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Tooth Extractions

Why Do Teeth Need to Be Extracted?

extrationsAlthough uncommon, tooth extractions may be necessary in the event of severe dental decay, injury, or extreme crowding. Our skilled dentist, Dr. Donian Shen, will make every effort to save the tooth via root canal or another method first, but the overall oral health and comfort of the patient sometimes necessitates extraction. In the event that a tooth must be removed, Dr. Shen will utilize the latest techniques to make your time with us as pleasant and comfortable as possible. If you experience dental anxiety or are nervous about your procedure, we offer sedation dentistry options (oral and IV) to help you feel calm and relaxed during treatment.

Tooth Extraction Process

The tooth extraction process typically varies based on the condition of the tooth and the needs of the patients. In cases where the tooth has already erupted through the gumline, oral surgery may not be necessary. However, in other cases, the tooth may require a simple surgical procedure for successful extraction. Whether surgery is required or not, most extractions can be performed as an in-office procedure using a local anesthetic to minimize discomfort. For patients who experience dental anxiety, our aforementioned sedation dentistry options can be employed in order to help provide the most relaxing experience possible.

Once the tooth is removed, it’s important to replace it to ensure a healthy smile and functional bite. We offer a comprehensive selection of restorative options, including dental implants and dental bridges. We will discuss your needs and goals during your initial consultation to determine which approach can provide optimal results.

Is Tooth Extraction Painful?

Our skilled dentists will do everything possible to minimize any discomfort you may experience during the extraction process. While under local anesthesia, you may experience a slight pressure or tugging sensation, but the procedure should not be painful. Sedation techniques can be incorporated into your treatment to provide an even more relaxing experience.

Following your extraction, you may experience some swelling and mild discomfort. However, these symptoms are typically manageable with rest, over-the-counter pain medications, and gently-applied ice packs. If you continue to experience significant pain or discomfort four or more days after the extraction, you should contact your dentist, as this may indicate that you have developed a condition called dry socket. Dry socket occurs when a blood clot is either dislodged from the socket or fails to form in the first place, exposing the sensitive nerves and slowing the healing process. If you develop this condition, your dentist can apply a medicated gel to help seal and protect the socket.

Care After Tooth Extraction

Following the extraction, we will ask you to bite down on a gauze pad for about 30 to 45 minutes to help speed the healing process. You may want to take it easy for about a day, as remaining relaxed can lower blood pressure and reduce bleeding. Ice packs and over-the-counter pain medication can help minimize swelling and any discomfort.

To aid the healing process, we encourage you to drink lots of fluids and eat soft foods while your gums recover. You should also avoid alcoholic beverages, tobacco products, and spicy food during this period. In a few days, or whenever you feel comfortable, you may begin eating normally again. After meals, carefully rinse the extraction site so no food particles remain. About 24 hours after the extraction, you can brush and floss as usual to help your mouth stay clean and fresh.

Though complications are rare, if you experience heavy bleeding, severe pain, or continued swelling after several days, or if you have an adverse reaction to medicine, call us immediately.

Healing Stages of Tooth Extraction

The healing process after a tooth extraction will differ based on several factors, including the size of the extracted tooth, the extraction method utilized, and the location of the tooth in the mouth. Your overall oral health and natural rate of healing can also factor in. The following stages represent a general timeline of the healing process:

Within the first 24 hours after the extraction, active bleeding should stop and a blood clot should begin to form in the socket. This clot will take the form of a semi-solid mass that protects the socket and encourages healing.

Over the next week or two, the condition of the gum tissue around the extraction site should improve significantly, and the site should reduce in size. New blood vessels should begin to develop, along with various types of tissues. After around seven to ten days, once enough new tissue has developed, any stitches can be removed as needed (assuming dissolvable stitches were not used). Larger teeth—such as adult molars—and impacted teeth that required surgical removal may leave behind more significant extraction sites and may take longer to heal.

Around the three to four week point, new bone tissue should begin filling in around the site. By the time four months have passed, the body’s natural healing processes will typically have completely repaired the socket.

Dental extractions can be quick and easy at our practice. Contact us today for more information about this technique or to schedule a complimentary consultation with Dr. Shen.