The dentist and the patient may determine that a tooth extraction is indicated for any number of reasons. Some teeth are extracted because they are severely decayed or non restorable; 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 impair your chewing ability, and shifting teeth, which can have a major impact on your dental health.
The Dentist will discuss alternatives to extractions as well replacement of the extracted tooth.
At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic. The Doctor may also recommend Nitrous oxide sedation to further relax the patient and make it more enjoyable.
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.
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 divides the tooth into sections then removes each section one at a time.
Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 10 full minutes can control this. 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.
If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours. Do not place heat on your face as this can make the swelling if caused by infected teeth worse.
Pain and Medications
If you experience pain you might use non-prescription pain relief medications such as acetaminophen or ibuprofen. Stronger pain medications and or antibiotics may also be prescribed be the doctor be sure to follow the directions carefully.
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.
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 contain alcohol and tend to irritate the site.
Beginning 24 hours after the extraction you can rinse with warm 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 post extraction instructions will 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.
The dentist can easily treat this condition with an herbal medicated dressing to sooth the pain.
After a tooth has been extracted there will be a resulting hole in your gums where the tooth was removed. 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.
Thank you Dr. Nicholas for welcoming me as your patient, you have a great personality, you made me feel at ease and did a great job.