Based on your examination, Dr. Anil Rick Soordhar and Dr. Sunil Vick Soordhar may conclude that addressing a problem tooth may require a complete extraction.
Various circumstances can necessitate an extraction such as:
Removing a single distressed tooth can lead to significant chewing issues, aggravation of a preexisting jaw joint (TMJ) problems and shifting teeth. Any of these problems, alone or in combination, can create long term dental issues that plague patients for years to come. For this reason, we prefer to avoid extractions when other viable alternatives are available, such as dental implants, bridges or dentures.
Prior to extraction, Dr. Soordhar will apply a local anesthetic to the tooth and the jawbone structure and gums immediately surrounding it. The anesthetic will have thoroughly numbed the nerves from transferring pain signals (it is important that you let us know immediately if you feel any pain at all so more anesthetic can be used). After you are numb (anesthetized) you will feel a some pressure on the tooth and surrounding area from the widening of tooth socket by rocking the tooth back and forth during the extraction process.
Some patients require sectioning of select teeth. Dr. Soordhar will cut a tooth into sections before removing it when it is anchored especially firmly in its socket or a curved root prevents the socket from expanding enough to remove it. This process allows the doctor to remove one section of an affected tooth at a time.
A blood clot must be allowed to form to stop post-extraction bleeding and begin the healing process. If bleeding or oozing persists after biting on a gauze pad for 30-45 minutes immediately after the appointment, place another gauze pad and repeat for another 30 minutes, repeating as needed until bloodflow staunches. If you run out of guaze, a tea bag works well (make sure it is not decaffeinated).
Rinsing vigorously, sucking on straws, smoking, drinking alcohol or brushing teeth near the extraction site within 72 hours of the procedure may dislodge the clot and slow the healing process. Vigorous exercise within 24 hours of the procedure will increase blood pressure and may increase bleeding from the extraction site.
An ice pack or unopened bag of frozen peas or corn applied to the site will often minimize swelling (which should reduce after 48 hours or so) and dull pain after extraction. In the meantime, use pain medication as directed and contact us if the medication doesn’t have any effect. Take any prescribed antibiotics for the full indicated duration recommended, even after signs or symptoms of infection have passed.
Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 23 days, or a reaction to the medication, call our office immediately.