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Extractions

Extraction is the complete removal of a primary or a permanent tooth. An Extraction can be surgical or non-surgical. This depends on the difficulty of the extraction and whether or not the tooth is impacted or erupted, and whether it has straight or curved roots.

An Extraction may be done by Dr. Gaba or you may be referred to an Oral Surgeon (someone who specializes in difficult or surgical extractions). No one looks forward to an extraction, but modern anesthesia and dependable homeopathic remedies will help keep you comfortable throughout the procedure.

Reasons for an extraction are:

  • Advanced Gum Disease. This is the #1 reason adults loose their teeth!
  • An abscessed tooth that cannot be saved.
  • An infected root canal tooth.
  • A tooth with decay too deep to save the tooth.
  • A tooth that has broken at the gum line and cannot be saved.
  • Impacted tooth (typically a “Wisdom Tooth”)
  • Some Orthodontic cases require that one or more teeth be extracted.

If you have made the decision to remove a tooth, whether to avoid a root canal, or to eliminate an infected root-canal tooth, it is important that every effort be made to also clean the extraction socket of the tooth and bone well to help insure proper healing and prevention of a Cavitation.

Dr. Gaba makes every effort to extract teeth as atramatically as possible and to clean the bone as thoroughly as possible. The following represents the protocol followed:

  1. Questions are answered and an informed consent form is explained to the patient and signed by the patient.
  2. Enzymes and homeopathics are dispensed to those patients interested in an effort to minimize the trauma and subsequent post-operative swelling.
  3. A biocompatible anesthetic is administered.
  4. The extraction socket is then cleaned using hand and rotary curettage with sterile saline irrigation.
  5. Hemostatic agents are used when necessary.
  6. Sutures are placed to protect and maintain the blood clot that will form. This helps to prevent a “dry socket” from occurring.
  7. Antibiotics and pain medications are prescribed only when necessary.
  8. Homecare and post-operative surgical instructions are reviewed and given to the patient.
  9. Any follow-up visits are scheduled.

When an extraction is performed, it is important to put something in the place of the missing tooth or teeth. If the space is just left open, your teeth will shift and cause many unnecessary complications. Extracted teeth may be replaced by a partial or complete denture.