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Extractions
Our first goal for all patients is to relieve any source of pain. If an extraction is needed we can usually provide a same-day or next-day appointment.
When are extractions needed?
If a tooth has been damaged by decay or a fracture, your dentist will try to repair it and restore it with a filling, crown or other treatment. Sometimes, though, the damage is too extensive for the tooth to be repaired. This is the most common reason for extracting a tooth.
Here are other reasons for extraction:
- Some people have extra teeth that block other teeth from coming in.
- People undergoing orthodontic work may need teeth extracted to create room for the teeth that are being moved into place.
- People receiving radiation to the head and neck may need to have teeth in the field of radiation extracted.
- People receiving chemotherapy may develop infected teeth because chemotherapy weakens the immune system, increasing the risk of infection. These teeth may need to be extracted.
- People receiving an organ transplant may need some teeth extracted if the teeth are at risk of becoming sources of infection after the transplant, when immunosuppressive medications are given.
- Wisdom teeth, also called third molars, often are extracted either before or after they come in. They commonly come in during your late teen years or early twenties. Impacted teeth get stuck in the jaw and often need to be removed if they are decayed or cause pain. A wisdom tooth that has emerged partially may be blocked by other teeth or may not have enough room to come in completely. This can irritate the gum, causing pain and swelling, which requires the tooth to be removed.
What To Expect After Surgery
In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by your dentist or oral surgeon. The following tips will help speed your recovery.
- Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery.
While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
- Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
- Try using an ice pack on the outside of your cheek for the first 24 hours. You can use moist heat-such as a washcloth soaked in warm water and wrung out-for the following 2 or 3 days.
- Relax after surgery. Physical activity may increase bleeding.
Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
- Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
- After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain.
- Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. In addition, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.
Avoid rubbing the area with your tongue or touching it with your fingers.
- Continue to brush your teeth and tongue carefully.
Your dentist will remove the stitches after a few days, if needed.
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