Extractions | Delmarva Dental Services


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We, at Delmarva Dental Services, do not believe in extracting teeth if they can be saved.   We will go to great lengths to save a tooth using root canals, gum surgery and crown procedures.  Even though an extraction can handicap a person,  we do realize that in some instances it becomes  necessary. There are various degrees of difficulty that may be encountered when removing a tooth, thereby causing the need for different types of extractions.  We will discuss the  most complicated to the least .


              Surgical extractions are necessary when a tooth cannot be reached easily.  An incision has to be made into the soft tissue to reach the tooth.  Sometimes bone has to be removed to access the tooth as well. This is usually necessary for wisdom teeth (see Slide) and also when a tooth is severely decayed (see Photo).


            Split tooth extractions are necessary for molar teeth when their multiple roots are splayed in different directions.  It is difficult to extract in one piece so the roots are separated using a drill and each root removed individually.  This is less traumatic because less force is applied. (See Slide)    Sometimes a surgical extraction and a split tooth extraction are performed on the same tooth.


            Routine or simple extractions result when a tooth is extracted in one piece.  No incision of soft tissue, removal of bone, or separation of the roots are required.  There are cracking noises and noise from the drill with Surgical and Split tooth extractions.


Apprehensive patients especially ones who score 15 or above on Corah’s Anxiety Scale should have some form of anti-anxiety option for these types of extractions.  Fees are higher for surgical and split tooth extractions compared

 to routine extractions.Presentation2Presentation 3

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