Tooth extractions in more recent times are performed keeping in mind the patient at some point will consider dental implants.
Dental implants require a certain degree of bone to be viable over the patient’s lifetime.
Preservation of the bone is a critical step in proper treatment planning.
I render emergency dental care in Kansas City.
Your dental emergency in KC may require tooth extractions.
Patients having teeth removed are now given the opportunity to receive bone grafts in the areas of the surgical sites.
The bone will atrophy down to the bottom level of tooth roots.
For this reason oral surgeons advise our patients to not prolong dental implant placement.
Implants maintain the integrity of the jawbone level very similar to the stimulation of bone from the actual teeth.
A routine extraction requires the elevation of a tooth from its socket.
Surgical removal of teeth are handled with care taken in the process of sectioning the tooth mass and when necessary reducing the interference locking the tooth in bone.
Oral surgeons use a bone reduction guide to help in planning difficult prosthetic cases.
It takes 1-2 years for bone resorption to occur in the oral cavity.
A good rule of thumb is to measure the jawbone twice before any reduction, a rule used by carpenters to not waste time and materials.
Patients that display a gummy smile profile are difficult cases to restore due to the major concern, not enough bone is removed to set-up teeth for an upper denture.
If not enough bone is removed the restoring dentist has minimal room to restore the case.
Minimal room results in a less than ideal placement of teeth.
The denture can be remade for greater esthetics with bone resorption occurring after the 1-2 year period.
Not everyone wears a lower denture successfully.
We advise patients who must wear lower dentures, a permanent soft liner will stabilize excessive sliding of the denture.
A minimum ideally of 4 implants give greater stability to lower dentures.
Tooth extractions can be performed with minimal discomfort to the patient.
Knowing the tolerance levels of your patient is an important factor in planning the removal of teeth.
From the Diary of my enlightenment,
A.L. Clark, D.D.S. http://dentist4you.biz