Jan 06

Dental extractions are very common, and happen on a daily basis for dentists. Oral surgeons are the best for extractions, as extractions are all they do. All types of extractions, even the most complex, will take time to heal. As long as you take care of your extraction site, you’ll avoid common pitfalls such as dry sockets and other mishaps. As the name implies, an extraction involves removing the tooth. If your pulp has died or the tooth has become severely infected, extraction may be your only route. Depending on the tooth, the dentist can do either a simple extraction or a more complicated extraction.

Simple extractions

These types of extractions, the simple extractions, are the most common in the world of dentistry. During a simple extraction, the dentist will remove the tooth by loosening the gums around the socket. He will grasp the tooth with forceps and move it from side to side until he can get it to break free from the socket and remove it. The teeth are held to the bone by a thin piece of soft tissue. The dentist uses this tissue to remove the tooth. As you may know, the key to removing a tooth by pulling is to rock the tooth from side to side, which enlarges the socket in the bone and breaks the ligament that helps to hold the tooth in place. Simple extractions, also known as pulling, don’t take long to complete. Depending on the tooth, pulling it will normally take just a few minutes after you have been numbed with local anesthesia.

Complex extractions

As we all know, not all teeth can be pulled. Sometimes, the tooth will be so decayed or broken off that the dentist will have nothing to grasp above the gum line. In cases such as this, the dentist will need to perform a more complicated extraction, which involves getting the tooth out below the gum line, as he won’t be able to use the standard method of pulling and rocking. In most cases however, the tooth will be embedded in the bone, meaning that the dentist will be unable to pull the tooth out.
With teeth that are imbedded in the bone, the dentist will need to use a drill and chip away at the bone to get to the tooth. This is known as cutting the tooth out, and happens to be very common with impacted teeth or teeth that are severely decayed. Once the dentist has cut his way to the tooth and removed it, he will sew back the flap of skin that he cut to get to the tooth.

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Dec 24

When the wisdom teeth first come in, they will sometimes be impacted. Impacted teeth will normally need to be extracted. Sometimes they can be pulled, although in most cases they need to be cut out by a qualified surgeon. When the time comes to have your wisdom teeth extracted, you’ll need to go to an oral surgeon and have a consultation first.

During the consultation, you’ll take a few x-rays that will let the surgeon know how bad your wisdom teeth are. An IV sedation is the preferred way to have wisdom teeth extracted, as you’ll be so relaxed you won’t know what is going on. If you decide to just use local anaesthesia, which is numbing, you’ll be fully aware of the procedure. 

Depending on the shape, size, and the formation of the wisdom teeth, the removal process can vary from easy to hard. If the root tips have managed to wrap themselves around the bone, the removal process can be very time consuming and quite painful. Once the extractions have been completed, there is normally little to no swelling involved. Your dentist will prescribe you some pain medicine, which you should use as soon as you arrive home. If you are going to use IV sedation, you’ll need to someone to accompany you, as you won’t be able to drive home.

After the removal of your wisdom teeth, your dentist will go over what you need to do to ensure the proper healing of your gums and mouth. Normally, he will give you information to go over, to make sure that you experience no problems in the healing process. Once you get your wisdom teeth removed through - you’ll notice a big improvement in your mouth - and your health.

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Sep 28

Only a dentist can make the decision regarding fillings. When you visit for your routine checkup, the dentist will look in your mouth and use instruments that will let him examine the surfaces of your teeth. If he finds any cavities, he will usually recommend a filling. A filling is great for cavities, as most look natural and they won’t result in the loss of your tooth. Fillings work by closing out the area where the bacteria enters into teeth, helping to prevent any type of decay in the future.

There is really no best type of filling, as several factors come into play. Your reaction to different material, the shape of the tooth, extent of repair, and where the filling is needed will be determining factors as to what material is used with your filling.

The materials used for fillings include porcelain, gold, composite resin, and amalgam.

1. The gold fillings that are used are made in a laboratory, then cemented into place by the dentist. Gold material fits well with the gums, and can last you for many years. Gold is considered by many to be the best, although it is also the most expensive and will require you to visit the dentist several times before the filling will be complete.

2. Silver fillings. With their color being dark, they are easier to notice than composite or porcelain fillings, and aren’t recommended for visible areas of the mouth, especially the front teeth. Composite fillings are a common type of material, as they match the color of your teeth. The material that makes up the composite filling is mixed then placed directly in the cavity, where it hardens.

3. Porcelain filling. Porcelain is very common, and produced in lab where it will be matched to your teeth then bonded to the affected tooth. Porcelain fillings match the color of your teeth, and are resistant to any type of staining. The costs for porcelain fillings can be very expensive, some costing as much as gold fillings.

If a cavity, decay, or even a crack has managed to damage a large area of the tooth, you may need a crown or a cap. When the dentist decides he can fill your tooth, he will remove the cavity then fill the hole with a material listed above. In most cases, porcelain or composite fillings will be recommended. Gold fillings are popular, although most people want a filling that will match the natural color of their teeth.

NB: Fillings are very common with dental work, as they present a way to repair a tooth that has suffered from decay or a cavity back to it’s original shape. When performing a filling, the dentist will remove the decayed area of the tooth, clean around it, then fill in the area that he has removed with a special material that will cater to the shape and form of the tooth.

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