Extractions in Farmersville and Van Alstyne, Texas, are categorized as into simple, surgical, or impacted.  At Harvest Dental, Drs. Horsley and Walker perform all of these extractions unless we feel that you would be better served by seeing an oral surgeon. You are invited to call our office at 469-812-7100 to learn what our dentists may recommend for your needs.

Simple extractions: Simple extractions are performed on teeth that are fully visible in the mouth and are removed relatively easily or in a “simple” manner.  These extractions are usually done with a local anesthetic and only require the use of elevator and forceps.  Typically, the tooth is loosened in its socket with an elevator.  Then dental forceps are used to slowly and steadily rock the tooth back and forth until the tooth is loose enough to remove.

Surgical extractions: Surgical extractions involve the removal of teeth that cannot be easily removed, either because they are broken under the gum line, have curved or divergent roots, or have not erupted fully.  Surgical extractions almost always require an incision of your gum tissue and/or the cutting of the tooth into multiple pieces to facilitate its removal.  In a surgical extraction, the doctor may need to elevate the gum tissue from the tooth and surrounding bone.  This is done to gain access to the tooth and, if necessary, remove surrounding jawbone with a drill or osteotome so the dentist can remove the tooth and its root(s).  After surgical extractions, sutures are often placed to help facilitate healing.

Wisdom tooth extractions (Impacted third molars): Not all third molars are impacted or covered by soft (gums) and/or hard (bone) tissue.  Some may be fully erupted, partially impacted by gum tissue, partially impacted by gum tissue and bone, completely impacted by gum tissue and partially by bone, or completely impacted by bone and gum tissue.  As you can see, there are many different classifications for wisdom teeth.  For many patients, wisdom teeth can cause problems due to the difficulty of keeping them clean, which can make them prone to decay, and promote gum disease.  Wisdom teeth that do not grow in completely and are partly exposed through the gum tissue can become infected.  This is called pericoronitis; it can be very painful and cause facial swelling.  Some third molars grow in at an angle, often against the tooth in front of it; this can cause damage to this tooth and may result in the need to extract both teeth.  Research shows that as third molars erupt, they can cause crowding with your other teeth.  This can cause or erase years of orthodontic care, resulting in a less-than-great smile.

In most third molar surgical extractions, the doctor needs to make an incision and elevate the gum tissue from the tooth and surrounding bone.  This is done to gain access to the tooth and, if necessary, remove surrounding jawbone. Then, the dentist can section the tooth into pieces and completely remove the tooth and its root(s).  After third molar surgical extractions, sutures are placed to facilitate healing and keep debris out of the surgical site.