A tooth may need to be extracted for any number of reasons. Some teeth are removed because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth 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 decreased chewing ability, problems with your jaw joint, and shifting teeth.
To avoid these complications, Dr. Bode and Dr. Nelson may discuss alternatives to extractions as well as replacement of the extracted tooth.
The Extraction Process
At the time of 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 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.
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Place firm pressure (bite) on tightly folded gauze for at least 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another tightly folded gauze pad and bite (or place firm pressure) for another 1-2 hours. You may have to do this several times until bleeding/oozing stops.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, spit, 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 72 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 some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Place cold compress on the cheek for 20 minutes on and 20 minutes off for the first 3 days. Take Ibuprofen (Advil/Motrin) as directed and prescribed pain medication as needed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone.
Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day (especially before bed). This will speed healing and help keep your mouth fresh and clean.
Please call our office if you have any questions or concerns.