1. Decayed teeth that cannot be restored or that are too expensive to restore.
2. Fractured teeth that cannot be restored or that are too expensive to be restored.
3. Severe Periodontal disease (a combination of gingivitis and bone loss) which has caused the teeth to become loose. Severe Periodontal disease leading to recurring infections that cannot be eliminated by antibiotics or periodontal surgery.
3. Pathology associated with the tooth, such as infection of the root tip, cysts and tumors.
4.Fracture of teeth due to facial trauma, accidents etc, such that tooth extraction is necessary and the alternatives are absent or not realistically affordable for the patient.
5. Infection of the teeth or bone which cannot be treated by Periodontist (gum and bone specialist) or Endodontist (root canal specialist).
6. Lack of space for the teeth (crowding of the teeth), Poor positioning of teeth, inability of the teeth to erupt into the oral cavity such as impacted wisdom teeth, teeth that are erupting into the check due to the improper angulation, or detail extractions for the purpose of orthodintics.
Dental extractions of teeth are usually uncomplicated; however an incision may be required to assist in the successful removal of the tooth. In some cases, it may be necessary to remove small amount of bone fused to the tooth to prevent excess bone fracture and loss. In other cases, overlaying bone must be removed to allow for the removal of the impacted teeth.
Sutures (stitches) may be placed at the extraction sites to control bleeding, to re-approximate the soft tissues or for the purpose of keeping the blood clot on top of the wound. It is important to maintain the blood clot to prevent the exposure of the underlying bone after dental extractions and prevention of complications such as a dry socket.
Recovery from dental extractions is generally uneventful, however, this does not mean that the wound healing would be without having any symptoms. Just as in any other wound (imagine healing of a cut on one’s hand) there will be swelling and inflammation, pain and increased sensitivity in the area affected by the dental extractions. The patients are provided with post-operative instructions with regards to minimizing pain and discomfort after dental extractions as well as how to take care of the wound area to allow normal healing.