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Posts for tag: Tooth Extraction

March 11, 2021
Category: Dental Procedures
Tags: Tooth Extraction  

If your tooth cannot be repaired with a crown or filling, tooth extraction might be necessary to maintain your mouth's health. Tooth extractions are performed to remove diseased, damaged, or overcrowded teeth. Normally, extractions are used as a last resort, however, when they are needed Dr. Petra Mayer will make sure you fully understand the procedure. If you need a tooth extraction due to an impacted molar or periodontal disease you need an experienced dentist who can handle your problems with care. Choose Dr. Mayer of Albuquerque, NM, to perform your tooth extraction procedure.

Reasons You Might Need A Tooth Extraction:

  • Impacted molar
  • Overcrowded teeth
  • Severe tooth decay
  • Gum disease/periodontal disease
  • Broken tooth
  • Abscessed/infected tooth

Among the most common reasons for tooth extraction is an impacted wisdom tooth. Because these molars are the last teeth to grow in adulthood, they often push on our other teeth as they come in. Sometimes this can be painful and cause crooked teeth, so your Albuquerque dentist will choose to remove your wisdom teeth. This is similar to tooth removal for overcrowded teeth, where a tooth might have grown awkwardly causing overlap with other teeth. However, removal for wisdom teeth is usually a surgical extraction rather than a simple extraction.

Types of Tooth Extractions:

  • Surgical Extraction
  • Simple Extraction

Surgical extractions are used for teeth that are not visible or are hard to reach. It is a more complex form of extraction which can require stronger general anesthesia to perform. Your dentist may also need to break the tooth into bits in order to remove it.

Simple extractions are used for teeth that are visible and easier to take out such as an abscessed molar. This type of extraction can be done with local anesthesia and the recovery time may be shorter. Talk with your dentist to find out which type of procedure is right for you.

Recovery from a Tooth Extraction Procedure

It is important to understand that a tooth extraction is a surgical procedure just like any other. You should prepare yourself accordingly as it could take a few days to recover. You might not be able to eat before the procedure and you should have someone drive you home. Under anesthesia do not eat anything too hot or too cold as your teeth will be extremely sensitive. Your gums will also bruise, making it difficult to chew hard foods. It's best that you prepare foods that are easier to eat like smoothies. Use pain medication and ice to reduce pain and swelling.

If you are in need of a tooth extraction call Dr. Mayer at (505) 881-2400 or visit our office in Albuquerque, NM.


There are instances when a general dentist will remove (extract) a problem tooth. At other times, though, the same dentist may refer a patient needing an extraction to an oral surgeon. Why the difference?

The procedure performed by a general dentist is referred to as a “simple tooth extraction.” “Simple” doesn’t mean easy and requiring no skill or expertise — it certainly does. In this case, the term refers to the anatomy of the tooth being extracted, particularly its roots.

Teeth that respond well in a simple extraction have an uncomplicated root system. The path of removal, usually with a single root involved, is fairly straight and without extreme angles. In the hands of a skilled and experienced dentist, it can be removed with little to no discomfort.

Dentists actually must use finesse to remove a tooth from its socket. The tooth is held in place with tiny collagen fibers that extend from a tough, elastic gum tissue known as the periodontal ligament, which lies between the teeth and the bone. With some manipulation, a dentist can loosen these fibers, which then makes removing the tooth much easier. All of this can usually be performed with local anesthesia.

Of course, to determine if a tooth can be removed this way, we must conduct a thorough dental examination first, including x-ray imaging to determine the exact nature and location of the roots. If the exam reveals the root system is more complex, or that there are defects to the bone or the tooth that could make a simple extraction difficult (resulting, for example, in not removing the crown and root in one piece), then the tooth may need to be removed surgically.

Such situations require the skill and resources of an oral surgeon. These specialists perform a number of surgical procedures related to the mouth and face; as procedures go, extraction is among the most routine. Using local anesthesia and post-operative pain management, undergoing a surgical extraction involves only minimal discomfort and a very short recovery time.

After examining your tooth we’ll recommend the best course for extraction, whether simple or surgical. In either case, we’ll see that your problem tooth is extracted as efficiently and painlessly as possible.

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

November 30, 2018
Category: Dental Procedures

Tooth RemovalTooth extraction may offer the best solution if a tooth is severely decayed, or your oral health is affected by a problem tooth. Albuquerque, NM, periodontist Dr. Petra Mayer helps you care for your smile with extractions, tooth restoration options, examinations, cleanings, fillings, cosmetic procedures and other dental services.

Pulling a decayed tooth protects your oral health

Tooth decay is usually treated by removing the decayed part of the tooth and replacing it with a filling. Unfortunately, if the decay is extensive, removing the tooth may be the only choice. Extraction also prevents the decay from spreading to other teeth.

Tooth extraction eliminates wisdom tooth pain

Wisdom tooth extraction is necessary if you don't have enough room in your jaw for your third set of molars to erupt fully. Partially or fully impacted wisdom teeth are blocked by tissue or bone. Impacted wisdom teeth can be very painful and may damage nerves and other teeth as they attempt to erupt. If your wisdom teeth erupt normally but are decayed, they may also need to be extracted.

Injuries can lead to tooth extraction

Although your teeth are strong, they can fracture or break if you fall on your mouth or experience a blow to your face. In some cases, your Albuquerque dentist may be able to repair and restore your tooth with a crown or root canal therapy. If the fracture extends into the root, it won't be possible to save the tooth.

Eliminating an infection may involve tooth extraction

An infection in the soft pulp located deep inside your tooth may lead to an extraction. In many cases, the infection can be treated with antibiotics, root canal therapy and a dental crown to strengthen the treated tooth. If the infection remains after treatment, you may need an extraction to safeguard your health. Infections in teeth can spread to other parts of your body if you don't receive prompt treatment and may even affect your heart or brain.

Extraction may be part of your orthodontic treatment

Your dentist may recommend extraction of one or more teeth before you're fitted with braces. Extracting the teeth makes it easier to treat crowding and helps ensure that your orthodontic treatment is successful.

Could you benefit from a tooth extraction? Call Albuquerque, NM, periodontist Dr. Petra Mayer at (505) 881-2400 to schedule your appointment.

By Petra I Mayer DDS
September 20, 2018
Category: Dental Procedures
Tags: braces   Tooth Extraction  

We treat most malocclusions (bad bites) with braces or clear aligners. But not all malocclusions are alike — some can require extra procedures to achieve successful results.

One such example is when incoming teeth crowd other teeth and cause them to erupt abnormally. The crowding also reduces the space needed to move the misaligned teeth to better positions. To make more room we'll often remove some of the teeth before undertaking orthodontics.

The key is to extract the right teeth. The best candidates are those whose absence will have minimal effect on both appearance and dental function. That's commonly the bicuspids, located right on the edge of the “smile zone” (the teeth most visible when we smile) between the cuspid (eye) teeth and the back molars.

Once we choose and remove the teeth our next concern is to protect the bone at the extraction site. The bone in our jaws benefits from the pressure created when we bite or chew. This stimulates new bone cells to form and replace older cells. Without it, as when we have a missing tooth, the amount of bone can diminish over time and affect the success of any future orthodontics.

To prevent this, we take care not to damage the gums and bone removing the tooth. We may also install a graft under the empty socket to encourage bone growth.

If we've removed teeth outside the smile zone, the resulting orthodontics will move teeth into the opened space. In the end, you won't even notice they're gone. Teeth lost or congenitally missing in the smile zone, though, may eventually require a replacement tooth. A dental implant is the best choice, but it should be put on hold for a younger person until their jaw has fully developed.

In the meantime, we can install a spacer or a temporary restoration to hold the empty space and prevent other teeth from drifting into it. This can be incorporated into braces or aligners, or with a removable partial denture or a temporary modified bridge.

Extracting teeth to aid orthodontics first requires a well-laid plan that could encompass several years. The end result, though, can be well worth the time and effort — better function and a new, attractive smile.

If you would like more information on the process of straightening teeth, 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 “Tooth Removal for Orthodontic Reasons.”


The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.

A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.

The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.

Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.

This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.

But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.

To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.

Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.

If you would like more information on correcting poor bites, 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 “Tooth Removal for Orthodontic Reasons.”