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Pulling Teeth

Pulling teeth or extraction is the process of removing a tooth from your upper or lower jaw bone. You may have been told that you need to have one or more teeth pulled or extracted for a variety of reasons such as:

  1. A tooth may be so badly decayed and damaged that despite our best efforts is deemed non restorable.
  2. One or more  teeth need to be extracted to create room for Orthodontic treatment.
  3. A tooth  is fractured or abscessed and needs to be extracted.
  4. A patient may have  decided to have a tooth extracted and replaced by Implants.

Pulling teeth is a major decision. Our dentists make saving your teeth comfortable and affordable, however if saving your tooth is not an option and you need to have your tooth extracted our dentists are highly experienced and trained to provide your treatment safely with care and comfort. 

Tooth Extraction Pain

When you have any Oral Surgery procedures specially removing a tooth it’s not unusual to experience some pain and discomfort. 

The main misconception about bones is that they are made up of dead tissue; this is not true. Bones have cells, nerves, blood vessels, and pain receptors. The acute “Tooth extraction pain” following the procedure (based on my own personal experience) is at its worst when the local anesthesia is wearing off. Therefore it is best to take the first dose of your pain medication before the anesthesia is worn off.  Inflammation is also a cause for tooth pain. It is extremely important to apply an Ice pack over the surgery site ASAP following extraction of a tooth to reduce bleeding and inflammation that can lead to excessive post-operative pain.  The Ice pack should be applied in 15-20 min on and 5 min off intervals to control bleeding and inflammation comfortably.      

Tooth Extraction after care

It is important to follow the instructions your dentist or oral surgeon has provided you for tooth extraction after care. The following is recommended after tooth extraction:

  1. The most logical and important aspect of any Oral Surgery procedure is to control the bleeding by applying pressure to the surgical site and clot formation. After a tooth is pulled or extracted a gauze pack is placed over the socket and the patient is instructed to bite on the gauze comfortably but firmly for 1 hour or longer to allow the blood clot to form and to stop bleeding.  It is important to avoid changing this packed gauze repeatedly for the fact that doing so will actually cause more bleeding.
  2.  It is also important to apply an Ice pack ASAP following the extraction to reduce inflammation that may cause pain in the following days. 
  3. Take your 1st dose of pain medication before Anesthetic is worn off to reduce immediate acute post-operative pain.
  4. Avoid vigorous rinsing and brushing for the first 24 hours, you can start rinsing gently with warm and salt water (mix 1 tsp and 8 ounces of water)  24 hours after the surgery 3-4 times a day.
  5. Avoid heavy exercising for the first 48 hours.
  6. Avoid smoking during the healing period, smoking reduces blood flow, slows healing, and can cause dry socket (osteitis). 
  7. Do not use a straw; eat nutritious soft diet for the first 48 hours.
  8. Follow your dentist’s instruction for follow up visits.

Read more about wisdom teeth removal…

 
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