Dental extractions, also known as tooth extractions, refer to removing a tooth from its socket in the jawbone. At Ivan K. Salmons DDS, it is a dental procedure typically performed by a dentist or oral surgeon. Extraction may be required to prevent further complications when a tooth is extensively decayed or damaged beyond repair. Sometimes, teeth may become impacted, meaning they cannot fully emerge from the gum line. This commonly occurs with wisdom teeth (third molars), and if they are causing pain, infection, or other dental problems, extraction may be recommended. 

Advanced gum disease can lead to loosening of teeth and bone loss. In some cases, extraction may be necessary to remove severely affected teeth. If there is insufficient space in the mouth for all the teeth to fit appropriately, extraction of one or more teeth may be necessary to alleviate crowding and improve overall oral health. 

Types of Extractions 

Simple Extraction 

This type of extraction is performed on a tooth visible in the mouth and can be easily removed with forceps. Local anesthesia is typically used for simple extractions.

Surgical Extraction 

Surgical extractions are more complex and are performed on teeth that are impacted or severely damaged. It may involve making an incision in the gum tissue or removing bone around the tooth to access and remove it. Surgical extractions may require sedation or general anesthesia. 

The Procedure for Extractions 

A dentist or oral surgeon typically performs tooth extractions for various reasons, including extensive tooth decay, gum disease, trauma, overcrowding, or preparation for orthodontic treatment. Before performing an extraction, the dentist will conduct a thorough examination, including dental X-rays, to assess the tooth's condition, surrounding tissues, and oral health. To ensure patient comfort during the procedure, the dentist may administer local anesthesia to numb the area around the tooth. Sometimes, sedation or general anesthesia may be used for more complex extractions or patients with dental anxiety.

Using specialized instruments, such as an elevator or forceps, the tooth is gently loosened from the surrounding tissues. The dentist applies controlled pressure to remove the tooth from its socket. Sometimes, a tooth may need to be sectioned and removed in pieces. After the tooth is extracted, the dentist may clean the site and place a gauze pad to control bleeding. In some cases, stitches may be needed to close the wound. The dentist will provide instructions on post-extraction care and pain management.

Post-Extraction Care 

• Follow the dentist's instructions regarding pain management, medication, and any prescribed antibiotics.
• Apply ice packs to the affected area to reduce swelling.
• Avoid smoking, using a straw, or spitting forcefully, as these actions can disrupt blood clot formation and delay healing.
• Eat soft foods and avoid chewing on the extraction site.
• Maintain good oral hygiene by gently brushing and flossing the remaining teeth, avoiding the extraction site.

After tooth extraction, the dentist may discuss tooth replacement options, such as dental implants, bridges, or dentures, to restore the function and aesthetics of the missing tooth. For the best dental care customized for your particular requirements, visit Ivan K. Salmons DDS at 1855 Indian Hills Drive, Sioux City, IA 51104, or call (712) 239-5900.