Tooth Extractions in Oakville

After all other options have been explored, Dr. Benedito would recommend a tooth extraction only in the most extreme of cases where another method of saving the tooth is not available.
Often a tooth needs to be extracted due to infection, impaction, or fracture.  It is recommended first that a CT scan be done to verify the ongoing situation, to permanently define whether the tooth is infected, fractured or the involvement of other structures, such as nerves, when it is impacted.
We need to know that the only option is extraction, as once gone the tooth cannot come back.
If a root is fractured, the tooth needs to be extracted because the ligament around the root which connects it to the bone no longer exists or is damaged and will cause a persistent inflammation, which is unhealthy and sometimes even painful.  This persistent ongoing inflammation will destroy the bone making the placement of an implant very unlikely or impossible.  This is why visits to the dentist and treatment must be done on a regular basis so that changes do not become irreversible.  When reversible, bone loss can be replaced with an osseous graft.
If a tooth’s roots are damaged beyond repair, traditional restorative methods like root canal therapy would be impossible, necessitating the extraction of the traumatized tooth to maintain the overall health of the mouth.
Impacted wisdom teeth often need to be extracted as well.  This happens if the tooth is in a between stage, neither completely in bone nor completely erupted, thus causing the accumulation of bacteria around it and the potential for infection.
Infection can also be caused by tooth decay and periodontal disease.
Periodontal disease has many causes, from cigarette smoking to genetic factors and oral hygiene, and it is just as dangerous as a carious lesion in terms of the prognosis of the tooth in question.
Many dentists recommend the extraction of impacted wisdom teeth at the age of 16 years old, because then the lower two wisdom teeth are not yet completely formed and their roots are shorter and further from a nerve that runs along the lower jaw, which could be damaged during their removal. While the teeth may not initially cause physical discomfort, the angle of impacted wisdom teeth can cause problems with adjacent teeth and can create inflammation and irritation as they continue to emerge. In severe but rare cases, wisdom teeth that are impacted can actually develop cysts that have the potential to weaken or damage the bone in the jaw; in these situations, extraction will be necessary or the cyst will continue to grow to the point that the jaw could break.  In severe cases of infection, an infection coming from an wisdom tooth can actually be lethal, as it travels to other anatomic structures of the body and can also become systemic.

Infections that travel from a tooth to other areas may cause difficulty breathing, swallowing, and even travel to the brain where hospitalization would be absolutely necessary.


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