Tooth extraction is necessary when a tooth becomes non-restorable due to gum disease, extensive decay, or severely broken tooth structure. Impaction of wisdom teeth and crowding can also require tooth extraction.
After surgery, teeth can shift out of position if not replaced with a prosthesis promptly. Patients will experience loss in bone over time unless an implant is placed to preserve the bone and restore the missing tooth.
With the exception of wisdom and supernumerary (extra) teeth, extracted teeth will leave a space that you will want to fill with a fixed or removable appliance.
Replacement of missing teeth may be necessary to prevent the drifting of adjacent and/or opposing teeth to maintain function or for cosmetic appearances. Removable replacement options include a partial denture, or single tooth flipper. Fixed replacement options include a bridge or implants.
Extracted teeth that are not replaced may lead to other teeth moving or drifting, creating spaces between the remaining teeth and making it difficult or impossible to replace or straighten them later. If left for a significant period of time, this drifting of teeth may lead to a “malocclusion” (bite) in which top and bottom teeth do not “fit” together as they once did.
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