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Extractions

You and Dr. Zalsman may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or be broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), 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, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Zalsman will discuss alternatives to extraction as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and tissue that surrounds the area with a local anesthetic.

During the extraction process you will feel a lot of pressure, but without pain. This is due to the fact that the anesthetic has numbed the nerves stopping the transference of pain. 

If you do feel discomfort at any time during the extraction, please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is firmly anchored in its socket or the root is curved. Dr. Zalsman will cut the tooth into sections then remove each section one at a time.

After Tooth Extraction

After a tooth extraction, it’s important for a blood clot to form.  This will stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to stop the bleeding.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, or brush your teeth for 24 hours.  Straws, smoking and carbonated beverages should be avoided for 72 hours, as these may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

During the healing process, you may feel some discomfort and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area for the first 24 hours will keep swelling to a minimum.

Take pain medication as prescribed and call our office if the you have concerns regarding the medication. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. 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 2-3 days, or a reaction to the medication, call our office immediately.