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Extraction of teeth at Gunitskiy Family Dentistry is carried out in cases when it is no longer possible to save them

As for baby teeth, it is not recommended to remove them even with severe cavity damage 


To ensure painless tooth extraction for the patient, the procedure can be performed under local anesthesia or sedation such as laughing gas or oral sedation.

Tooth extraction

Here at Gunitskiy Family Dentistry we always try to preserve the natural tooth. Extraction is a last resort after Dr. Gunitskiy has considered or tried other treatments to avoid tooth extraction, but it did not work. Occasionally, tooth extraction needs to be carried out for orthodontic reasons, including double teeth that develop in the mouth that hinder the normal development or placement of teeth. The orthodontist therefore may request to remove some teeth so that the teeth can move to create a beautiful smile.




Infection or inflammation of the teeth

When a tooth is decayed or is damaged, it can extend to the middle layer of the tooth that consists of nerves and blood vessels. Cavity infections are caused by bacteria in the oral cavity. It can usually be treated with root canal treatment to maintain that tooth. However, for severely damaged teeth, it might be too late to be treated with this method. Extraction is therefore the only option to prevent the spread of infection.



Chemotherapy or immunosuppressed patients

A weakened immune system that can be result from chemotherapy or immunosuppressants makes teeth more susceptible decay, toothaches and the spread infection. Hence before starting the treatment, your specialist doctor will recommend to visit the dentist to check whether the patient has cavities, and if any exist, it may be necessary to remove the decayed teeth instead of filling them to prevent the inflammation of the tissues and bones around the teeth and the supporting bone. 

In addition to the above reasons tooth extraction may also be necessary if:

  • The tooth affects the soft tissues of the cheeks.

  • Broken tooth from an accident that cannot be repaired 

  • Too many teeth in the mouth or in abnormal areas

  • The third molars are not positioned correctly or are causing pain

  • Teeth that are close to certain lesions such as cysts, tumors or cancer

  • Severe form of periodontitis

  • Acute inflammation of soft tissues (abscess)


Baby teeth removal

As for baby teeth, it is not recommended to remove them even with severe cavity damage. The fact is that the absence of a baby tooth may cause the movement of other teeth into its place, which can lead to further space problems and more extensive orthodontic treatment in the future. If a baby tooth has to be extracted, then Dr. Gunitskiy may recommend the placement of a space maintainer to occupy the space until the adult tooth comes out in its place. It is recommended to carry out the extraction only if the baby tooth did not fall out in time and interferes with the growth of the permanent one.

Contraindications to surgery​
  • Hypertensive crisis

  • Taking medications that lower blood clotting

  • Pregnancy (first, last months)

  • Acute mental disorders

  • Inability to freeze due to an infection

  • Immunosupressed or immuno-compromised individuals

  • Taking other medications such as bisphosphonates (bone strengthening medications)  

Painless tooth extraction in London ON

To ensure painless tooth extraction for the patient, dentistry performs the procedure under local anesthesia. If there are medical indications, then the extraction is done under anesthesia.
Simple extraction vs surgical extraction

Simple extraction (removal) is possible if the root top and crown protrude above the gingival margin. Then special tools (elevators, forceps) are used, acting on the principle of a lever. 

The operation is conventionally divided into:

  • anesthesia;

  • extraction;

  • Sometimes the hole has to be sewn up with threads

If it is impossible to capture the tooth with instruments, Dr. Gunitskiy may elect to perform the surgical method. Dr. Gunitskiy will make and incision in the gums and will remove the tooth piece by piece. At the end, Dr. Gunitskiy will suture the cut gum with disolvable sutures. 

Recommendations after removal

25 minutes after the operation, a blood clot forms in the hole, which will protect against infection from entering the tissue. After a week, the hole is usually tightened, the epithelium is restored. The process is usually accompanied by minor discomfort and itching.

To reduce the risk of complications after tooth extraction, you should follow the doctor's recommendations:

  • do not consume food and liquids within 2-4 hours after removal;

  • give up hot food altogether for one day;

  • Take painkillers as prescribed.

  • Rest for 24 hours following the operation and limit your activity for the next couple of days.

  • To avoid dislodging the blood clot, don’t rinse, spit, or use a straw for 24 hours after the procedure.

  • After 24 hours, rinse your mouth with a salt solution, made with half a teaspoon of salt in one cup of warm water.

  • Avoid smoking.

  • When sleeping, prop your head up with pillows, as lying flat can prolong healing.

  • Continue brushing and flossing your teeth to prevent infection, though avoid the extraction site.

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