Replacement of Extracted Teeth

Why do teeth need to be extracted?

Our first priority is to save teeth, as it is usually important to the patient's long-term dental and general health to maintain the teeth. Extraction is an option when a damaged or decayed tooth cannot be restored, or when extensive treatment would be necessary to try to save the tooth, but the patient chooses not to proceed with necessary treatment.

Why is an exam necessary before getting teeth extracted?

An examination must occur before the appointment for an extraction. The examination of the patient's mouth, radiographs (x-rays), and dental and medical history helps determine if the tooth can be saved. If not, the dentist is able to provide treatment options and information about what to expect before, during and after extraction. Questions or concerns can be discussed at this time.

What happens after a tooth is extracted?

The patient will be told what to expect after treatment and what to do in case of emergency. Possible complications are unusual, but will be explained, and are also included on the consent form. A recall appointment may be necessary a few days after extraction to check the healing site. Further appointments will be made to begin the process of replacement of teeth.

How long does it take to heal?

Usually, the wound site takes about 6 weeks to heal. During that time, bone is generated to fill the space and the soft tissue grows to fill the gum line. Any replacement for the missing teeth except an immediate denture must wait until the extraction site has healed.

What other procedures may be required before replacing teeth?

Several dental procedures may be needed to prepare the mouth for replacement of missing teeth. They include:

• Oral Diagnosis: A comprehensive treatment plan is usually necessary after extraction to determine options for further treatment. Radiology: More radiographs may be needed.
• Endodontics: Other teeth in the area may need root canal treat-ment in order to place a crown to anchor a bridge or partial denture.
• Oral Surgery: Bone and/or gum tissue may need to be reshaped.
• Orthodontics: If teeth are crowded, too spaced, or crooked they may need to be straightened before bridges can be attached
• Periodontics: If there is not enough tooth structure above the gums of adjacent teeth or a deep pocket of infection, surgery called crown lengthening may be necessary before a bridge can be placed.

What kind of restorations might replace missing teeth?

There are many options for replacement of teeth, with varying fees for service:

• Bridge: One or two teeth are replaced by having a tooth made of metal anchored on either side by crowns on the adjacent teeth.
• Complete Upper Denture: All teeth are missing in the upper arch.
• Complete Lower Denture: All teeth are missing in the lower arch.
• Immediate Denture: The denture is made prior to extraction and is fitted right after teeth are extracted. This procedure is more expensive and will need replacement at the patient's expense, usually within one year.
• Removable Partial Denture: Some teeth are missing and the denture fits onto two or more remaining teeth.
• Processed Reline: A denture is relined with acrylic to accommodate the new shape of the gums following extraction or subsequent shrinkage of the gums.
• Implant: One or more teeth are replaced by inserting metal posts into the upper or lower jaw. A crown, bridge or denture is then attached to the metal post(s).