After reviewing the pros and cons, there are times when you and your dentist may decide that a tooth extraction is necessary for any number of reasons. These may be due to severe tooth decayed, advanced periodontal disease, if you have a broken tooth that cannot be repaired, or if you simply need to remove wisdom teeth. Other dentition may need removal because they are poorly positioned in the mouth (such as encroachment of teeth), or in preparation for orthodontic treatment . The removal of any tooth can lead to a compromised chewing ability, problems with your jaw joint, shift of other teeth, which can have a major impact on your overall dental health . This is why it is very important for the dental provider to reach a consensus with the patient, and discuss alternatives, and procedure replacement beforehand. Our dentist phylosophy is very conservative, if the tooth can be saved with another procedure such as a root canal, it will be done. Anything that can benefit the patient in the long run is the preferred treatment.
The Process of Extraction
Before the extraction, your dental provider will need to numb your tooth, lower jaw and surrounding gums with a topical anesthetic & then a local anesthetic agent for complete numbness. During the extraction/operation patients will feel high pressure caused by the forceps and from the appendage of firmly rocking the tooth in order to widen the socket for removal. This pressure should not cause pain or discomfort as the anesthetic numbs all of the local nerves, yet the nerves that transmit pressure are not profoundly affected. If you do feel pain at any time during the extraction please inform us 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.
Some bleeding may occur outside of the dental office. Placing a piece of moist gauze bandage over the empty tooth socket and biting down firmly for 45 minutes can help reduce an upkept hemorrhage.
Blood clot that figure in the empty socket
This is an important character of the healing process and you must be careful not to dislodge the clot . Avoid rinsing or spitting for two dozen hour after the extraction. Avoid use of a straw, smoking or drinking hot liquids.
Swelling can occur as a normal healing process. To aleviate the area and reduce the swelling, you can place a pack of ice for 10 min and off for 20 minutes. Repeat this cycle as you spirit necessary for up to 24 hours.
Pain and Medications
If you experience pain you may use non-prescription pain respite medications such as Acetamenophen or Advil (Ibuprofen).
Make sure you do your chewing away from the extraction site. Do not drink hot liquids or alcohol for 24 hours. A liquid diet may be recommended for 24 hours.
Brushing and Cleansing
After the procedure avoid brushing your teeth near the extractin site for one day. After that you can resume gentle cleansing . Avoid commercial mouth rinses, as they tend to irritate the site. Beginning twenty-four hours after the extraction you can rinse with salt water(1.5 teaspoon of salt in a cup water) after meals and before going to sleep.
Dry socket occurs 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 place extraction teaching will reduce the chances of development prohibitionist socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be centrist to severe and radiate from the extraction area. Dry socket may cause a bad perceptiveness or bad breath and the extraction site appears dry . Your doctor will 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 mental process can take from weeks to months to get used to. However, after 1-2 weeks you should no longer notice any problems. If you do notice any discomfort, or pain please come to the office ASAP for a followup visit.
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