What Patients Should Expect When Needing Tooth Extractions

Tooth extractions are performed when the affected teeth cannot be saved by any other method of dental treatment. Various reasons warrant this type of procedure. The most common ones include genetic predispositions, trauma or extreme decay that is not possible to correct. In addition, tooth extractions may be recommended for functional or aesthetic reasons where the orthodontic intervention is not effective.

The Assessment

All other possible venues of teeth retention are explored before the patient is recommended for extractions. The process begins with a full evaluation of existing conditions combined with a review of the patient’s medical history. As an extraction is considered to be an invasive procedure, any medical conditions must be addressed and corrected before an extraction can be performed. This may include adjustment in dosage of certain medications or changing lifestyle habits, such as smoking.

In case of emergency procedures, the health assessment may have to be abbreviated, but it is necessary to complete it before the end of the initial visit. Certain conditions may dictate the treatment to be utilized in a hospital setting with the presence of a licensed anesthesiologist. Patients with the following conditions may have to be referred to a clinical facility equipped with all necessary apparatus needed for extractions:

  • Ischemic heart disease
  • Bypass surgeries
  • Coronary angioplasty
  • Congestive heart failure
  • DNR (Do Not Resuscitate)specifications
  • Hypertensive Disease (HD)
  • Severe asthma or COPD
  • Kidney transplants
  • Certain stages of diabetes

During the Procedure

Simple teeth removal can be performed at the dental office with the use of the local anesthesia only. Moderately difficult extractions are completed with the application of local anesthetics, Nitrous Oxide (laughing gas), IV sedation or the combination of all three techniques. Multiple and complex extractions may require hospital intervention. Regardless of the level of sedation, the patient is continuously monitored throughout the entire procedure by proper equipment and dental personnel.

Recovery and Continuance of Treatment

The length of the recovery time after the teeth removal greatly depends on the patient’s present health status, the ability to follow the post-operative instructions at home and the number of the extracted teeth. Once the patient is healed, they may be referred to a cosmetic dentist who will perform restorations by replacing missing teeth with an appropriate dental treatment such as placement of crowns, bridges or removable appliances.

Many available methods of tooth restorations are presently available and can be explained in detail by contacting a cosmetic dentist and scheduling all subsequent appointments to complete the dental treatment.