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Today's advanced dental treatments and materials can give you a healthier, more complete smile that can last you a lifetime.
Meet Dr. Perkiomaki
At age 11, J.J. (Jukka) Perkiomaki left Finland to move with his family to Astoria, Oregon.


Your teeth are the strongest substance in your body. Even so, physical damage and decay can affect their strength and their health. In most cases, damaged teeth can be repaired. In cases of severe damage, however, repairs may not be possible. In these cases, J.J. Perkiomaki DMD PC can perform an extraction.

What is a Tooth Extraction?

Your teeth perform many important functions. They enable you to bite and chew food. They help to control airflow, allowing for proper speech. They provide you with a beautiful smile. The teeth also play an integral role in the health and strength of your jawbone. When the teeth are damaged, their functions and the quality of your smile may be affected. Preferably, damaged teeth are repaired, restoring their functions and their strength. However, if the teeth are too damaged, an extraction becomes necessary. Tooth extraction is a process of removing a tooth from your mouth. 

When Do You Extract a Tooth?

There are several solutions for repairing damaged and decayed teeth. Common treatments include
•  fillings
•  inlays & onlays
•  crowns
•  root canals
If your teeth are too damaged or decayed, trying to treat them can put your oral health at greater risk. In cases where your teeth cannot be saved, an extraction becomes necessary.

There are a few different situations in which a tooth extraction becomes necessary. These situations include
•  Split or shattered teeth.
•  Fractures that are below the gum line.
•  Severely decayed teeth.

There are also a few situations that may require teeth to be extracted even though they are not damaged. These situations include
•  Advanced gum disease.
•  Impacted wisdom teeth.
•  Overcrowding. In this situation, one or more teeth may need to be extracted to create space for successful orthodontic treatment.

What is the Process?

There are two ways in which teeth can be extracted. The first method is known as a simple tooth extraction. Like the name suggests, it is a fairly simple process. A simple extraction is done under a local anesthetic. The procedure begins with separating the gums and periodontal ligament from the tooth. This is done with a tool called an elevator. Next, forceps are used to grip the tooth and move it back and forth. This widens the periodontal ligament further, allowing for the tooth to be lifted out of the socket.

The other way a tooth can be extracted is with a surgical extraction. This type of procedure is done in more complicated or complex situations. A surgical extraction is also done under a local anesthetic. Sedation may also be provided to help you feel more comfortable. Incisions are made in the gums near the affected teeth, exposing the roots and the surrounding bone. Next, the tooth is carefully and completely removed. Finally, the surgical site is sutured closed. In most cases, following tooth extractions, the extracted teeth are then replaced.

A Team Approach: Dentist and Oral Surgeon Working Together

Tooth extractions require a team approach. We work together with an oral surgeon to ensure a safe, effective procedure. With a thorough oral exam, we can determine your need for a tooth extraction. Our oral surgeon is highly experienced in performing tooth extractions and can provide you with the expert care you need.

While saving your damaged teeth is always the preferred solution, it is not always the best. When damaged teeth are beyond repair, an extraction becomes necessary. For more information, and to schedule your appointment, contact J.J. Perkiomaki DMD PC at (503) 292-8996 today.

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