Multiple Tooth Extractions
Honolulu
Multiple Extractions provided by Dr. Haruki
and Dr. Oishi
in Honolulu & Waipi'o, HI at Pacific Maxillofacial Center
Your teeth function to help you chew, talk, and most importantly, smile.
Having a good bite is part of having a healthy smile.
Our staff at Pacific Maxillofacial Center can examine your teeth, review the structure and together, we can create a treatment plan that will lead you to better oral health.
Sometimes our natural teeth can just come with problems.
They could have insufficient room, be twisted out of alignment, or even have multiples of the same tooth. In other situations, a patient may have suffered from severe decay or persistent periodontitis and no longer have the necessary bone to support their teeth.
All of these conditions can cause problems with our bite, known as a malocclusion. We can help put your bite on a better path, perfecting your smile and improving your oral health.
Do I Need Tooth Extractions?
The health of your mouth matters, both for your teeth and your overall health.
Sometimes restoring your health requires first removing any diseased or poorly placed teeth.
There are several situations when extraction of a single or multiple teeth is required to have better health.
This may include:
Impacted Teeth
The most common cause of multiple teeth needing to be extracted is insufficient room for the teeth to fully erupt.
The third row of molars, often referred to as the wisdom teeth, are known to not have the necessary room needed to come into position correctly and most people, about 80%, will require extraction.
Severe Tooth Decay
In the event of severe tooth decay, cavities may damage a tooth to the point it cannot be repaired by a filling or crown.
Though saving the original structure is ideal, we may have to extract the tooth if there is insufficient tooth structure to save.
Severe Periodontal Disease
When the supporting gums and bones have suffered with long term periodontitis, or gum disease, the structure can become compromised.
Bone loss in the jaw can occur and then there is insufficient bone to support your teeth.
Cracks Below the Gumline
Trauma from an impact can cause cracks and fracture below the gumline. When this occurs, bacteria can leak through the cracks and cause infection.
Tooth Fracture
Some fractures of the tooth can be repaired or capped with a dental crown.
Sometimes, the fracture is significant enough or positioned in such a way that we can not restore the tooth and the tooth needs to be extracted.
How are Teeth Extracted?
Though the process can vary, overall tooth extraction can be categorized as either a simple extraction or a surgical extraction.
In general, surgical extractions are performed by oral surgeons like ours here at Pacific Maxillofacial Center. We are highly trained in the specific work of multiple tooth surgical extraction.
Surgical extraction means that cuts to the tissue are needed to fully pull the tooth free from its socket.
Sometimes general dentists will refer even their simple extractions to our office because a simple extraction can easily become a surgical extraction during the procedure, especially if it's likely that the tooth will break during the procedure.
The process of surgically extracting a tooth involves first making sure our patient is comfortable. We often use a local anesthetic, but have other options available depending on the situation.
Multiple extractions are often performed with the patient fully sedated. We then open the gums to reveal the tooth below the gumline.
Oftentimes bone is removed if it is diseased or shaped in such a way that removal is necessary.
Additionally, we often will quarter the tooth into four parts for removal. Cutting the tooth into smaller pieces allows for easier removal.
The socket is then cleaned and the tissue is closed with sutures.
Is There a Recovery Period After Multiple Tooth Extractions?
Having multiple teeth extracted can be painful, and there is often a longer recovery period following removal than single tooth extractions.
We will provide you with information on pain relief, what signs of infection to look for, instructions on what to do about swelling and other concerns such as excessive bleeding.
Most patients need to take great care to take it easy the first 2-3 days following their surgical extraction, so don't expect to return to work for a few days.
What Options Do I Have for Replacement?
If replacement is needed, we have options available. It is important to replace necessary teeth to provide proper function and balanced esthetics.
Some options include:
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Dental Bridge: A dental bridge can be secured to replace up to three missing teeth. A bridge uses either natural teeth or dental implants to permanently anchor false teeth between.
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Partial or Full Dentures: Like a bridge, a partial denture is used to restore missing teeth. The difference is in how the prosthetic is retained, partial dentures are removable, using clasps that wrap around neighboring teeth with false teeth between. A full denture can be permanently anchored to a series of dental implants for permanent retention, otherwise it is a removable device.
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Dental Implants: A dental implant is a post that we can surgically insert directly into the jawbone. Once secured, we can then place a dental crown, a dental bridge or a denture prosthetic to it for a permanent restoration. |
Schedule a Consultation Today!
If you have suffered tooth damage or require extraction to elevate your oral health, call Pacific Maxillofacial Center to schedule your consultation today at 808-585-8455.
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