Posts for tag: extractions


Before we begin correcting a malocclusion (poor dental bite), we need to ask a few questions: How extensive is the malocclusion? How far must we move the teeth to correct it? How might the patient's jaw size impact treatment?

Answering these and other questions help us develop an effective treatment plan. And depending on the answers, we might need to look at other procedures before we install braces—like removing one or more of the teeth.

This isn't a subject to approach lightly: All teeth play an important role in dental function and smile appearance, and ordinarily we want to preserve teeth, not remove them. Sometimes, however, it may be a necessary action to achieve our goal of an improved dental bite.

For example, it might be necessary for correcting a malocclusion caused by severe teeth crowding. This occurs when one or both of the jaws hasn't grown to a sufficient size to accommodate all of the teeth erupting on it. As a result, some of the teeth could come in out of their proper alignment.

If caught early before puberty, we may be able to use other techniques to alleviate crowding, like a device called a palatal expander that influences an upper jaw to widen as it grows. If successful, it could provide later teeth more room to erupt in their proper positions.

But even if additional jaw growth occurs, it may not be enough to avoid a malocclusion or treatment with braces. Alleviating further crowding by removing teeth in little noticed areas could help with subsequent orthodontics.

Removing teeth may also be the answer for other problems like an impacted tooth, in which the tooth has not fully erupted and remains submerged in the gums. It's sometimes possible to use a technique to “pull” the tooth down where it should be; but again, that will still require jaw space that may not be available. The more effective course might be to remove the impacted tooth.

Whether or not tooth extraction will be needed can depend on a thorough orthodontic evaluation and full consideration of all the available options. Even though the ideal situation is to correct a bite with all teeth present and accounted for, it may be for the better good to sacrifice some.

If you would like more information on orthodontic techniques, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removing Teeth for Orthodontic Treatment.”

By River Forest Dental Studio
May 24, 2018
Category: Dental Procedures
Tags: extractions  

Tooth ExtractionCould your mouth be trying to tell you that you could benefit from a tooth extraction?

While the goal is to maintain a healthy, full smile, there are some instances in which our River Forest, IL, dentists, Dr. Gina Piccioni and Dr. John Hartmann, will recommend having a tooth removed in order to preserve your oral health. When might this happen? If you are dealing with any of these issues then a tooth extraction could be in your future:

  • An impacted wisdom tooth
  • A severely cracked or infected tooth
  • A loose tooth
  • Advanced gum disease
  • Severe overcrowding

Impacted Wisdom Teeth

These molars usually don’t come in until your teen years or your early twenties. While they can come in healthy and not cause issues for your smile, more often than not wisdom teeth don’t fully erupt through the gums (better known as impacted teeth) or they come in crooked. Wisdom teeth that don’t come in healthy can damage other teeth, or increase your chances of decay, gum disease, or infection. This is why it’s often a good idea to have them removed.

Severely Cracked Tooth

While a cracked or broken tooth can be treated by shaving down the damaged tooth and placing a dental crown, if the crack is extensive enough that it goes below the gumline then the tooth is not able to be fully restored with dental treatment. The only option will be for our River Forest general dentists to remove the tooth and then help you decide the best way to replace the tooth.

A Loose Tooth

A tooth can become partially dislodged due to a sports injury or advanced gum disease (a common complication of untreated gum disease). While sometimes a loose tooth can be saved if you seek immediate treatment, there are some instances where a loose tooth is just beyond repair. Again, besides removing the tooth we will also talk to you about the best tooth replacement option to meet your needs.


If your teeth are on top of one another then you are dealing with crowding. This is a common misalignment problem but one that can easily be fixed with orthodontic treatment; however, in order to ensure that your orthodontic treatment is as efficient as possible, your dentist may recommend removing one or two teeth to free up some space to make it easier for teeth to shift and move around.

If you are dealing with any of the issues above and need to talk to a family dentist in River Forest, IL, that you can trust, then it’s time to turn to our dental experts here at River Forest Dental Studio. We pride ourselves on offering only the very best in dental care.


“To gain something, sometimes you have to give up something else.”

No, that isn't the latest viral meme on the Internet. It's actually a practical consideration that could arise in orthodontics.

In this case, the “something” to gain is a straighter, more attractive smile; the “something” you may have to part with is a few teeth. This may be necessary if there are too many teeth on a dental arch for its capacity, a situation called crowding. A lack of space is the main reason teeth come in misaligned.

Before we can correct this, we'll need to free up space to allow for tooth movement by removing one or more of the existing teeth. The ideal candidates are those that are near to the teeth we wish to move but not highly visible. The first bicuspids are the most frequent choices for removal: they're located behind the cuspids or eyeteeth (the pointed teeth right under the eyes).

Ideally, we'll remove the target teeth some time before we apply braces to give the gums a chance to heal. At the same time we want to preserve the bone that once supported the teeth we've extracted. This is because when we chew the forces generated by the teeth stimulates bone replacement growth. When a tooth is no longer there the supporting bone doesn't receive this stimulation and may ultimately reduce in volume.

We may try to prevent this by placing a bone graft in the empty socket immediately after removing the tooth. The graft serves as a scaffold to encourage new bone to grow. Hopefully when we're ready to apply braces, the bone will be strong and healthy to handle the movement of the teeth.

As the teeth move under the influence of braces, they'll begin to fill up the space created by tooth removal. Once it's completed, the extracted teeth won't be missed — the other teeth now straightened will completely fill out the smile.

The different steps in this process must be carefully planned and executed precisely, and it will take months or even years to complete. In the end, though, this complicated bite problem can be corrected and replaced with an attractive, straight smile.

If you would like more information on correcting a poor bite, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”

Gina Piccioni, D.M.D. and John G. Hartmann, D.D.S.

River Forest, IL Dentist

River Forest Dental Studio