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James E. Mills, DDS & Associates

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1342 Farrow Pkwy
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By Market Common Dentistry
February 04, 2018
Category: Dental Procedures
Tags: extractions  
SimpleToothExtractionsareaCommonDentalProcedure

When a tooth is beyond repair due to disease or injury, it may be necessary to remove it. A “simple” tooth extraction is among the most common in dentistry and certainly not the agonizing procedure depicted in common lore.

They’re referred to as simple extractions because the shape of the tooth and root allows for a fairly straightforward and uncomplicated removal. An example would be the normally cone-shaped upper front tooth that doesn’t offer a lot of resistance during the extraction process.

The process itself is fairly straightforward. Teeth are held in place by the periodontal ligament, an elastic tissue made of tiny fibers that attaches the tooth to the supporting bone. These fibers can be dislodged from the tooth with some careful manipulation — in the hands of an experienced dentist there’s a deft “feel” to the fibers loosening. Once they’ve detached, it requires little effort to remove the tooth; with the aid of local anesthesia, you won’t feel anything but a little pressure.

Immediately after the tooth is removed, we commonly insert bone grafting material in the socket to minimize bone loss until a permanent replacement like a dental implant can be installed after tissue healing. We then place sterile gauze over the site for a few minutes to control bleeding and, depending on the size of the wound opening, we may also place a few stitches to close it. We then give you instructions for caring and cleaning the site over the next few days, and prescribe antibiotics to reduce the chance of infection and anti-inflammatory drugs for any discomfort.

Although a simple extraction is a routine procedure, it’s important to perform a proper assessment of the tooth and the surrounding bone beforehand, including x-rays to determine the tooth’s exact shape and position. If we discover a complication that makes a simple extraction impractical (like multiple roots at acute angles), we may then refer you to an oral surgeon for a more complicated surgical extraction.

It’s our hope you’ll have your natural teeth for as long as you live. But if you must have one removed, you can rest assured it’s a common — and uneventful — experience.

If you would like more information on tooth extraction, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Simple Tooth Extraction.”

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James E. Mills, DDS & associates

Read more about our Doctors

Dr. Robert V. Carimi

Dr. Robert V. Carimi is originally from Memphis, TN and has been practicing dentistry for 10 years. He earned his dental degree from the University of Tennessee, College of Dentistry. Prior to entering private practice, he completed advanced training in surgical techniques at the Veterans Affairs Medical Center in Memphis, TN. Dr. Carimi also engages in ongoing continuing education, which allows him to provide patients with the latest advances in dentistry.

He enjoys blending the artistry and science of dentistry to change people’s lives. Dr. Carimi has been practicing in the Charleston area for the past 5 years. He and his wife, Brittney reside in Mt. Pleasant and have three daughters, Holland, Sutton and Macayle. They are active members at Christ Our King-Stella Maris School and St. Benedict Catholic Church. 
Dr. Carimi's hobbies include photography, relaxing at the beach with his family, engaging in outdoor activities and traveling. 

 

Dr. John P. Finucane

Dr. John P. Finucane, who is originally from Eau Claire, Wisconsin, has been practicing dentistry for 44 years. He earned his dental degree from Marquette University in Milwaukee.  Aside from general dentistry, Dr. Finucane focusses on serving patients with removable dentures as he completed a three year residency program in that modality.  Dr. Finucane has been married for 42 years, and currently resides in Pawleys Island.  He has two adult sons, two grandchildren, two dogs, and two cats, and enjoys photography and music.

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