Tooth (Extraction) Removal

You and Dr. Jelsing may determine that you need a tooth removal for any number of reasons. Some teeth are extracted because they are severely decayed. Others may have advanced periodontal disease or are 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, Dr. Jelsing will discuss alternatives to extractions as well replacement of the extracted tooth.

The Removal Process

At your appointment, the doctor will need to numb your tooth, jawbone, and gums that surround the area with a local anesthetic and put you to sleep if you desire.

During the process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during your appointment, please let us know right away.

Sectioning A Tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

Extraction Post-Operative Care

The Day of Surgery
Bite down firmly on the gauze packs. The gauze may be changed as necessary (typically every 15-30 minutes) until oozing stops.

Do not disturb the area today. Do not rinse vigorously or probe the area with any objects. You may brush your teeth gently. Please do not smoke for at least 48 hours, since this is detrimental to healing and may cause a dry socket. **DO NOT brush this area until we see you in one week.**

Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the areas and biting on the gauze for 30-40 minutes. If bleeding remains uncontrolled, please call the office.

Eat any nourishing food that can be taken with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is best to avoid small units of food such as nuts, sunflower seeds, popcorn, etc., which may become lodged in the socket areas. Over the next several days, your intake should include soup, pudding, yogurt, milkshakes, eggs, etc., ***DO NOT eat on the side where you received your surgery at all.***

Begin your oral hygiene routine as soon as possible, except around the surgical site. After 72 hours, use cotton tipped applicators dipped in the rinse solution to gently clean the surgical site until we see you next week.

Dry Socket
Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.

Following the postoperative extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain that usually doesn’t appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Dr. Jelsing will apply a medicated dressing to the dry socket to soothe the pain.

After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.

Replacing Teeth With

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