Extractions

There are times when it is necessary to remove a tooth. Sometimes a baby tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, fractures, orthodontic correction, or problems with a wisdom tooth can also require the removal of a tooth.

When it is determined that a tooth needs to be removed, your dentist may extract the tooth in-office or refer you to a specialist called an Oral Surgeon.  The root of each tooth is encased within your jawbone in a "tooth socket," and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation.

Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.  

Post-op instructions after extraction

  • Bleeding after an extraction is normal and should be expected for 4-6 hours. Fold the gauze into fourths and keep over the extraction site until you go to bed. This helps control the bleeding, keeps the area clean, and maintains the blood clot. Increased bleeding may occur when the anesthetic wears off. This is normal. Blood vessels that were constricted are changing back to normal size.

  • DO NOT rinse, spit vigorously, drink from a straw, or smoke cigarettes for 48 hours. This may dislodge the blood clot, which may lead to a dry socket.

  • Tylenol, Ibuprofen or a similar medication is usually sufficient for any pain. If necessary, we can provide you with prescribed medication. You may want to take it before the numbness wears off, to stay ahead of the discomfort.

  • Some swelling is normal and can be controlled by place COLD packs on the cheek for 15-minute intervals. On for 15, off for 15, and so on. This should be done for approximately 2-3 hours.

  • Drink liquids and eat soft foods but confine them to the opposite side of the extraction site. Do not let yourself get run down. Stay nourished.

  • While in a reclining position, an extra pillow behind your head can help in the relief of some pain.

  • After 24 hours, start brushing your teeth again. Also, rinse gently with warm water for 2-3 days, 3-4 times daily for 2-minute intervals.