Sometimes a tooth has suffered such extensive damage from decay or trauma that it cannot be saved. If you need a tooth extraction, rest assured Dr. Grellner can perform one for you that reduces any discomfort to an absolute minimum. His gentle and methodical surgical approach keeps your comfort in mind, and minimizes recovery times. He can replace lost back teeth with dental implants.
When a tooth has suffered irreparable damage from with decay or fracture that cannot be saved, Dr. Grellner will try to remove it as easily and comfortably as possible to minimize recovery discomfort.
Whether you choose to remain awake or go to sleep to be unaware of the extraction procedure, the choice is yours (if you are healthy enough to do so). It would be wise to make your anesthetic choice based on the potential difficulty of your extraction to have the best experience. Dr. Grellner can help you make this choice. If you are planning to replace this tooth with a dental implant, to avoid having to shave the adjacent teeth down for a bridge, please let us know before your tooth is removed. If we can record the position of the tooth with our high-tech CEREC equipment, it will help us to reproduce it’s position later with an implant.
You also need to be aware of time limitations. After the tooth is removed, while the tooth socket is filling in with new bone, the outer bone surface will already be starting to melt away! Because of this, the ideal time to place the implant is about 3 months after the extraction when the socket will have filled with new bone. Since this natural process of bone melting away can’t be stopped, the longer you delay getting your implant, the more difficult it may be for you to do so as the jaw ridge narrows and shortens in height. The upper sinus will even start dropping down into the area where the upper molar roots were to reduce bone height even more. It is a crazy process, but one that you unfortunately can’t ignore.
While bone grafting techniques are constantly improving with technology, the results are not at a point where they are 100% predictable, so the less you need grafted the more successful your implant result will be. The bone of your jaw is a precious substance that can easily be lost, be it due to infection of gum or tooth, or simply due to loss of the tooth root that stimulated it to keep it’s width and height healthy.
Finally, there are other changes that can occur after tooth loss that add to the complexity of tooth replacement that we can’t go into here. It would be best to simply accept that problems will multiply. Bottom line: the longer you wait, the harder and more expensive the process can become as bone melts away. You will get your best result by planning from the beginning to get your implant soon after the socket has healed.