Surgical Extractions

General Information & Overview

There are two forms of tooth extraction: Surgical and Simple. The type you need will depend on if the tooth has erupted out of the gum tissue or if it is still below the gumline. Teeth which have erupted are removed using the Simple technique. Those that remain below the gum line are removed Surgically. The most common reason for the removal of a tooth is severe decay or breakage of a tooth that cannot be saved. Regardless of the reasons that a tooth must be pulled, extractions are usually reserved only for cases in which no other treatment option will cure the infection or problem.

Teeth may be removed because of:
  • Severe tooth decay or infection
  • Extra teeth that are blocking other teeth from growing in
  • Severe gum disease
  • Orthodontic treatment
  • Non-restorable teeth
  • Fractured teeth
  • Cosmetic reasons

The Procedure

There are two forms of tooth extraction: Surgical and Simple. The type you need will depend on if the tooth has erupted out of the gum tissue or if it is still below the gumline. Teeth which have erupted are removed using the Simple technique. Those that remain below the gum line are removed Surgically.

Simple Technique

Simple extractions are performed on teeth that can be seen in the mouth and that do not require sectioning the tooth or incising the gum tissue for removal. These extractions are performed on teeth that must be removed due to extensive decay or injury, or even orthodontic treatment, and are usually performed under a local anesthetic. During this procedure, the doctor will grasp the tooth with forceps and loosen it by moving the instrument back and forth until the supporting structures widen enough to allow the removal of the tooth.

Surgical Technique

Surgical extractions are performed on teeth that have broken off at the gum line, have not yet come in, or those that cannot be easily extracted. To remove the tooth, the doctor will have to cut and pull back the gums, which allows access to the area. This is necessary for visibility so that we can see the tooth that needs to be removed. Surgical extractions are usually performed under local anesthesia but a general anesthesia is sometimes preferred, especially for wisdom teeth extractions.

The Benefits

After a thorough exam, Dr. Acharya will discuss her findings and all options for treatment. Dr. Acharya's goal is to help you come to an informed decision regarding care. Complicated or multi-disciplinary cases may require further discussion with your general dentists prior to presenting your treatment plan.