Tooth extraction is a procedure in which a tooth and its roots are completely removed from the socket. Extraction may be recommended for teeth that are damaged beyond repair, as well as to extract wisdom teeth impacted below the surface of the gum line. However, many children require tooth extraction in preparation for orthodontic treatment. This article will take a closer look at the process for tooth extraction .

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Preparation
Before undergoing any type of extraction, all patients will visit with their orthodontist for an oral examination. An orthodontist will also have a series of X-rays taken to identify the positioning of the teeth and determine if the patient requires extraction. Generally speaking, extraction may be necessary prior to orthodontic treatment if the eruption of a permanent tooth is prevented by the presence of a baby tooth which is not yet ready to come out. These teeth must be extracted prior to orthodontic treatment, as allowing the permanent teeth to come in after treatment increases the risk of malocclusion or shifting.

Extraction Procedure
After administering local anesthesia to numb the area, an orthodontist will extract the tooth and close the socket with stitches. Some patients may require oral anesthesia or IV anesthetic depending on the condition of the tooth and level of invasiveness required during the procedure.

Recovery
An orthodontist will typically provide pain killers to help manage discomfort in the hours after the procedure. Patients can help minimize swelling and discomfort by rinsing gently with warm salt water several times per day, using an ice pack up against their cheek near the site of the extracted tooth, and keeping their head propped up while sleeping.

Here at Seligman Orthodontics , we strive to make every effort possible to avoid tooth extraction using other therapies. However, we do perform extractions for severe crowding and jaw discrepancy issues. Find out if your child requires tooth extraction prior to orthodontic treatment by calling Dr. David Seligman at (646) 681-8516.