You, your dentist, and/or Dr. Schiro may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that they 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 teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Schiro will discuss alternatives to extractions if possible, as well as replacement of the extracted tooth.
The Extraction Process
At the time of an extraction, the doctor will need to numb your tooth, jaw bone, and gums that surround the area with a local anesthetic.
During the extraction process, you will feel only pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction, please let us know right away, and additional anesthetic will be administered.
Sectioning a tooth
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket, or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections, then removes each section one at a time.
After Tooth Extraction
After a tooth extraction, it’s important for a blood clot to form in order to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the oozing persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the oozing of blood.
After the blood clot forms, it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Maximal swelling usually occurs after 48 to 72 hours and gradually subsides after that.
Use pain medication as directed. Call our office if the medication does not seem to be working. and you would like a stronger medication. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink plenty of fluids and eat nutritious soft food on the day of the extraction. You can gradually increase your diet and eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing at least three times a day and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days, you should feel fine and can resume your normal activities, once you have been off all narcotic medications for 24 hours. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.