A simple extraction is done to either remove a retained primary tooth, or for orthodontic reasons. If a stubborn primary tooth is still in place as the permanent tooth begins to erupt, it needs to be removed. The fear is damage or decay to the permanent tooth as the primary tooth continues to rub across the surface of the erupting tooth and/or traps food debris underneath that can not be removed with regular brushing and flossing.
Orthodontics is another reason to extract both primary or permanent teeth. Primary teeth may be removed to create space for permanent teeth to erupt. Permanent teeth may need to be removed to correct improper alignment or occlusion of the teeth.
How It Is Done
The Doctor does simple extractions with local anesthesia. Conscious sedation or Nitrous Oxide can also be used to allay any fears, especially on younger patients. Once the tooth is removed, post operative instructions are given in writing and orally.