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82-11 37th Ave Suite 704
Jackson Heights, Queens, NY 11372




When Tooth Extractions are Necessary

Sometimes in order to save your smile, a tooth extraction is necessary. An extraction can be due to tooth decay, primary teeth (baby teeth) not falling out, or a wisdom tooth growing in the wrong way.


Severely decayed toothDecayed Tooth

When an extraction is necessary

When a tooth is severely decayed and cannot be saved, extracting it can be the best choice for relieving pain and preventing the spread of infection.


That is something you can get help with here at our Jackson Heights office.


Most Decayed Teeth Can Be Saved

Placing a CrownMost decayed teeth can be treated successfully with a filling or crown. But for these treatments to work, there must be enough healthy tooth structure above the jawbone to support the restoration.


For example, a crown is often used to cover, protect, and restore a tooth that’s been damaged by decay. The crown attaches to the part of the tooth that’s above the bone, therefore, an adequate amount of tooth structure must remain to hold the crown securely in place.


Some Teeth Cannot Be Saved

If too much of your tooth has been severely damaged by decay, there isn’t enough healthy tooth structure left to hold a restoration. In this case, we may have no choice but to remove what remains of the tooth.


Diagnosis and Treatment

To determine if an extraction is right for your situation, we’ll perform a thorough exam, which typically includes x-rays.


If the tooth cannot be saved, it’s important to extract it as soon as possible to prevent infection in the tooth and jawbone. With modern dental techniques, the procedure should be a comfortable one for you. In many cases, we also recommend replacing an extracted tooth to preserve the jawbone and stabilize your bite, so we’ll talk with you about your replacement options.


Primary Teeth

Normal Tooth LossWhen primary teeth (also called baby teeth) do not fall out like they should, it is sometimes necessary to remove them, so the permanent teeth can come in correctly.


When Extraction May Be Necessary

A number of situations lead us to recommend that we remove primary teeth. Sometimes, permanent teeth don’t come in directly under the baby teeth. As a result, the roots of the baby teeth don’t dissolve as they should. In that case, we see permanent teeth and baby teeth side by side.


Baby tooth root did not properly dissolveIn other cases, severely crowded baby teeth may be extracted as part of long-term orthodontic treatment. Other times, the baby teeth become loose, but not loose enough to fall out on their own, or the child doesn’t like to wiggle a tooth to help it come out. In these cases, we must remove the baby teeth.


We usually recommend restoring a baby tooth that has a cavity instead of extracting it. However, we may remove a decayed baby tooth when an x-ray shows that the permanent teeth are ready to come in.


We may also recommend the removal of a baby tooth when if there is considerable damage, even if the permanent teeth are not ready to come in. In this case, space maintainers are used to hold the child’s other teeth in their proper places, so the permanent teeth can come in properly.


Diagnosis and Treatment

To determine if an extraction is right for your child, we’ll do a thorough examination, which usually includes x-rays. Removing a problem baby tooth can be the best choice for supporting the health and development of your child’s permanent teeth.


Wisdom Teeth

Extracting Wisdom Teeth

For many people, the best treatment for wisdom teeth is to remove them. This treatment helps prevent future dental problems and maintain a healthy mouth and smile.


Wisdom Teeth Can Cause Problems

Impacted Wisdom ToothYour last molars, called the third molars or wisdom teeth, typically begin to come in (erupt) during the late teens or early twenties. When they don’t have room to grow in properly, they are considered impacted. This can cause serious problems:

  • A very painful infection, called pericoronitis, can affect a partially erupted wisdom tooth and the surrounding gums. This infection can spread into the face and jaw.

  • When a wisdom tooth tries to erupt at an angle, it can cause decay in the neighboring tooth. This happens because wisdom teeth are nearly impossible to keep free of plaque, and the area between the two teeth becomes a trap for the bacteria in plaque that cause tooth decay.

  • Additional bacteria in plaque cause periodontal (gum) disease, which may start near the wisdom teeth and spread throughout the mouth.

  • A fluid-filled sac called a cyst may develop around an impacted tooth. A cyst can destroy a great deal of bone in the jaw before it’s noticed.


Diagnosis and Treatment

To determine if extracting wisdom teeth is right for your situation, Early twentyswe’ll do a thorough examination, which typically includes x-rays.


It’s often better to remove wisdom teeth early, while their roots are still small, even before the teeth have come in through the gums. This allows for easier removal, fewer complications, and faster healing.



A&C Building

82-11 37th Ave. Suite 704

Jackson Heights, NY 11372


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