How Dentist Remove Broken Teeth - Ask A Dentist In Spring Texas - Vita Dental Spring
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How Dentist Remove Broken Teeth – Ask A Dentist In Spring Texas

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How Dentist Remove Broken Teeth – Ask A Dentist In Spring Texas

We all want to keep our teeth for a lifetime but sometimes trauma, crowding or disease might prompt the removal of one or more of your teeth. Sometimes the process of removing the tooth might be simple, but in some cases, it might require a surgical procedure.

The surgical extraction of a tooth is the most common surgical procedure in the US. If your tooth is broken but visible above your gum line, then your dentist can use forceps to remove it. This is referred to as a simple extraction procedure. However, if your tooth is broken off at the gum line, the dentist has to remove bone and gum tissue to extract the tooth. This is called a surgical extraction and might require using stitches to close the extraction site for proper healing.

Surgical extraction is suitable if a tooth breaks off during a simple extraction and it needs to be taken out in pieces. Wisdom teeth are often extracted using surgical extraction, as they are not completely erupted in your mouth. Another instance where surgical extraction is necessary is if the bone around the tooth is dense when removing severely broken teeth, removing teeth with long curved roots or removing root tips.

Simple Extraction Procedure

Numbing your tooth is the first step in tooth extraction. It involves the dentist administering a local anesthetic to the tooth, the gum and bone tissue surrounding it. The numbing will inhibit the nerve fibers that inhibit pain. This will ensure that you do not feel pain during the procedure. However, the anesthetic does not inhibit the nerve fibers that relay pressure sensation. This means that during the procedure you will feel a lot of pressure.

During the extraction process, the portion of your tooth that the dentist needs to remove will be firm in its socket and tightly held by its ligament. The dentist will need to expand the socket and separate the tooth from its ligament so that the tooth can be loose and easy to remove.

The dentist will use extraction forceps or elevators to make the tooth lose. An elevator is a tool that wedges the ligament space between your tooth and the surrounding bone. The tip of the elevator is forced into the tooth space, and the tooth is rocked and pressed around its walls. This will allow the socket to expand and the dentist can now separate it from its ligament. As the tooth becomes mobile, the elevator or forceps can easily remove it.

The dentist can choose to use extraction forceps that look like pliers. He or she will grasp your tooth with a forceps that is tailored to the tooth shape and the location of the tooth. The dentist will firmly and deliberately rock your tooth with the help of the forceps until the compressible socket starts to expand. In addition to the rocking motion, the dentist will also rotate the tooth back and forth to allow the tooth to rip from the ligament that holds it firmly in place. With time, the tooth will be loose enough for the dentist to remove it.

Surgical Extraction

Surgical tooth extraction uses three surgical methods:

  1. Raising a gum tissue flap

In this case, a gum tissue flap is created and peeled back to access the tooth or bone underneath for removal. After the procedure, the dentist positions the flap into place and stitches the area to allow for its healing.

  1. Trimming the bone around the tooth

Trimming the bone serves two purposes during a surgical extraction

  • When some of the bone surrounding the tooth is removed, it reduces the level of force needed to extract the tooth
  • In case of impacted teeth such as the wisdom teeth, removing the bone creates an opening for the dentist to access and remove the tooth.

The dentist will use a dental drill to remove a bone in case he can see the aspects of the tooth socket. The side of the tooth is trimmed, and the dentist will create a trough to access the tooth using a forceps or elevator. In case the dentist wants to create more space, he can drill to remove any bone lodged between individual tooth roots.

In case the bone is in an area that has gum tissue, the dentist will raise a flap. The exposed bone will then be removed using a drill or a hand instrument, and once the extraction is done, the flap is put back in place with the help of stitches.

  • Tooth sectioning

Tooth sectioning or controlled tooth division helps to ease the process of extraction. Splitting or sectioning the tooth into parts means the split parts are removable individually with less force. Splitting also allows a small access area and prevents the breakage of a tooth. The dentist will use a dental drill and remove the pieces individually using traditional extraction equipment.

During the surgical procedure, the dentist will irrigate the site with salty water to prevent overheating, to wash away the loose bone spicules and to keep the bone moist during the process.

After the tooth extraction, the dentist will close up the extracted surgical site. This will involve

  • Gently scraping the walls of the empty socket to remove any residue
  • Irrigating the socket with saline water to remove fragments
  • Inspecting for any sharp bone edges and filing or trimming those found
  • Evaluating communication between the upper teeth and sinus cavity in case an upper tooth was removed
  • Compressing the sides of the expanded socket using finger pressure
  • Placing a gauze on the extraction site and have you bite down on it.

Visit Vita Dental for any of the above tooth extraction procedures.  We guarantee you of the best dental services in Texas.

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