We 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 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, we will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Teeth Extraction Process
At the time of extraction we will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of 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.
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.
Blood clots that form in the empty socket. This is an important part of the healing process and you must be careful not to dislodge the clot. Avoid rinsing or spitting for 24 hours after the extraction. Avoid use of a straw, smoking or hot liquids.
Some bleeding may occur. Placing a piece of gauze (not cotton!) over the empty tooth socket and biting down firmly for 60 minutes can help control this.
If swelling occurs you can place ice on your face for 15 minutes in repeated cycles over the first 24 hours. This can help reduce swelling.
Pain and Medications
If you experience pain you might use non-prescription pain relief medications such as Tylenol or Ibuprofen. For more challenging cases, a stronger pain medication or antibiotic may be prescribed.
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. Soft foods are best and can include eggs, pasta, and soups. Avoid straws or any forceful spitting.
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 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 extraction, instructions will be provided to help 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.
If you develop a dry socket, we can apply a medicated dressing to the dry socket to sooth the pain.
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.