Removal of Single or Multiple Teeth both Surgically and/or Nonsurgically.
Tooth extractions can involve the removal of a single tooth, tooth fragments, multiple teeth or an entire set of teeth. Each of these situations can present different challenges and the plan for the type of tooth replacement can influence the method and procedures used. Dental Implants have become such a desirable tooth replacement, that we can no longer allow teeth to deteriorate to the point that all of the bone support is lost. We often recommend removing a bad tooth while the bone support is still adequate to allow for the later placement of a dental implant. The method used to remove this tooth must be gentle and not damage the bone during the extraction process if an implant is planned or to create the best esthetics if a bridge is planned. We often spend extra time insuring complete but gentle removal. If multiple teeth or the entire dentition needs to be removed, the bone can heal with sharp points or edges that make wearing a denture or removable appliance very uncomfortable. We will usually complete a bone reshaping procedure (alveoloplasty) with the extractions to allow for uneventful healing and to create a site with optimal contours for the planned restoration. If a tooth or teeth are broken down so far that they are under the gums, we will open the gums just enough to get the access needed for removal but still taking care to preserve the bone for a future restoration.