Tooth Extractions

You and Dr. Maralani or Dr. Simonsky 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 bone loss (periodontal disease) or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (impacted wisdom 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 or tilting of the teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Drs. Maralani or Simonsky will discuss alternatives to extractions 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 gums that surround the area with a local anaesthetic. During the extraction process you will feel a lot of pressure but not any pain. You feel the pressure without pain as the anaesthetic has numbed the pain nerves, yet the nerves that transmit pressure are not profoundly affected.

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. Dr. Simonsky simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on the clean gauze pads provided for 30-45 minutes immediately after the appointment. If a small amount of bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. A wet tea bag in place of the gauze pads also works well. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or aggressively brush teeth next to the extraction site for 24 hours. These activities may dislodge or dissolve the clot and slow down the healing process and can lead to a very painful condition called Dry Socket. And please avoid vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area for 20 minutes at a time will keep swelling to a minimum. The swelling usually subsides after 48 hours.

Use pain medication as directed by Dr. Simonsky. Please call our office if the medication doesn’t seem to be working.

If antibiotics are prescribed, continue to take them until all are finished even if signs and symptoms of infection are gone. If you stop the antibiotics early, the infection may return.

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 but avoid very hot foods and drinks.

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 prolonged bleeding, severe pain, fever, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.