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30485 SW Boones Ferry Road, Suite 203 | Wilsonville, OR 97070-7845
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Restoration Vs Extraction


Photo of a doctor holding an extracted tooth in Wilsonville, OR.Tooth damage can happen for a variety of reasons. A car accident, a sports injury, a fall, even tooth decay, can compromise the health and the structure of your teeth. This damage can also allow bacteria inside the teeth that can cause serious, painful infections. In many cases, damaged teeth can be restored. However, if the damage is too severe, the only way to protect your oral health may be to extract your teeth and replace them. Boones Landing Dental Center can help.

Restoring Damaged Teeth

Damaged teeth can often be restored. Porcelain veneers can be used to restore minor dental damage that only affects the appearance of your teeth. Crowns are a common restoration for more significant damage. A crown is a cap that covers the entire visible surface of your tooth. It protects the tooth from further damage or decay, prevents bacterial infection, and provides the tooth with strength. It can also be used to cover over a damaged tooth treated with a root canal, which is a procedure designed to remove an infection. Crowns can be made from metal; porcelain fused to metal or ceramic. While metal crowns are the strongest, ceramic crowns are the most popular. A ceramic crown can be made to perfectly match the color of the rest of your natural teeth. Additionally, the material reflects light just like your tooth enamel. With a crown, we can save the tooth, preventing the need for an extraction.

How Do I Know if I Need an Extraction?

While damaged teeth can often be restored, if the damage is too severe, trying to save them can only put your oral health at further risk. Reasons teeth may be extracted include:
•  Cracks that start at the crown, but travel below the gum line, damage completely below the gum line, or a tooth that is completely split in half.
•  Shattered teeth.
•  Severe tooth decay. With large cavities, fillings can put the tooth at risk for shattering, and the teeth may not be strong enough to support a crown.
•  Teeth that are impacted.

Types of Extractions

There are two types of extractions. The first is known as a simple extraction. This is a fairly straightforward extraction that is done under a local anesthetic. The tooth is moved back and forth to widen the periodontal ligament, which loosens the tooth. Once it is loose enough, it is lifted free.

If your situation is more complicated, such as shattered teeth or teeth blocked by bone or tissue, a surgical extraction may be recommended. This type of extraction, which is done under a local anesthetic and sedation, is more involved. Incisions are made in the gums to expose the root of the tooth and the surrounding bone. We then remove the entire tooth. In some cases, the tooth may need to be broken to remove it effectively. After it is completely removed, the wound is sutured closed.

Determining Restoration Vs Extraction

When your teeth are damaged, an oral exam is necessary. We visually inspect your teeth, noting the extent of the damage. Your gums are checked for signs of swelling. We also take digital X-rays, which allow us to see any damage to the roots of the teeth, damage to the jawbone, and abscesses. These images provide us with a complete picture of your situation, which will help us to determine if the teeth can be saved or if they should be extracted. If the teeth need to be extracted, we will discuss your options for replacement.

When your teeth are damaged or decayed, treatment is needed right away. For more information, and to schedule your consultation, call Boones Landing Dental Center today at (503) 601-0610.
Margaret A. Boone, DMD
30485 SW Boones Ferry Rd, Suite 203
Wilsonville, OR 97070

(503) 601-0610
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