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Tooth extraction is the most common dental intervention understood by
patients. As the name suggest, the procedure involves the removal of a
tooth or teeth by separating the tooth bone from its attachment to the
periodontal tissues (commonly known as the gum tissue). However, the
reasons behind this intervention are numerous and are not all known to
the general public.
Causes:
- Advanced forms of Dental Caries and its sequelae whereby the tooth’s crown is destroyed resulting in the development of infections or periapical abscesses.
- Advanced periodontal diseases where the teeth cannot be salvaged by periodontal treatment..
- Teeth affected by pulp necrosis and periapical infections.
- Overretained deciduous teeth preventing the normal eruption of permanent ones.
- Correction of malocclusions which require the extraction of healthy teeth.
- Aesthetic reasons
- Prosthodontic reasons for construction of partial dentures.
- Unrestorable teeth resulting from complete destruction of crown by caries or fracture of root.
- Impacted teeth (wisdom teeth) and supernumeracy teeth.
- Extraction of decayed first or second molars to prevent propagation of decay to third molars.
- Fractured teeth.
- Tumours or cysts.
- Teeth as foci of infection such as endocarditis, rheumatic fever and glomerulonephritis

Procedure:
The forceps technique is used at the clinic for tooth extraction. Depending on the gravity, type of tooth to be extracted, and patient’s psychic reactions, local anaesthesia will be selected by the dental surgeon.
At times, extraction may become problematic when part of the root or tooth cannot be removed easily from the alveolus (removal of the wisdom tooth, infected teeth). A surgical intervention is practiced where the mandibular bone or maxillary bone are cut in order to remove the remaining fragment. Sutures are then used to hold flaps and tissues for facilitating wound healing.