While it is always preferable to save your natural teeth, sometimes a tooth is not able to be restored or salvaged due to clinical circumstances like breakage, infections, or financial circumstances. In such cases, it is necessary to remove, or extract the tooth or teeth.
A tooth is extracted by first applying a local anesthetic to numb the affected tooth, followed by back-and-forth or side-to-side luxation (pressure) to dislodge the tooth from the surrounding periodontal ligament and bone. In cases where a tooth is severely broken down, it may be necessary to surgically remove some of the surrounding structures so that the affected tooth may be properly removed. In cases where a patient wishes to be sedated by IV or oral sedation medications, a referral to an oral surgeon is necessary.
After extraction and initial healing, a consultation can be scheduled to ascertain the best way to replace the missing tooth.