There are several reasons why teeth are extracted. Baby teeth aren’t coming out on their own, Impacted wisdom teeth, damaged or broken teeth beyond repair, to provide room for orthodontic treatment or extra teeth have developed.
Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to grow into the mouth. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. Impacted teeth can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. An operculum can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. Often it will not go away on its own, but it causes swelling and pain in the area requiring treatment.
Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the patient and the doctor, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.
Why do a bone graft after an extraction? There are many reasons!
The bone graft helps to preserve the bone that held the teeth in place, Ridge preservation allows for better restoration of missing teeth with implants, partial dentures or full dentures. Bone grafts preserve your bone, create adequate bone for implants, restore defects from previous extractions or missing teeth, and strengthen the jaw post wisdom teeth removal. For a bone graft, the dentist will use a preparedbone or synthetic material to graft into the space of the extracted tooth. You will then have to wait, most likely several months, while your body replaces the graft with new, healthy bone. This will ensure that the implant will be stable and secure. A successful bone graft allows your jawbone to be strong enough to support your prosthetic restoration. A bone graft will make it possible to have an implant or other prosthetic work where it may not have been possible in the past. Once the bone graft is complete, the dentist can proceed with the implant or other restorative procedures. Bone grafting is becoming the “standard of care”.