Extractions become necessary for various reasons. The tooth might have severe decay, a crack or periodontal disease (gum disease). Some teeth need to be pulled because they are impacted or crowded, and will eventually cause damage to the surrounding teeth. Many general dentists perform extractions but when they are challenging dentists often refer to an oral surgeon who specializes in the removal of teeth.
If you choose to not be sedated or are not a candidate for sedation, local anesthesia can be used to freeze the tooth much like your general dentist does when performing a filling or a crown. Prior to starting the procedure we will test the area for proper anesthesia. The sensation you will experience is a pushing or feeling of pressure. The tooth might be removed in simple fashion with forceps as it is rocked gently out of the socket. If the tooth is cracked or has severe decay it might need to be removed in pieces. This process is called sectioning. A drill is used to separate the tooth into sections and it is lifted out in 2-3 small pieces. Not all extraction sites need stitches. If you do, oral surgeons use sutures that dissolve in about a week.