Tooth extraction is the removal of a tooth from its socket in the bone. It is the last resort when tooth cannot be saved due to extensive broken or damaged by decay and cannot be fixed with a filling, crown or other treatment. A very loose tooth also will require extraction if it can't be saved, even with bone replacement surgery.
The loss of one or more teeth is a widely spread problem. There are a variety of reasons for tooth loss, for instance accidents, trauma, dental decay or diseases of the periodontium.
The real problem starts after tooth removal, if the teeth in posterior region are removed functional activities like mastication are compromised; in the anterior region aesthetics and speech are compromised. In addition there may be supra-eruption of opposing teeth or distal migration of adjacent teeth.
Wisdom teeth appear normally in the age between 17 and 24. In many cases the appearance of the wisdom teeth causes dental complications. Mainly due to the lack of space a proper alignment of wisdom teeth to the natural dentition is difficult. This can lead to dental crowding, mal-alignments, painful local inflammations or dental cysts. In most of these cases an early removal of the wisdom teeth is highly recommend.
Depending on the dental situation different surgical methods need to be applied: Fully erupted wisdom teeth are easier to remove by regular extraction methods. In cases where the wisdom teeth are still partially retained in the bone more intensive surgically methods are required.
Through progressive root growth and increasing density of the jaw bone, the removal becomes more difficult with an increasing age. For this reason the surgical removal should take place in adolescence. Therefore, misalignments or damages to persistent can be avoided due to early intervention. In general the bone and mucosal tissues heal quickly and uneventful.
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