Extractions
Teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. Other teeth need removal for other reasons such as gum/bone disease or extensive decay.
When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can occassionally cause pain and the tooth can come in unevenly or the tooth may only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop.
Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all teeth at once. A local anesthetic is used to numb the areas where the teeth will be extracted. Based on the preference of the doctor and/or the patient,some will prefer to go under a general anesthetic so that they will be sedated during the procedure.
The gum tissue around the tooth is loosened to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures(stitches) may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After the surgery you will need to rest. You may need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it if it becomes soaked. If bleeding continues for longer than 24 hours you should our office. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. We will prescribe you pain medication, so if you become sore take it as directed. You can also use an ice pack for the pain.
After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day BUT NOT ON THE DAY OF THE SURGERY. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correct
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Gelatin
- Pudding
- Yogurt
- Mashed Potatoes/Pasta
- Ice Cream
- Thin Soups
- ...and other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly please call us for a follow up appointment.
