Tooth extraction or Exodontia is the removal of teeth under local anesthesia. The most common reason is when the tooth is extensively decayed and cannot be restored. There are 2 types of extractions. one is Simple and the other is Surgical. Following are some of the common reasons for extraction of teeth:
- grossly decayed teeth
- teeth with severe periodontal/gum disease
- Infected tooth
- Impacted teeth
- Prior to start of Orthodontic treatment
- Teeth in the fracture line
Teeth in the line of radiation therapy to head and neck, but Prior to radiation therapy.
If you are currently taking any medications for any health problems or if you are allergic to any medications or latex gloves, please do inform your dentist before the procedure.
Simple extractions are usually performed on teeth that can be easily accessed in the mouth. Surgical extractions are performed when access to the teeth is difficult for example in case of impacted teeth, teeth that are broken below the gum line. An incision is usually placed with surgical extractions and sutures will be required.
The initial healing time of an extraction site is usually 4 weeks. However the first week of care to the extraction site is extremely important to prevent any post-operative complications like dry socket, bleeding, infection etc.
Wisdom Tooth / Oral Surgery
Wisdom teeth erupts in the late teens when one is being considered as acquired enough wisdom and hence the name. These teeth can be a great value when they are in the right position and healthy. Most often, they require removal recommendation from your Dentist for various reasons.
Why Wisdom Teeth is Removed?
Wisdom Teeth may become an issue, if there is no space for them. As a result, the new growing teeth can erupt in the wrong position. When there is enough space, these Wisdom Teeth can help us chew food. It is very common to feel discomfort when the third molars erupt. However there are many reasons why the Wisdom teeth needs to be removed. Common reason among them include wrong position, no room in the mouth, pain, cyst, tumors, Gum Disease and Tooth Decay.
Wisdom Teeth Removal for Braces?
The Dentist may recommend the removal of Wisdom Teeth before starting the treatment for Orthodontics / Braces. Before making these decisions, your Dentist studies your mouth, Wisdom Teeth position, alignment with the help of x-rays, pictures and Panoromic views of your mouth and jaws.
Post Operative Instructions
The initial healing period of the extraction site is usually from 1-2 weeks, gum tissue heals in 3-4 weeks and complete healing of the bone at the extraction site may take about 6-8 months. You should expect some level of discomfort(pain), bleeding and swelling the first 24 hours after the extractions as the area starts healing .Follow these simple instructions for better and faster healing of the extraction site:
- Do not disturb the wound, as the blood clot that has formed serves as the nutrition for the healing of the wound.
- Do not smoke or use any tobacco products or drink alcohol for atleast 72 hours following extraction.
- Do not keep spitting because you taste blood in your mouth. Swallow the saliva with the blood as this will prevent the dislodgement of the clot.
- Do not use a straw to drink as this may dislodge the clot from the socket that could eventually lead to a condition called as “dry socket”, which is a very painful condition of the extraction site.
- Do not eat or drink anything that is very hot ,spicy or has any tiny seeds in them like sesame seeds.
- Avoid rinsing with any kind of mouthrinses for atleast 24 hours. After 24 hours start rinsing gently with warm salt water 3-4 times a day.
- Soft diet is recommended the first 2 days following extraction.
Take all the prescribed medications as advised.
- In case of swelling place an ice-pack over the area.
- Maintian a soft diet for the first 24-48 hours following extraction . ex-yogurt, pudding mashed potatoes, soups (warm)etc
- Limit your physical activity for the first 24 hours. Avoid blowing your nose violently or any kind of sports related diving activites as it may increase bleeding.
- Keep your head at an elevated level while sleeping.
- If sutures have been placed, do not disturb it. They will dissolve away in 5-6 days.
- Keep your post-operative appointment as we can monitor your healing.
If you experience increased pain 3-4 days after extraction,it could be because of infection of the extraction area called as Dry Socket. Please call our office immediately for follow up at 214-387-8400.