One of the oldest dental services, extractions, are still a necessary dental procedure in certain situations. Whether your tooth needs to be pulled because of poor placement, being impacted, damaging decay, or severe fracture, we can extract your tooth. At Kooning Family Dentistry, we understand that there is much to consider when extracting a tooth. We like to meet with our patients and evaluate the entire situation, help make corrections, and assess the best options for the future. Extracting a tooth is more than just pulling it, it's assessing why it needs to be pulled and what the future ramifications for the neighboring teeth, gums and bone will be. Dr. Kooning will go over these scenarios with you and together, make decisions that are best for you.
Impacted and Poorly Placed TeethThe most common extractions performed today are for teeth that have not fully come in and are therefore impacted, or for teeth that are positioned poorly. It is a very common dental disorder to have teeth that do not descend or to have multiples of the same tooth fighting for space. This can cause havoc with the neighboring teeth wich can become crooked or have their growth impacted.
Decayed and Fractured TeethWhether it is due to a large cavity or due to gum disease, it is not best to keep a severely decayed tooth in your mouth. It is ravaged with bacteria, and that bacteria is not good for your health. Our first attempt is always to restore your tooth and bring it to health, we strive to keep your natural tooth structures if at all possible. If we are able to remove the bacteria and place a dental crown, this is the best long term option for your health. We understand that not every patient has the financial means to make this happen. Extraction is an option.
Teeth that have broken to a point that it is impossible to place a dental crown require extraction. Broken teeth can be very painful. If we can build up the tooth and cap it, that would always be our preferred route for your long term health, otherwise extraction is the next option.
Bone GraftAn important aspect of your extraction is considering the future impact. During your evaluation, we will want to examine your future options. One of those options may be having a tooth implant placed for the replacement of your missing tooth, or to place a dental bridge or denture. To do this, we want to preserve your bone. When a tooth is extracted there is an immediate response by your bone of pulling in, a process called resorption, or atrophy. We can stop or slow down this process by placing minuscule amounts of bone grafting powder in a divot that we create in your jawbone. A bone graft sounds serious, but it is a quickly done procedure that is performed using bone fragments from one of three sources, either artificial bone, processed donor bone, or bone directly from the patient. The amount used is minimal, determined in millimeters, not inches or even centimeters.
Before you have a tooth extracted, be sure to review if the tooth can be saved and what the future impact for your neighboring teeth is. We want you to feel confidant in the work that is done. For more information on extractions, bone grafts or dental implants, call our office located in Lake Oswego, OR at (503) 673-9097 to make an appointment with Dr. Chris Kooning.