What is a tooth extraction?
· A tooth extraction is when a dentist "pulls" removes a tooth from its socket.
When is a tooth extraction indicated?
· Extensive decay
· Damaged from gum disease
· Crowding (often recommended by orthodontist)
· High-risk patients (patients undergoing orthopedic surgeries, heart valve replacements, organ transplants, chemotherapy, radiation or bisphosphonate therapy) with vulnerable teeth, gums, or bone support that may lead to infection in the near future.
When are impacted/partially impacted third molars "wisdom teeth" recommended for removal?
· Between ages 17-25 (earlier the better before roots fully form) the longer you wait the more risks are associated with removing third molars including permanent numbness due to close proximity to nerve.
· When there isn't enough space for them to erupt based on examination/radiographic findings
· severe angulation of tooth position
· Cavities or infection
· Damaging adjacent teeth
· Pathology is associated with tooth
What may I experience if a tooth may require extraction?
· Sharp pain when biting
· Dull or sharp throbbing pain to cold that lingers or wakes you up at night
· Broken to gum line
· Swelling in the oral cavity
· Bleeding gums
· Loose tooth
· Cracked tooth or chipped tooth
What to expect when having a tooth removed?
A clinical examination and radiograph will be required prior to removal of the tooth. A thorough medical history will be completed. Be sure to bring a list of all medications prior to appointment.
The radiograph "X-ray" will show the position of the tooth, root anatomy and shape of roots, adjacent structures (nerve canals) etc. This will allow the treating dentist to make the decision to treat in office or refer you to a specialist "oral surgeon". All risks and benefits of the procedure will be explained based on examination and radiographic evidence.
A treatment plan will be presented to you with different treatment approaches and replacement options. If tooth can be saved, the option will be presented at this time.
Once an extraction is determined. A treatment consent will be presented to you with all risks associated with the extraction procedure. At this time, Our friendly staff at Emergent-Dent will be there to answer any questions and help put you at ease before the procedure.
Most extractions are relatively simple and are minimally invasive. During the procedure, local anesthesia will be achieved during the entire procedure to ensure patient comfort. Most teeth can be removed within minutes and is a minimally invasive procedure.
What is expected after the tooth is removed?
After an extraction, we will ask you to bite on gauze for 30-45 minutes. This is the most critical part after an extraction. This helps the blood clot, and prevent a dry socket. After 45 minutes, remove the gauze. Do not smoke, swish, spit, drink through a straw, eat hot foods or lift anything heavy (greater than 30 lbs) for 48 hours after extraction.
What is Alveolar Osteitis "Dry socket"?
It is a painful dental condition that occurs after an extraction. It develops within 24-72 hours after an extraction. It may be characterized by dull throbbing pain that is constant, bad taste in mouth, foul odor, and radiating pain up into ear or face. It occurs when a blood clot never formed, dislodged, or dissolved. This exposes the bone and nerves in the socket. It will resolve on its own after 7-10 days. If you suspect you have a dry socket give us a call and we can offer palliative treatment to get you out of pain today.
How to avoid a dry socket?
· No smoking, drinking carbonated beverages, swishing, sucking through a straw, spitting, heavy lifting or bending for 48 hours after oral surgery
· Review the Post op instructions located in patient resource tab.