Extracting a tooth is usually a last resort, if the tooth can't be saved using endodontic therapy (root canal). There are a couple different reasons why a tooth may need to be extracted. One of these, is if a tooth has a large cavity in it, or a tooth is broken down below the level of the bone. In this case, the tooth will need to be extracted due to tooth being deemed non-restorable. The other instance in which a tooth would need to be extracted, is if periodontal disease has progressed to the point where there is extensive bone loss surrounding the tooth and it has become mobile. If a tooth does need to be extracted, we will explain all of the options to you for replacement of the missing tooth. If a tooth is extracted and not replaced, it can cause some of the neighboring teeth to start shifting, so it's important to consider replacement at the time of extraction.
Bone grafting may be recommended for many different purposes to create a better restorative outcome. The most common place for bone grafting to be recommended is as part of an extraction. Bone grafting at the time of extraction (socket preservation) is recommended if an implant is planned as a replacement or a bridge is planned in a more cosmetic area. When a tooth is extracted the bone and gum tissue will shrink as it fills in. This loss of bone and shrinkage of the gums can result in less than ideal replacement outcomes. Bone grafting at the time of extraction is a relatively simple technique that ensures the best possible result when an implant or bridge is planned.
Alveoplasty and Tori Removal
Alveoplasty and tori removal may be recommended for a variety of reasons. Most of the time these procedures are recommended in preparation for a denture or partial denture. Bony outgrowths or rough bone can make wearing a denture or partial denture impossible or at a minimum very uncomfortable. Alveoplasty and tori removal allow for a more comfortable fit without sore spots.