Dr. Kaady may recommend a tooth extraction for any number of reasons. Our team at Bridgetown Dental will help you look at all of your treatment options but extraction may be your best option for a number of reasons. When a tooth is severely decayed or has advanced periodontal disease, or is broken in a way that cannot be repaired, extraction may be necessary. Sometimes a tooth may need to be removed because it is poorly positioned in the mouth such as an impacted tooth, 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. We will help you navigate a tooth extraction to maintain your best dental health.
The Process of Extracting a Tooth:
- At the time of extraction, Dr. Kaady will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic. Our goal is ALWAYS to ensure your comfort and make sure that your procedure is pain free. You should always let us know if you feel pain at any time.
- You will feel a lot of pressure during extraction 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.
- Sometimes a tooth requires sectioning, where Dr. Kaady will cut the tooth into sections and the remove each section. This is a very common way to treat a tooth extraction where a tooth is firmly anchored in the socket or the tooth root is curved.
- 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.
Home Care And What to Expect After Extraction:
- Some bleeding may occur after an extraction. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.
- Blood clots may also form in the empty socket and are an important part of your healing process. Do not dislodge the clots. Avoid rinsing or spitting for 24 hours after the extraction. Also avoid using straws, smoking or hot liquids.
Swelling, Pain & Medications:
- 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.
- If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.
- 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. Sometimes Dr. Kaady may recommend a liquid diet for 24 hours.
Brushing and Cleaning:
- Avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning.
- Avoid commercial mouth rinses, as they tend to irritate the site.
- Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.
When 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 is referred to as ‘dry socket’, and can significantly delay healing. Dr. Kaady will apply a medicated dressing to the socket if this occurs.
Signs & Symptoms of Dry Socket:
- 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 3or 4 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.