Sometimes, orthodontic treatment involves more than just visits to the orthodontist’s office. Additional specialists may be brought in to support the success of your treatment, particularly when more invasive procedures are required. Our team at Texas Family Orthodontics has put together some information to help you answer the question: “Do I need a tooth extraction before orthodontic treatment?”
Surgical vs. Simple
The first is a simple extraction, which is typically a less complex procedure. This involves removing teeth that are plainly visible in the mouth and are more easily removed.
In contrast, a surgical extraction is more complex, particularly for teeth that are not readily accessible or are obscured in the back of the mouth. Qualified professionals perform these complex extractions, including certain dentists, periodontists, and oral surgeons. That being said, a collaborative approach combining the skills of dentists, surgeons, and orthodontists like Dr. Katie Vo is a standard practice in our field.
When Extraction is Needed
In the context of orthodontic treatment, there are specific instances where tooth extractions may be necessary:
- Crowding: When the jaw lacks sufficient space for proper alignment of the teeth, extracting one or more teeth can create the needed space.
- Protrusion: Particularly when the front teeth extend forward, extraction can facilitate alignment correction.
- Bite-Related Issues: Extractions can help address problems like overbites (vertical overlap of front teeth) or overjets (horizontal protrusion of upper front teeth).
- Impacted Teeth: For teeth that struggle to erupt properly, extraction may be recommended to allow other teeth to shift into their intended positions.
How an Extraction Works
If Dr. Vo determines an extraction has become necessary, we want to outline the general steps involved so you know what to expect. While specific details may vary based on the unique aspects of your treatment, this overview provides a broad understanding of the process:
- Evaluation/Consultation: Before the extraction, your dentist or oral surgeon will discuss anesthesia options with you. Local anesthesia will numb the extraction area, while sedation options like IV sedation or nitrous oxide can help keep you calm and relaxed during the procedure.
- Anesthesia: There are usually a few choices here: Local anesthesia numbs the extraction area, keeping you fully aware of the procedure. Alternatively, IV sedation or nitrous oxide can be used to make you drowsy but aware. This decision will be made between you and your doctor ahead of time.
- Incision: If necessary, a small incision may be made in the gum tissue near the tooth to access its root structure.
- Tooth Extraction: Specialized instruments are used to loosen the tooth from its socket in the bone carefully. The tooth may be removed in one piece or divided into sections for easier extraction. In some cases, a bone graft may be used to preserve the ridge and reduce bone loss.
- Stitches: Depending on the situation, stitches may be used to close the incision site. These stitches typically dissolve on their own over time.
- Post-Op Care: After the procedure, you’ll receive instructions for caring for the extraction site, including guidelines for oral hygiene, dietary restrictions, and using cold compresses to reduce swelling.
- Recovery: Over the next few days, you may experience mild bleeding, swelling, and pain. Pain relievers and anti-inflammatory medications can help manage these symptoms.
The Orthodontic Role
Now that we’ve covered how extractions work, we can talk about where an extraction falls over the process of orthodontic treatment with Texas Family Orthodontics:
- Orthodontic Consultation: Whether or not an extraction is needed, this is always our first step. We use this appointment to evaluate your specific situation and determine your treatment needs.
- Planning: If Dr. Vo decides that an extraction is necessary, we will refer you to a qualified general dentist or dental specialist to perform the procedure.
- Extraction Procedure: The extraction will be carried out following the detailed steps outlined previously, ensuring expert care throughout the process.
- Orthodontic Treatment: After the extraction(s), we will resume or begin your orthodontic treatment. This involves using braces or other appliances to gradually move your teeth into their correct positions.
- Follow-Up: Dr. Vo will monitor your progress, making any necessary adjustments to your appliances and treatment plan as needed.
Trusting the Process
The potential need for an extraction might seem overwhelming, but it’s crucial to trust in professionals like our Texas Family Orthodontics team and the exceptional doctors we collaborate with. Extractions are routine procedures for dental experts, so there’s no need for undue anxiety! For more information, contact our San Antonio and Windcrest offices, and we’ll get you in for a free consultation!