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Posts for tag: extractions

By Douglas Pennino, DDS
September 25, 2018
Category: Dental Procedures
Tags: wisdom teeth   extractions  

Wisdom ToothAre You in Need of a Tooth Extraction?

If your teeth are crowded, diseased, or have gone through some sort of trauma, you may need a tooth extraction. Drs. Douglas and Chase Pennino in Barrington, IL, perform dental extractions and want you to know the following information regarding the procedures:

What Causes a Tooth to Need an Extraction? What is the Process Like?

Tooth decay, periodontal disease, and impact trauma are the primary reasons why a tooth will need to be pulled.

Though there are always risks of tooth decay and periodontal disease, they can both be greatly reduced through the following measures:

  • Flossing before bed and making sure to floss between each tooth and in hard to reach places like molars.
  • Quitting bad habits such as smoking, chewing tobacco, and drinking excessive amounts of coffee and tea.
  • Brushing your teeth twice a day for two minutes each and holding the brush at a 40-degree angle to improve your chances of having healthy teeth.

If trauma from a sport and/or overcrowded teeth are the reason you need a tooth extraction, then your doctor will need to examine the severity of the situation and schedule an appointment for the tooth extraction. Then they'll administer an anesthetic to numb your mouth before the procedure. Your doctor will extract whatever is left of the natural tooth and stitch the extraction area. Finally, they'll apply gauze to stop bleeding and help with blood clot formation.

To ensure a speedy and healthy recovery, avoid eating, or drinking for a few hours. Don't use a straw when you can drink, and ice the tooth extraction area. Use pain relievers if needed and avoid smoking or drinking alcoholic beverage after the procedure. Rinse your mouth with warm salt water for constant disinfection, and call your Barrington doctor if you're suffering from severe pain as it may be a dry socket (meaning blood hasn't clotted properly).

Contact Us Today!

If you think you need a tooth extraction and want to consult your doctor to see if the tooth is beyond saving, then you should call Pennino Family Dentistry's Barrington office today! New patients can call (224) 655-6384 and existing patients can call (847) 381-6222


“To gain something, sometimes you have to give up something else.”

No, that isn't the latest viral meme on the Internet. It's actually a practical consideration that could arise in orthodontics.

In this case, the “something” to gain is a straighter, more attractive smile; the “something” you may have to part with is a few teeth. This may be necessary if there are too many teeth on a dental arch for its capacity, a situation called crowding. A lack of space is the main reason teeth come in misaligned.

Before we can correct this, we'll need to free up space to allow for tooth movement by removing one or more of the existing teeth. The ideal candidates are those that are near to the teeth we wish to move but not highly visible. The first bicuspids are the most frequent choices for removal: they're located behind the cuspids or eyeteeth (the pointed teeth right under the eyes).

Ideally, we'll remove the target teeth some time before we apply braces to give the gums a chance to heal. At the same time we want to preserve the bone that once supported the teeth we've extracted. This is because when we chew the forces generated by the teeth stimulates bone replacement growth. When a tooth is no longer there the supporting bone doesn't receive this stimulation and may ultimately reduce in volume.

We may try to prevent this by placing a bone graft in the empty socket immediately after removing the tooth. The graft serves as a scaffold to encourage new bone to grow. Hopefully when we're ready to apply braces, the bone will be strong and healthy to handle the movement of the teeth.

As the teeth move under the influence of braces, they'll begin to fill up the space created by tooth removal. Once it's completed, the extracted teeth won't be missed — the other teeth now straightened will completely fill out the smile.

The different steps in this process must be carefully planned and executed precisely, and it will take months or even years to complete. In the end, though, this complicated bite problem can be corrected and replaced with an attractive, straight smile.

If you would like more information on correcting a poor bite, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”