Other legitimate reasons for extracting teeth other than problematic third molars
(wisdom teeth) are supernumerary teeth ( extra teeth) and mal-positioned teeth.

Although all Orthodontists may not be unanimous in this regard, it may be advisable
to extract perfectly sound, healthy teeth in order to further enhance the outcome
of orthodontic treatment.

Unfortunately some people may come to the dentist with such badly broken down teeth
that there is no other option but to extract them.

These types of cases are usually the result of poor dentistry and/or the patient’s
personal neglect regarding their hygiene and eating habits.

For example, if a tooth is absolutely essential to the proper maintenance of the
overall dentition, any competent dentist will go to heroic lengths to save it
and restore its function.

On the other hand, a competent dentist will less likely begin an elaborate, extensive
restorative procedure of a badly broken down tooth which has a highly guarded
and doubtful prognosis.

Such a tooth, may have little importance to the restoration and function of the
overall dentition which can be successfully maintained and restored without it.

When you are looking for a dentist, beware of the dentist or oral surgeon who has
built up his or her reputation on the basis of “painless extractions”.

A routine extraction (uncomplicated) , usually involves less skill and if the tooth
is localized or frozen properly , is almost always painless.

Once a tooth is extracted, its immediate replacement should be considered .
The equilibrium of the dentition is almost always compromised when a tooth 
or more than one is lost.

You may ask how is the dentition compromised ? Well, first of all when one or
more teeth are lost, the drifting of adjacent, remaining teeth takes place in
a forward, backward, upward and downward direction , depending on which teeth
are involved.

Consequently, the overall occlusion (bite relationship between the upper and lower
remaining teeth can be compromised. The chewing habits become altered. Facial asymmetry 
may result after some time and eventually problems with the TMJ (jaw joint) dysfunctions
can occur resulting in teeth grinding, headaches and other miseries .

It must be conceded however that there are many people who have lost teeth prematurely,
never had them replaced and have suffered few consequences. For some reason, favorable
conditions in their mouths, have provided stability in the remaining teeth and prevent
any excessive drifting of these teeth.

These people are the exception however . Most individuals who lose teeth prematurely
will suffer from the crippling event and symptoms that were mentioned earlier.

Do everything you can to save a tooth providing the prognosis for the long term
is good and that it is salvageable !

It cannot be said too often that the ultimate criteria for judging the success of any
dental practice is the over all dental health of its patients. Is the dental work done
successful? Do the patients get to keep their teeth ? These are some of the critical
questions that need to be addressed when evaluating a dental practice.

Do your own due diligence when it comes to selecting a dentist for yourself and
family. Ask your friends or relatives  about their dentist for example.


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