You and Dr. Hamling may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; 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 lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Hamling will discuss alternatives to extractions as well replacement of the extracted tooth.
The Extraction Process
At the time of extraction the doctor will need to numb your tooth, jawbone 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 Extraction Home Care
Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 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, hot liquids or foods, alcohol, or any carbonated beverages.
If swelling occurs, please call our office immediately.
Pain and Medications
If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen. Pain is the exception, and not the norm, with extractions. If you are experiencing pain after an extraction, you may have developed a dry socket. Please call our office immediately if you suspect this has happened.
For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids, foods, carbonation,and alcoholic beverages for 24 hours. Cool, soft foods may be eaten, but keep them on the side that did not have an extraction.
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 any mouth rinsing! This means do not rinse with water or mouth rinse for a week after your procedure.
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 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 or 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.
Dr. Hamling will apply a medicated dressing to the dry socket to sooth the pain. Please contact our office if you suspect this has happened.
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 process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience. If you are planning on getting a dental implant to replace your tooth, Dr. Hamling will probably recommend placing a bone graft at the time of extraction.