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Posts for tag: extraction

By Elite Smiles
May 24, 2019
Category: Oral Health
Tags: extraction  

Preserving the natural teeth is always an important oral health goal, but there are times when a tooth extraction is necessary. When they are necessary, extractions can actually help maintain or improve your oral health by removing a problem tooth. A dentist can determine if an extraction is necessary in your situation. At Elite Smiles, Dr. Geetha Sripathi is your Morrisville, NC, dentist for tooth extractions.

Reasons for Extraction

There are many reasons why an extraction might be necessary in a particular situation. For instance, it can be beneficial to remove a toothToothache that is severely infected so the infection does not spread beyond the affected tooth and end up infecting other teeth. Dr. Sripathi, your Morrisville dentist, can determine if an infected tooth can be preserved or if it is best to extract it. Some situations when extraction might be necessary include:

  • A tooth that is severely infected
  • A tooth damaged by injury or other trauma
  • An impacted wisdom tooth that will not fully erupt
  • Teeth that are overcrowded and do not have enough space
  • Baby teeth that have not already fallen out by the normal age

Extraction Procedure

The procedure for extracting a problem tooth involves several steps. Typically, an x-ray will be taken beforehand, which the dentist reviews to determine if any adjustments are needed when extracting the tooth due to unusual positioning of the root. A local anesthesia is then applied to numb the area around the tooth to be pulled out. Patients might also receive a mild sedative to minimize discomfort and help them relax during the procedure. Once problem tooth is extracted, the gums will be stitched closed and usually take about one to two weeks to fully heal.

There are many reasons when an extraction is not only necessary, but also best for ensuring optimal oral health. To find out if an extraction is necessary in your situation, schedule an appointment with Dr. Sripathi, your Morrisville, NC, dentist, by calling Elite Smiles at (919) 388-0137.


The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces).┬áSome people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”