Most of us are born with 28 permanent adult teeth (32 if you count the four wisdom teeth). However, we don't get to keep all of our permanent teeth. Many of us will have to remove one or more permanent teeth at some point or another. There are many different reasons why we lose our adult teeth, such as:
It's not unusual to have to remove two or four of your permanent teeth before starting braces treatment. Your orthodontist will advise you to remove these adult teeth to create sufficient room for your remaining teeth. By removing these teeth, your orthodontist can give you straight teeth, improve your bite, and reduce the likelihood of orthodontic relapse over time.
Impacted wisdom teeth
Wisdom teeth, or third molars, are the teeth located all the way in the back of your mouth. If you have wisdom teeth in your mouth, and not all of us do, then there's a good chance that you may have to remove these teeth. We usually have to remove wisdom teeth because there isn't enough room for them in our mouth. Impacted wisdom teeth can cause pain, swelling, and teeth crowding. Removing your wisdom teeth rids you of pain and fixes all of these problems.
Broken and infected teeth may also have to be removed from your mouth. Leaving broken teeth or teeth roots in your mouth is never a good idea. These teeth are almost always infected. Dental infection spreads from one tooth to the next. It can also travel through your bloodstream and sinuses to the rest of your body. As a result, dental infection can compromise your your entire oral health as well as your overall well-being. If a bad tooth can't be saved then you should definitely have it removed to prevent further complications. Since not all dental infections are painful, you may not even be aware that there is an infection inside of your mouth. Schedule your appointment with your dentist today and rid yourself of these infected and harmful teeth as soon as possible.
Sever gum disease
The number one cause of tooth loss among the adult population is gum disease or periodontitis. Infected gums cause your teeth to become loose as they lose their supporting bone structure. If left untreated, your tooth starts to move and becomes infected. Unfortunately, it's not uncommon for patients with severe gum disease to lose multiple teeth, sometimes even all of their teeth! Getting a dental cleaning could make all the difference in the world. Don't wait too long and schedule your dental cleaning to rid yourself of gum disease and save your teeth.
What are wisdom teeth?
Wisdom teeth, or 3rd molars, are those teeth located all the way in the back of your mouth. Not all of us have wisdom teeth in our mouths. Some lucky individuals are born without wisdom teeth and never have to worry about them. However, the majority of us have four wisdom teeth, one in each corner of the mouth. If you have wisdom teeth in your mouth, then you need to decide whether to keep them or remove them.
Leaving problematic wisdom teeth in your mouth is never a good idea. Wisdom teeth can cause lots of pain and discomfort when they start to push their way out. The sooner your problematic wisdom teeth, the less you will suffer. Plus, removing wisdom teeth becomes much more complicated as you age. The ideal age for removing your wisdom teeth is your late teens to early twenties.
Leaving problematic wisdom teeth in your mouth is never a good idea. Wisdom teeth can cause lots of pain and discomfort when they start to push their way out. The sooner your problematic wisdom teeth, the less you will suffer. Plus, removing wisdom teeth becomes much more complicated as you age. The ideal age for removing your wisdom teeth is your late teens to early twenties. Ideally, you should have your wisdom teeth evaluated by the time your 15 to 16 years old and decide if you can save them or plan on having them removed.
What are impacted wisdom teeth?
Impacted wisdom teeth are those that are trapped under your jaw bone. Some impacted wisdom teeth fail to erupt into their proper position due to lack of space. As a result, they must be removed or they will cause lots of complications. Complications of impacted wisdom tooth include severe pain, swelling, infection, teeth crowding and developing dental cavities on adjacent teeth.
Should I have my wisdom teeth removed?
Impacted wisdom teeth are trapped under the jawbone.
They push on neighboring teeth and cause teeth crowding.
They also cause pain and infection until you remove them.
Not everyone has to have their wisdom teeth removed. For example, if you have enough room to fully accommodate your wisdom teeth in your jaw, then you get to keep them. However, most people don’t have enough space for their wisdom teeth. If this is the case, then you should remove your wisdom teeth. Here are some complications you could face if you neglect to have your wisdom teeth removed:
Pain and discomfort
Wisdom teeth start to push their way out in your late teens and early twenties. If there isn't enough room for these teeth, they continue to push their way out unsuccessfully. This causes repeated episodes of severe pain, swelling, sometimes even infection. The sooner you remove your impacted wisdom teeth, the less you will suffer!
As your wisdom teeth start to push their way out, they cause your other teeth to move. If there is enough room for them, then there is nothing to worry about. However, if you don't have enough room, this will cause your other teeth to become crooked. Removing your wisdom teeth early on in life helps keep your other teeth straight and prevents crowding. This is why orthodontists typically recommend that your remove your wisdom teeth as soon as you finish your braces treatment.
Impacted wisdom teeth can cause medical problems such as TMJ pain, headaches, and sinus related issues. Removing problematic 3rd molars can relieve the pressure from your joints and sinuses and alleviate some of these symptoms.
Cavities and infection
When wisdom teeth start to erupt they continuously push on their neighboring teeth. When a wisdom tooth is sitting at a bad angle, it can create a hole on its adjacent tooth. Eventually, this causes a cavity on your 2nd molar. If left untreated, the 2nd molar tooth becomes infected and you end up losing the 2nd molar in addition to your wisdom tooth.
Do I need bone graft after tooth extraction?
Once a tooth is removed you are left with a huge, empty socket. This so called extraction socket needs to fill up with bone tissue in order to properly heal. Bone graft assists your body during this post-extraction healing process. Bone grafts are especially useful for wisdom teeth extraction and when you're planning on placing a dental implant to replace your missing tooth. Here are some benefits of placing a bone graft following tooth extraction:
More predictable healing
Adding bone graft after tooth extraction significantly improves the healing process. When a tooth is removed, you're left with a large hole in your mouth. Placing a bone graft assists your body in healing more predictability. The bone graft creates a scaffold for better infiltration of blood cells. This causes you tooth extraction socket to heal better. The end results is quicker healing time, less post-op discomfort, and better bone growth.
Placing a bone graft reduces chances of poor healing known as a dry socket. A dry socket occurs whenever your body fails to rapidly deposit scar tissue into the tooth extraction site. Dry sockets are very painful and they typically take several weeks to resolve themselves. Adding bone graft aids your body in developing more bone particles which significantly reduces the chances of developing a painful dry socket.
Improved jawbone preservation
Bone graft preserves your tooth extraction socket to provide more natural jawbone for future implant placement. Without adding a bone graft, your jawbone might collapse and you won't be a good candidate for implant placement. You now have to perform an extensive bone augmentation procedure or even settle for a bridge or denture instead!
Bone grafts are very safe, simple, and affordable. Dentists use a wide variety of synthetic and animal-derived bone grafting material to restore all types of bony defects. We highly recommended adding a bone graft if you're planning on replacing your bad tooth with a dental implant in the near future.
Tooth extraction and wisdom tooth removal in San Clemente, Orange County
We can help you if you reside in Orange County and need a tooth extracted. We offer all phases of teeth extraction, including same day tooth removal, impacted wisdom teeth, bone grafting, and dental implant placement. Call us today at (949)481-2540 or book your appointment online to schedule your consult. Our dentist, Dr. Jazayeri, will review everything you need to know before removing your bad tooth. We also offer sedation "sleep" dentistry to help those who are afraid of the dentist get through their appointment. So stop suffering from toothache and give us a call to get started today! You will be surprised at how easy it is to fix your bad teeth and get your beautiful smile back.
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A pus pocket containing harmful bacteria that forms around infected teeth. Teeth with abscess are considered infected and they either need root canal treatment or must be extracted.
Amalgam (silver filling)
Material used to fill dental cavities. Amalgam is silver colored and contains Mercury. As a filling material, Amalgam is durable and effective. However, there are some concerns about the safety of using Mercury to restore teeth.
Refer to premolar tooth please.
Canine tooth (cuspid or eye tooth)
A strong, pointed tooth with a single cusp used to direct other teeth as we chew side-to-side. Canine teeth are very strong and typically outlast all other teeth as we age. We have 4 total canines, teeth numbers: 6, 11, 22 and 27.
A hole inside a tooth created by harmful cavity bugs. Dental cavities can cause slight tooth sensitivity, particularly to cold and sweets. They can also be asymptomatic. If left untreated, dental cavities infiltrate the tooth pulp and cause abscess and infection.
Composite resin (white filling)
Material used to fill dental cavities and broken teeth. Composite resin is safe, effective and matches your tooth color. Cosmetic dentists prefer using composite resins to other filling restoration material due to their natural appearance.
A large restoration that replaces the majority of your tooth structure above the gum line. Crowns are used to fix teeth which can no longer be salvaged with a simple filling. Crowns are typically made from gold, porcelain-fused-to-metal or ceramic material.
Refer to cavity please.
Deep cleaning (scaling & root planning)
A type of dental cleaning which focuses on removing plaque and tartar underneath your gum line. Deep cleanings are used to treat gum disease. Most deep cleanings are performed in multiple sessions and often times require anesthesia.
Teeth cleaning performed by your dentist or hygienist. Dental cleaning focuses on removing plaque and tartar which can’t be removed by brushing or flossing alone. Dental cleanings are categorized as simple cleaning or deep cleaning.
The middle portion of your tooth which is located above the pulp and underneath the enamel. Unlike enamel, dentin has nerve endings which makes it sensitive to tooth decay.
Removable, false teeth used to replace your missing natural teeth. Dentures are made from pink and white acrylic. The pink portion secures your dentures in place and the white segment replaces your missing teeth. There are many different types of dentures including full dentures and partial dentures.
The very hard outer portion of your tooth. In fact, enamel is the hardest tissue found in our bodies. Enamel protects your tooth from cavities and provides it with the strength to cut and chew food.
Material used by dentists to replace missing tooth structure. Fillings are used to fix dental cavities and broken teeth. Fillings are made from gold (mostly obsolete), Amalgam (silver filling) or composite resin (white filling).
Full Denture (Complete denture)
A set of false teeth which replaces all of your teeth in one arch. Full dentures are held in place by the suction they provide against your gum tissue. Full dentures are typically made from pink and white acrylic.
The earlier stage of gum disease. Gingivitis is characterized by bleeding gums, bad breath and minor tooth sensitivity. If left untreated, gingivitis progresses to the more advanced stage of gum disease known as periodontitis.
Gum Disease (Periodontal disease)
Disease of the gums and jaw bone. Gum disease is caused by spread of harmful bacteria to your gum and jaw bone. Gum disease causes bleeding gums, bone loss and tooth loss. Gum disease is categorized as gingivitis and periodontitis.
A tooth which is trapped underneath your jaw bone. Impacted tooth typically refers to wisdom teeth, although other teeth can also be impacted. Impacted wisdom teeth usually need to be removed. Other impacted teeth need to be removed, monitored or uprighted by your orthodontist.
The front most four teeth in your upper and lower jaw. Incisor teeth are used to cut food particles. We have 8 total incisors, teeth numbers: 7, 8, 9, 10, 23, 24, 25 and 26.
Spread of harmful bacteria into your tooth nerve. Once cavity bugs reach your tooth nerve, the tooth is now infected. Infected teeth can only be fixed with a root canal or you must remove the tooth completely.
A type of crown which is a hybrid between fillings and crowns. Inlays are essentially conservative crowns which protect teeth similar to a crown but are conservative similar to a filling. Inlays are smaller than onlays and do not encompass your outer tooth walls.
Teeth located in the back of our mouth which have four cusps. Molar teeth are large and used to crush food particles. We have 8 total molars, teeth numbers: 2, 3, 14, 15, 18, 19, 30 and 31. Additionally, some of us have 3rd molars or wisdom teeth which are teeth numbers: 1, 16, 17 and 32.
Refer to pulp please.
A device worn at nights to protect your teeth against grinding. Night guards help reduce tooth fracture, TMJ pain and headaches. There are two types of night guards, generic night guards which you purchase online or from a local pharmacy and custom night guards which your dentist makes for you.
A type of crown which is a hybrid between fillings and crowns. Onlays are essentially conservative crowns which protect teeth similar to a crown but are conservative similar to a filling. Onlays are larger than inlays and encompass at least one or more of your outer tooth walls.
A set of false teeth which replaces some, but not all, of your missing teeth. Partial dentures are held in place by anchoring to your remaining teeth as well as suction against your gum tissue. Partial dentures can be made from different material including metals, acrylic and flexible resin.
Refer to gum disease please.
The more advanced stage of gum disease. Periodontitis is characterized by bone loss, major tooth sensitivity and loose teeth. If left untreated, periodontitis causes your teeth to loosen and fall out. Plus, the resulting infection can spread to the rest of your body and affect your overall health.
Premolar tooth (bicsupid)
Transitional teeth between our front and molar teeth. Premolars have two cusps and are used to crush food particles. They are also the teeth most commonly removed for braces treatment. We have 8 total bisupids, teeth numbers: 4, 5, 12, 13, 20, 21, 28 and 29.
The innermost tooth layer which lies underneath your dentin. Your tooth pulp contains nerves and blood vessels. When your tooth pulp becomes damaged this results in a toothache. Once this happens, you require a root canal treatment or must remove the tooth.
Pulpotomy is the equivalent of a baby root canal. It entails removing the nerve structure from infected baby teeth. Performing a pulpotomy eliminates toothache while allowing your child to keep the tooth itself in order to prevent potential orthodontic complications.
Root canal treatment
A procedure to remove infected tooth nerve to eliminate pain and infection. During root canal treatment your dentist will disinfect your tooth and replace the missing nerve with sterile material known as Gutta Percha. Root canal treatment eliminates pain and infection and allows you to keep the tooth.
Scaling & root planning
Refer to deep cleaning please.
A preventive treatment used to protect children’s teeth. Dental sealants are placed on teeth with deep groves, typically molars, to protect them against tooth decay and infection. Sealants are very effective and safe and do not require any tooth structure removal.
Techniques used to calm patients with anxiety during dental treatment. There are many different sedation techniques in dentistry such as Nitrous Oxide, oral conscious sedation, IV sedation and general anesthesia.
Refer to Amalgam please.
A dental cleaning performed in absence of gum disease. Simple cleanings typically entail basic tooth scraping and polishing, occasionally with Fluoride treatment. Most people require a simple cleaning once every 6 months, although if you’re suffering from gum disease you need one every 3 to 4 months.
Refer to wisdom tooth please.
Refer to composite resin please.
Wisdom tooth (third molar)
Tooth which is located all the way in the back of your mouth. Wisdom teeth start erupting in your late teens or twenties. Not everyone has wisdom teeth. For those that do, there’s a high probability that you have to remove these teeth. Otherwise, they will cause pain, swelling and infection.