usually wisdom teeth come in between the ages of 17 - 25

Wisdom teeth removal

Wisdom teeth commonly known as the 3rd molar are the last teeth to erupt within the mouth. When the gum tissue is healthy and the wisdom tooth is properly aligned, the tooth may not have to be removed. For most individuals, this does not generally happen. Extraction of wisdom teeth is necessary when the teeth are prevented from properly erupting within the mouth. Frequently the wisdom teeth grow sideways and partially emerge from the gum and even remain trapped beneath the gum and bone.

Reasons to remove your wisdom teeth

  • Infection / Bacteria (Chronic or Acute/Severe)
  • Cause Crowding / Shifting of Other Teeth and Orthodontic Relapse
  • Jaw Cysts / Tumors Can Develop Around Retained Impacted Teeth
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you May need a tooth extraction for any number of reasons

Tooth Extraction

Sometimes baby teeth do not exfoliate as they should, and the tooth must be removed to make way for the permanent tooth to erupt. A tooth that decays puts the surrounding teeth and jaw at risk. A tooth may have advanced periodontal disease, or have broken in a way that cannot be repaired. Infection / abscess, orthodontic treatment, problems associated with wisdom teeth, and other anomalies can all require tooth removal. Once removed, your dentist may recommend replacement with a dental implant.

Reasons for Tooth Extraction

  • Dental Decay and Abscess
  • Impacted and Malopposed Teeth
  • Orthodontic Treatment
  • Intrabony Pathology
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When a tooth is extracted, you lose both the root and the crown. To replace the missing tooth, your dentist may recommend a dental implant. Implants are a great option due to their strength from their composition of titanium. Implant replacements are made of three components: implant, abutment, and the crown. The implant (titanium post) is surgically placed in the bone by the oral surgeon. The restoring dentist will secure the final crown typically several months later.

Implants are anchored into the jaw securely. When adding a dental implant, time is allowed for bone to grow around and into the implant (osseointegration) and heal. The bone bonds with the titanium creating the foundation for a strong artificial tooth. Next the abutment is placed on the implant which builds the base that holds a crown. Finally, the crown is attached to the abutment and the artificial tooth is complete.

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Pre-prosthetic surgery is when the mouth IS PREPARED for the placement of a prosthesis

Pre-Prosthetic Surgery

On occasion, some patients require minor oral surgical procedures before receiving their full or partial denture to ensure maximum level of comfort and a proper fit. If a tooth needs to be extracted, or the bone needs to be reshaped, oral surgery may be required to make the prosthesis fit correctly. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. In some situations, excess bone may need to be removed prior to denture insertion.

Type of Procedures Offered

  • Bone smoothing and reshaping
  • Excess bone removal
  • Bone ridge reduction
  • Excess gum tissue removal

Expose and Bond

If a tooth fails to erupt on the expected time line, an orthodontist will refer the patient to an oral surgeon for an "Expose-and-Bond" procedure.

During the Proceedure

  • An un-erupted tooth is exposed and;
  • An orthodontic bracket and gold chain may be attached to the newly exposed tooth and connected to the patient’s orthodontia.

Why Expose and Bond is performed

  • If a tooth is not erupting due to its position in the mouth, and it is unlikely to erupt on its own.
  • The position of an un-erupted tooth could damage the roots of adjacent teeth if it is not relocated to its proper position.
  • Cysts can form around un-erupted teeth and damage adjacent tooth roots and bone.
  • Even if the tooth does eventually erupt, it will not likely be in functional position.
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