Much of our focus at Advanced Dentistry is on saving diseased or damaged teeth. Sometimes, though, tooth removal in Middlesex is necessary to preserve your overall oral health. While you may not be glad to lose a tooth, with our comfort care dentistry, you won’t feel anxious or upset about it either.Doctor Beth Dorfman on tooth extractions and sedation Read Transcript
Patients often will need a tooth removed if they have a cavity in that tooth that's gone not treated, or just gotten very deep and the tooth is not gonna be restorable. Or a tooth could be removed if it fractured. You hear the stories that they had an olive pit and they bit down, (excuse me), and the tooth fractured. Or a crack.
So if the tooth needs to be extracted, obviously we can do that. When an extraction is planned, all patients always get local anesthetic. We try to employ the most gentle of local anesthesia delivery techniques with topical, a little shaking of the cheek, to make the patient most comfortable and least aware that they're getting a shot, because people have fear of that.
I know patients rave about Dr. Reilly and his ability to give local anesthesia. I've had very many patients, even this week, that say, ‘Oh, I didn't even know you gave me the shot.’ So that, as a dentist, we're always striving to achieve, because painless dentistry is really the goal.
In addition to local anesthesia, we offer oral sedation, where a benzodiazepine or a (inaudible)-type medication, that's the most common name most people know of, but things in that class of drugs can be given alone or in conjunction with (inaudible) in order to sedate the patient.
Another type of option we have is conscious sedation that I do here in the office with an IV line, and I do have a medical consultation before and speak to the patients' physicians to know that everything that I'm gonna be doing is something that would be commensurate with keeping them healthy. That is probably the second most deep form of sedation we offer.
Then finally, if a patient is so phobic and is really, wants to be unconscious, we can do that, not in a hospital but here in the office. We bring in an anesthesiologist, an MD anesthesiologist, to the office and they can do an intubation and a deep anesthesia for the patient where they're completely unconscious.
For your tooth extraction, our dentists will use:
- Technology like 3-D imaging that helps us identify any potential complications before your procedure
- Effective local anesthesia to numb your mouth
- Dental sedation, if you need it
- Platelet-rich plasma (PRP) to speed healing after your extraction
If you think you may need to have a tooth removed, call us today at 732-506-2876. We offer emergency appointments and can schedule mornings, evenings, or Saturdays.
Our Dentists Can Perform Most Extractions
Our highly trained dental team can perform most tooth extractions, even wisdom teeth, with the exception of bone-impacted wisdom teeth. Using our 3-D imaging, we’ll be able to see the impaction and refer you to an oral surgeon. Some common reasons for removing teeth include:
- Extensive decay or damage
- Preparing your mouth for orthodontic treatment
- Making room for dentures or other dental restorations
The quicker your extraction site heals, the quicker you can resume full oral function. Ask our dentists about using PRP (platelet-rich plasma) to help you heal more quickly. We can use a concentrated sample of your own blood to increase your body’s healing power.
Enjoy Many Tooth Replacement Options
It’s always a good idea to replace a missing tooth. If you don’t, you risk damaging adjacent teeth. Plus, the bone under your extraction site will deteriorate over time. Your options include:
- Dental Implants – Depending on the restorations used with them, implants can replace anywhere from one tooth to all your teeth. In some cases, you may be able to get your extractions, implants, and replacement teeth all in one appointment.
- Dental Bridge – You can replace one tooth or several adjacent teeth with a bridge. It can be anchored to your own teeth or to dental implants.