involves the complete removal of a tooth from the mouth.
extractions may require cutting into the gums and removing supporting
bone and/or cutting the tooth into sections prior to removal.
One of the main goals of Dr. Peterson is the prevention of tooth
loss. All possible measures are taken to preserve and maintain your
teeth because the loss of a single tooth can have a major impact upon
your dental health, speech, biting, chewing and appearance.
canal therapy over extraction. Extractions can cause:
|a great deal of
may affect memory|
|a higher incidence of bacteremias, especially with heart
patients, or if you are predisposed to bacterial endocarditis and/or
joint infections. |
If you loose the tooth you
will loose 10% of your chewing ability
loose other teeth due to drifting.|
Choosing to have a tooth
extraction, whether than
having root canal therapy, can
release between 68% to 84% more bacteria into the blood stream which can
affect your overall health.
Choosing a root canal over an
extraction whenever possible is:
|less invasive |
in the long run because an extracted tooth must be replaced with an implant
or bridge which is far more costly and
Nothing is as good as a natural tooth!
alternatives to an extraction are fillings, crowns
and/or gum treatment.
is still sometimes necessary to remove a tooth. Here are some of the
reasons a tooth may need to be extracted:
of an extraction is to relieve your current symptoms and/or to permit
you to continue with any additional treatment.
associated with any type of surgical procedure are:
The best time for women to have dental surgery is right
after ovulation, when pain tolerance is highest.
Very often, losing just one tooth can lead
to the loss of support, and teeth begin to drift into the
empty space, causing a change in the bite. It also forces
the remaining teeth to carry an additional load, sometimes
past their ability to adapt. In most cases, when even one
tooth is lost, the remaining teeth suffer and are more
likely to be lost as well
complications that can occur are:
| loosening of dental
| injury to adjacent teeth and soft
| sinus exposure|
| infection |
| dry socket if you do
not follow your post-op instructions.|
Be true to your
teeth, or they will be false to you!
There is a potentially important
association between tooth loss and
coronary heart disease.
Extraction Research Updates
Stockholm Study - Severe teeth loosening
increases the risk of premature death due to cancer or
cardiovascular disease according to a new Swedish study,
reports said Tuesday. Researchers at Karolinska Institutet
in Stockholm tracked some 3,743 randomly selected people,
aged between 30 and 40, when the study began in 1985.
"Actual loss of teeth suggests a disease that has been
ongoing for some 15, 20 years without being detected,"
Professor Birgitta Soder, one of the study's authors, told
the Goteborgs-Posten newspaper. During the 16-year period,
110 deaths were registered. The average age of the deceased
was 47 years. The average life span for women in Sweden is
83 years and 78 years for men. "We found a clear link
between severe tooth loosening disease, loss of one or
several molars and a tripled risk of premature death,"
The researchers have not been able to explain the link
but have a theory that a long-term inflammation during teeth
loosening produces harmful sub-stances such as cytokines
that may impact the immune system. Another hypothesis
was that the affected people suffered from a weakened immune
system. Some other studies have suggested a similar link
between teeth loosening and a rise in cardiovascular
Prior studies of a link
and cardiovascular disease have been limited by being
predominantly observational. We used a treatment
intervention model to study the relationship between
periodontitis and systemic inflammatory and thrombotic
cardiovascular indicators of risk. We studied 67 adults with
advanced periodontitis requiring full-mouth tooth
extraction. Blood samples were obtained: at initial
presentation, immediately prior to treatment ofpresenting
symptoms; (2) one to two weeks later, before all teeth were
removed; and (3) 12 weeks after full-mouth tooth extraction.
After full-mouth tooth extraction, there was a significant
decrease in C-reactive protein, plasminogen activator
inhibitor-1 and fibrinogen, and white cell and platelet
counts. This study shows that elimination of advanced
periodontitis by full-mouth tooth extraction reduces
systemic inflammatory and thrombotic markers of
Full-mouth Tooth Extraction Lowers
Systemic Inflammatory and Thrombotic Markers of
B.A. Taylor, G.H. Tofler, H.M.R. Carey, M.-C. Morel-Kopp, S.
Philcox, T.R. Carter, M.J. Elliott, A.D. Kull, C. Ward, and
K. Schenck Dent Res 85(1):74-78, 2006
The aim of this study
was to determine the incidence and bacteriology of
bacteremia associated with various oral and maxillofacial
surgical procedures. A total of 237 patients who
underwent oral and maxillofacial surgery were included
in this study. Blood samples were obtained for
bacteriological examination immediately after the essential
steps of the surgical procedure had been performed.
Bacteremia was detected in patients who underwent surgery
for tumor, infection and trauma, and surgical
reconstruction of jaw. In particular, decortication
for osteomyelitis and tooth extraction resulted in
a higher incidence of bacteremia compared with other
surgical procedures. The incidence of bacteremia was not
affected by oral hygiene, gingival inflammation, blood
loss, and duration of surgery. Furthermore, concerning
tooth extraction, there was no statistical difference
in the incidence of bacteremia with respect to the
number of teeth extracted and the method of extraction.
Extraction of teeth with odontogenic infection
(periodontitis, periapical infection, and pericoronitis) did
however produce a
significantly increased incidence of bacteremia compared
with infection-free teeth (P < .01). Viridans
streptococci were the predominant group of bacteria
isolated from the bacteremias. Oral and maxillofacial
surgery involving transoral incision produces
bacteremia, regardless of the extent and degree of surgical
invasion. In particular, surgical procedure at
infected sites is more likely to result in bacteremia
compared with infection-free sites.
Incidence and bacteriology of bacteremia associated with
various oral and maxillofacial surgical procedures
Sumie Takai DDSa, Tomoari Kuriyama DDS, PhDb, , , Maki
Yanagisawa DDSa, Kiyomasa Nakagawa DDS, PhDc and
Tadahiro Karasawa MD, PhDd aPhD Student, Department of Oral
and Maxillofacial Surgery, Kanazawa University
Graduate School of Medical Science, Kanazawa, Japan Clinical
Instructor, Department of Oral and Maxillofacial Surgery,
Kanazawa University Hospital, Kanazawa, Japan Associate
Professor, Department of Oral and Maxillofacial Surgery,
Kanazawa University Graduate School of Medical Science,
Kanazawa, Japan Professor, Department of Laboratory
Sciences, School of Health ciences, Kanazawa
University, Kanazawa, Japan Received 2 April 2004;
revised 2 June 2004; accepted 20 October
2004. Kanazawa, Japan KANAZAWA UNIVERSITY. Available
online 16 February 2005.
Diet Changes Because of Tooth Loss
Could Lead to Heart Risk
Changes in diet because of tooth loss
could increase the risk of developing chronic ailments, including
cardiovascular disease, according to a study in this month's Journal
of the American Dental Association (JADA). In the study, researchers
assessed the relationship between tooth loss and changes in diet over an
eight-year period among 31,813 male health professionals. They focused
on consumption of specific foods and nutrients associated with
cardiovascular and other systemic diseases. The results of this
study support the detrimental impact of tooth loss on dietary intake.
Results suggest that changes in diet owing to tooth loss could
contribute to an increased risk of chronic disease that has been
associated with poor dentition. According to the study, the
dietary change of men who lost five or more teeth was unhealthier than
that of men who lost no teeth. www.rdh.net