Extractions

The anatomy of the roots of teeth or the amount of remaining tooth structure above the gumline will generally determine the complexity of the tooth removal. This is determined by our doctors at the time of assessment for extraction. For all teeth except impacted wisdom teeth under the bone we use what is known as an Atraumatic Extraction technique. The approach is also known as Nontraumatic Extraction technique. The goal of this approach is to remove the tooth and roots without removing any bone around the tooth. This is done by performing any drilling within the tooth structure being removed only and not the bone. There are special microsurgical instruments used for this technique and many times a microscope is used to aid in the atraumatic removal. The advantage of this approach  for patients is:

• Much reduced postoperative pain
• Reduced swelling
• Faster healing
• More bone volume for placing implants

Before removing a tooth, we will give you a local anesthetic to numb the area where the tooth will be removed. Oral sedation or nitrous gas may also be used, especially if several teeth will be removed at the same time. Oral sedation may make you groggy during the procedure and does require that a companion bring you to the office and drive you home.

After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after a few days. The doctor will tell you whether your stitches need to be removed. A folded cotton gauze pad placed over the wound will help stop any bleeding.

What To Expect After Surgery

In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by Dr. Edgar. The following tips will help speed your recovery.

-Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call our office or your dentist if you still have bleeding 24 hours after your surgery.

-While your mouth is numb, be careful not to bite the inside of your cheek, lip, or your tongue.

-Do not lie flat. This may prolong bleeding. Prop up your head with pillows.

-We recommend using an ice pack on the outside of your cheek for the first 8 hours applied with some pressure against the cheek. This helps to re duce the amount of swelling associated with extractions. 

-Relax after surgery. Physical activity may increase bleeding.

-Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses over the first week after extractions.

-Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.

-After the first day, gently rinse your mouth with warm salt water several times a day to keep the surgical site clean and reduce the chance of infection and swelling.

-Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. In addition, smoking decreases the blood supply to the area and can bring germs and contaminants to the surgery area.

-Avoid rubbing the area with your tongue or touching it with your fingers.

-Continue to brush your teeth and tongue carefully.

-Dr. Edgar will remove any stitches after a few days, if needed.

About Wisdom Teeth

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. When wisdom teeth come in, a number of problems can occur:

Your jaw may not be large enough to accommodate them, and they may become impacted and unable to break through your gums.

Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can become trapped under the flap and cause your gums to become swollen, and painful. These are signs of infection.

More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or the development of a cyst.

One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

Wisdom tooth removal usually is effective in preventing:

-Crowding of the back teeth.

-A wisdom tooth becoming stuck in the jaw (impacted) and never breaking through the gums.

-Red, swollen, and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in.

-Gum disease and tooth decay in the wisdom tooth, which may be harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth.