don't require any dealings with the jaw bone so they are simply plucked out.

Some Facts you may not know about Dental Extractions:

- If a tooth is highly infected, the bacteria in the gums will prevent the anesthesia from working. So many doctors discourage pulling abscessed teeth and usually prescribe antibiotics first.

- Doctors will often encourage placing bone in the left over hole to allow the entire hole to fill with bone. This will give better looking gums and makes it easy to place an implant(quicker and less pain).

- The price for pulling a tooth depends on the how hard it is to get out. Often times if you demand a price from a dentist he will quote you the one for a hard extraction just in case. If you don't ask, often he'll charge you for the easy extraction if it was easy.

- When a tooth pops out, it can fly in any direction, so don't swallow!

- The older you are, the more difficult it tends to be to pull your teeth because the jaw bone tends to be less elastic as it ages.

7 comments:

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