Extractions

Drs. Buxbaum, Beanland, Chu, or Vellis may determine that you need a tooth extraction for any number of reasons. Many teeth are extracted because they are severely decayed, have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting of teeth, which can have a major impact on your dental health.

To avoid these complications, Drs. Buxbaum, Beanland, Chu, or Vellis may discuss alternatives to extraction as well replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you should be comfortable. You may feel pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

Pressure is sensed without pain as the local anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Many teeth require sectioning to remove them. This is a very common procedure. It is performed when a tooth is firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. The doctor cuts the tooth into sections and removes each section individually.

After Care

Immediately Following Surgery

Gauze should be placed over the surgical area for at least 1 hour. Change gauze at least every 30 minutes.
Vigorous mouth rinsing or touching the wound following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
Restrict your activities the day of surgery and avoid strenuous activities for approximately 1 week.
Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for explanation.
DO NOT SMOKE

Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful to protect the clot.

Avoid rinsing or spitting for 24 hours after the extraction.
Avoid smoking or hot liquids.

Swelling

If swelling is expected you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you might use non-prescription pain relief medications such as acetaminophen or ibuprofen.

Eating

For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours.
A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site.
Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn't appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Drs. Buxbaum, Beanland, Chu, or Vellis will apply a medicated dressing to the dry socket to sooth the pain.

Healing

After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.

Replacing teeth with:

Dental Implants