Everything You Need To Know About Tooth Extraction

Every adult remembers the days of childhood excitement due to a missing tooth. As an adult, it is not so exciting. The knowledge that a missing tooth will grow back is enough comfort to make any fear cease to exist. Teeth only grow back once. Several adults have to face the terror of their teeth being removed and their main concern is what that newly proportioned smile will do to their face.

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Why is Tooth Extraction Necessary?

The main reason teeth usually need to be removed is because the mouth simply does not have enough room. The most common orthodontic treatment involved with this fact is the removal of wisdom teeth. These teeth often grow later in life and either risk damage to the other teeth or create a crowded mouth. Wisdom teeth also very rarely grow straight, which can lead to serious issues. In order to prevent any infectious spreading, tooth extraction is also necessary for tooth decay and gum disease. Other reasons for tooth extraction are misaligned or non-functioning teeth. Orthodontists, and an Orthodontist in Centerville, often have to remove misaligned teeth when putting on braces in order to come out with a healthy, straight smile.

When it comes to orthodontics and the face, several people are worried about proportions after the teeth are removed. Another fear is whether or not the smile will appear straight or aligned with the rest of the face. While teeth extraction can cause slight changes to the face, it is highly unlikely. Often, these changes are seen by the individual but are invisible to the world around them.


Leaving the teeth in place can often cause a lot more visual damage than removing them. If someone has extra teeth or the mouth is overcrowded, it will force the other teeth to move over and make room until they hit the two front teeth. These two teeth will then have to move forward in order to accommodate, causing the smile to obtain a “buck-toothed” appearance. An overcrowded mouth can also cause problems with mouth closure. The lips will not be able to close over the teeth completely and will either protrude forward or cause extreme lip strain.

In the end, the face is at a much higher risk when the teeth stay then when they are surgically removed by orthodontic treatment.

How Does Tooth Extraction Work?

An Orthodontist in Centerville does not take tooth extraction lightly. Before determining whether or not a tooth needs to be pulled, they take extensive x-rays and examine pictures or models from orthodontics before making a decision. Saving the tooth is always the number one choice.

Once it has been established that extraction is necessary, the orthodontist will give the patient a local anesthetic that will numb the tooth removal area. If more than one tooth is being removed, they will often use a stronger general anesthetic that will cause the patient to sleep through the entire procedure.

Once the area has been numbed, the tooth will be removed one of two ways. If it is impacted, the gum and bone tissue covering the tooth will be cut. Once that has been done, the orthodontist will use a small instrument to grasp the tooth and rock it back and forth. This process causes the tooth to loosen from the bone and ligaments holding it in place. Ideally, the tooth will come right out, but a difficult tooth has to be extracted differently. Rather than simply pulling the tooth, the orthodontist has to use an electric drill to cut the tooth into pieces. The tooth will then be removed piece by piece until it is entirely extracted.

tooth extraction

What to Expect During Recovery

Recovery is what causes the most visual damage to the face. It usually takes four to seven days and can be painful if left alone. It sometimes involves swelling of the face and gums.

The orthodontist will give their patient several pointers on how to reduce pain, swelling and the risk of infection during recovery.

  • Medication for pain is usually prescribed. The medication often causes the user to become drowsy but largely reduces the pain.
  • Gauze pads will need to be used over the socket for about four hours after the extraction in order to reduce bleeding and allow the clot to form.
  • Ice bags should be used over the extraction area in order to reduce facial swelling.
  • Activity should be limited for at least two days after the dental surgery.
  • Patients should avoid rinsing the mouth or spitting for one day after the extraction in order to reduce the risk of dislodging the blood clot within the socket.
  • After one day, patients should rinse their mouth daily with a salt and water solution to keep the open socket safe from infection.
  • Patients should only eat soft foods, such as yogurt, soup, pudding or applesauce, for at least two days after the dental surgery.
  • The head should be propped up while lying down in order to reduce the risk of prolonged bleeding.

How to Reduce the Risk of Negative Facial Appearances

In the case of wisdom teeth removal, the teeth are simply removed. In the case of infection, teeth can be replaced with surgical dental implants. This reduces the risk of any negative proportions against the face or smile. It is also important that a patient follows all the pre-care rules after going through tooth removal in order to reduce the risk of permanent gum or face swelling.

While tooth extraction carries a risk for harmful visual side effects. More often than not, it is necessary for both health and appearance. Centerville Orthodontics and Orthodontic Treatment Fairborn can help patients decide whether tooth extraction is right for them.

Contact the Best Orthodontist in Centerville

When looking for an orthodontist in Centerville, don’t forget to contact King Orthodontics. We offer a wide variety of options. In addition to Invisalign Teen braces, our orthodontist will be able to provide Invisalign pictures to help you see what your teeth will look like in the future.

 King Orthodontics
400 East Dayton
Yellow Springs Rd.
Fairborn, OH 45324
Phone: (937) 878-1561
Everything You Need To Know About Tooth Extraction


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