Utah Tooth Extractions
Should I see an oral surgeon?
Removing a tooth is a very common procedure. In most situations, the expertise of an Oral Surgeon is not necessary. Dr. Bergman has taken hundreds of hours of advanced surgical training and is able to serve a wider population of needs because of it. There may be times when Dr. Bergman advises treatment with an Oral Surgeon but those are the exceptions and not the rules.
Here is an overview of the main reasons for tooth removal:
By far the most common reason to remove teeth is because of large amounts of decay and tooth infection. Around 66% of all extractions fall under this category. When the tooth nerve is affected by decay, the tooth will not heal on its own. Treatment of some sort is needed. When the general structure of the tooth is not strong enough to support biting and chewing, the tooth will need to be removed.
Sometimes teeth break in a way that repair is not possible. When a crown or root canal cannot fix the problem, an extraction is needed. If the break is too deep or involves a large portion of the tooth below the gumline, extraction is also necessary.
Tens of thousands of teeth are removed each year because the gums and bone holding the teeth have been destroyed from periodontal disease. The cause of the disease is bacteria invading the gums and being left to fester. The most common starting points are in between the teeth. Simply put, people do not like to floss and so bacteria will sit in between the teeth for long periods of time. By the time a tooth has to be removed for gum disease, the situation is advanced and there is no good treatment except extraction. The gums and bone are usually so eroded that the tooth even moves with slight pressure.
Extra teeth are more common than you might think. Baby teeth may not come out. Genetics are involved. Extra teeth that are not baby teeth are called supernumerary teeth. When there are too many teeth in the jaw, the teeth will come out to the side, rotate out of place, and sometimes not come in at all. The teeth need the space on the arch and an extraction can allow the teeth to naturally erupt in the correct position.
Teeth require enough space to move into the proper positions. If the alignment cannot be achieved with the existing space or jaw expanders, teeth may need to be removed.
“Predicated on the best evidence-based data, third molar teeth that are associated with disease, or are at high risk of developing disease, should be surgically managed.” “If there is not adequate room for them to erupt and be maintained in the mouth, it is wise to have them removed before such problems as infection and/or possible damage to neighboring teeth, occur.” AAOMS Jun 23, 2016 and White Paper, Management of Third Molar Teeth.