Although permanent teeth can last a lifetime, teeth that have become damaged or decayed may need to be removed or extracted.

Why are extractions needed?

The extraction of third molars is one of the most common procedures in oral surgery because, owing to the position of the wisdom teeth in many cases, they do not fully emerge into the mouth and can become impacted against the next molar or against the bone of the jaw.

For most people, an impacted wisdom tooth does not cause any problems, but some people can suffer inflammation of the surrounding gum and a higher risk of tooth decay and gum disease in the adjacent area.

Another potential reason for extractions is to alleviate crowding of the mouth in preparation for orthodontic treatment such as braces.

And if tooth decay or damage extends to the pulp (the centre of the tooth containing nerves and blood vessels), bacteria in the mouth may enter the pulp, leading to infection, and if antibiotics do not cure it, extraction may be needed to prevent the infection spreading. In some cases the risk of infection is enough to warrant the removal of a tooth – if, for example, your immune system is compromised because you are receiving chemotherapy or are having an organ transplant.

Gum disease can also be a reason to choose to extract teeth in cases where periodontal disease, an infection of the tissues and bones that surround and support the teeth, has caused loosening of the teeth.

How we can help

Patients can undergo extractions comfortably under local anaesthetic, although inhalation sedation is available at one of our respected referral clinics to make the experience easier for nervous patients.

If you think you may need a tooth extracted, book a consultation with Dr Ruparelia, who will examine your mouth and assess whether it is a suitable option for you.

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