Solutions for Dental Issues: Addressing Extraction Holes and Gaps - Dentistry

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Orthodontic issues


Hello, Doctor:
1.
I previously had an impacted tooth extracted (it was embedded in the gum).
After the extraction, there is a hole (not very noticeable from the front, but there is a significant indentation on the inside).
Now, when I eat, food gets trapped in it.
What methods can be used to improve this situation?
2.
The part of my teeth near the gums is narrower, while the outer side is wider.
After orthodontic treatment, the upper part has closed, but the lower part near the gums cannot be moved further, resulting in a large gap between the teeth.
Is there a way to address this issue? Thank you!

Ya Ken, 20~29 year old female. Ask Date: 2008/03/26

Dr. Chu Boqin reply Dentistry


Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Generally speaking, the extraction site will gradually heal, and a follow-up visit once a month is sufficient.
2.
The typical duration for orthodontic treatment is about two years, with adjustments made to both the upper and lower teeth simultaneously.
I'm not sure how your orthodontic treatment is being managed, so I recommend returning to your original dentist for an examination.
Thank you for your question~~ Lastly, I wish you peace and happiness~~

Reply Date: 2008/03/26

More Info


Addressing dental issues such as extraction holes and gaps can be a source of concern for many individuals. Based on your questions, let's break down the issues and explore potential solutions.

1. Extraction Holes: After the extraction of a tooth, particularly an impacted tooth, it is common to have a socket or hole where the tooth once was. This area can sometimes trap food, leading to discomfort or even infection if not properly managed. The healing process typically involves the formation of granulation tissue and eventually bone filling the socket over time. However, if you find that food is consistently getting lodged in this area, there are a few options to consider:
- Regular Dental Check-ups: It's essential to have follow-up appointments with your dentist to monitor the healing process. If the hole is not healing properly, your dentist may need to intervene.

- Socket Preservation: In some cases, dentists may perform a procedure called socket preservation, where bone graft material is placed in the extraction site to help maintain the bone structure and prevent food from getting trapped.

- Oral Hygiene Practices: Maintaining excellent oral hygiene is crucial. Rinsing with warm salt water can help keep the area clean and reduce the risk of infection.

- Possible Surgical Intervention: If the hole remains problematic, your dentist might consider surgical options to close the socket or reshape the gum tissue.

2. Gaps Between Teeth: The issue of gaps, particularly after orthodontic treatment, can be frustrating. If the gap is located near the gum line and was not addressed during orthodontics, there are several approaches to consider:
- Bonding: Dental bonding involves applying a tooth-colored resin to fill in the gap. This is a relatively quick and cost-effective solution that can improve aesthetics.

- Veneers: If the gap is significant and affects the appearance of your smile, porcelain veneers might be an option. These are custom-made shells that cover the front surface of the teeth.

- Orthodontic Re-evaluation: If the gap is large and you feel that orthodontic treatment could further improve your smile, consult with your orthodontist. They may suggest additional adjustments or treatments to close the gap.

- Dental Crowns: In cases where the gap is due to structural issues with the teeth, crowns can be placed to reshape the teeth and close the gap.

In conclusion, both extraction holes and gaps between teeth can be effectively managed with the right dental care. It's essential to maintain regular check-ups with your dentist to monitor these issues and discuss potential solutions tailored to your specific needs. Remember, every case is unique, and a personalized treatment plan is crucial for achieving the best results. Always consult with your dental professional before making decisions regarding your dental health.

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