Tooth Extractions

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Tooth Extractions

Regular Dental Extraction:

A regular dental extraction is typically performed for teeth that are visible in the mouth and can be easily accessed by the dentist. This procedure is commonly used for teeth with extensive decay, severe damage, certain orthodontic cases, periodontal disease, or crowding issues.

  • Procedure:
    • Dr. Homayoon or Dr. Van Winkle will begin by numbing the area around the tooth with a local anesthetic to ensure the patient is comfortable during the procedure. We also offer Nitrous Oxide (“Laughing Gas”) at our office, which reduces anxiety and discomfort, to help our patients relax during the procedure.
    • Using specialized dental instruments, the tooth is gently loosened from its socket in the jawbone and periodontal ligament.
    • Once the tooth is sufficiently loosened, forceps are used to grasp the tooth and remove it from the socket.
    • In some cases, the tooth may need to be sectioned into smaller pieces for easier removal, particularly if the tooth is impacted or has complex roots.
  • Post-operative Recommendations:
    • Bite down on a clean gauze pad placed over the extraction site to help control bleeding and promote blood clot formation.
    • Apply ice packs to the outside of the face near the extraction site to reduce swelling and discomfort.
    • Take prescribed or over-the-counter pain medication as directed by the dentist to manage any discomfort. 
    • Avoid drinking through a straw, smoking, or vigorous rinsing for the first 24 hours to prevent dislodging the blood clot and delaying healing.
    • Eat soft foods and avoid chewing on the extraction site to prevent irritation or injury.
    • Follow any additional post-operative instructions provided by Dr. Homayoon or Dr. Van Winkle, such as taking antibiotics or scheduling a follow-up appointment for suture removal.

Surgical Dental Extraction:

A surgical dental extraction is performed for teeth that are not easily accessible or require more complex techniques for removal. This includes impacted wisdom teeth, broken teeth below the gumline, or teeth with curved or multiple roots.

  • Procedure:
    • The patient may receive local anesthesia or Nitrous Oxide to ensure comfort during the procedure, depending on the complexity of the extraction and the patient’s preferences.
    • If necessary Dr. Homayoon or Dr. Van Winkle will make a small incision in the gum tissue to access the tooth and surrounding bone.
    • Using specialized instruments, we carefully remove the tooth from the socket, sometimes by sectioning it into smaller pieces for easier extraction.
    • Once the tooth is removed, the surgical site is thoroughly cleaned and any debris or infection is addressed.
    • In some cases, sutures (stitches) are placed to close the incision and promote healing.
  • Post-operative Recommendations:
    • Apply gauze pads to the extraction site to control bleeding and promote blood clot formation.
    • Apply ice packs to the outside of the face near the extraction site to reduce swelling and discomfort.
    • Take prescribed pain medication as directed to manage any discomfort, and avoid aspirin or ibuprofen if instructed by Dr. Homayoon or Dr. Van Winkle to prevent excessive bleeding.
    • Follow a soft diet and avoid chewing on the extraction site to prevent irritation or injury.
    • Avoid strenuous activities, smoking, or drinking through a straw for the first few days to promote healing and reduce the risk of complications.
    • Attend any scheduled follow-up appointments for suture removal and post-operative evaluation.

FAQ’s Extractions

Generally, patients may feel pressure during the procedure, but with the use of local anesthesia, they shouldn’t experience pain. Additionally, Nitrous Oxide (“Laughing Gas”) can be given at your request, which helps with any anxiety and discomfort you may have prior or during the procedure. After the extraction, some discomfort is normal, but it can be managed with pain medication prescribed by the dentist.

Recovery time varies, but most patients feel back to normal within a few days to a week. Complete healing of the extraction site typically takes a few weeks.

It’s best to stick to soft foods like yogurt, soup, mashed potatoes, and smoothies for the first few days after the extraction. Avoid hot, spicy, or crunchy foods that may irritate the extraction site.

You can usually resume normal activities the day after the extraction, but avoid strenuous exercise or activities that could dislodge the blood clot for at least 24 hours.

Surgical extractions may involve more discomfort and swelling compared to regular extractions due to the complexity of the procedure. However, patients are typically given local anesthesia or Nitrous Oxide to minimize pain during the procedure.

Recovery time for surgical extractions can vary depending on the complexity of the procedure and individual healing factors. Most patients experience significant improvement within a few days to a week, but full recovery may take several weeks.

In some cases, Dr. Homayoon or Dr. Van Winkle may place stitches to close the incision after a surgical extraction. These stitches are typically absorbable and will dissolve on their own over time.

Similar to regular extractions, it’s best to stick to soft foods and avoid hot, spicy, or crunchy foods that may irritate the extraction site. Follow the post-operative dietary recommendations provided by your dentist or oral surgeon.

Dr. Homayoon or Dr. Van Winkle will evaluate your oral health and recommend an extraction if a tooth is extensively decayed, damaged, or causing crowding issues. X-rays and clinical examination help determine the best course of action.

While dental extractions are generally safe procedures, complications such as infection, dry socket, or nerve damage can occur in some cases. Dr. Homayoon or Dr. Van Winkle will discuss potential risks and provide post-operative instructions to minimize them.

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