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Extractions

 

Extractions

Extractions can be done in the office at Sierra Oaks Dental Group.  Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. 

 

Tooth extractions can be necessary for various reasons:  

  • A broken tooth and the fracture line goes all the way down to the root
  • Another reason is if a tooth is impacted and is growing in at an irregular angle affecting other teeth (common with wisdom teeth)
  • A crowded mouth if a tooth isn’t erupting through the gum line then it may be extracted
  • Infection is also a major reason for teeth being extracted
  • Risk of infection is also a common reason – risk of infection can derive from chemotherapy or a recent organ transplant
  • Periodontal disease can cause bone loss and loss of tooth stability & integrity

X-Rays To Start

Before an extraction can be diagnosed a patient must have full-mouth x-rays taken, panoramic x-rays, or some form of oral x-rays to assess the tissue below the gum line.  Here at Sierra Oaks Dental Group we have a variety of anesthetics that the dentist will provide at the time of treatment. We also have a comfort menu with items such as a pillow, blanket, headphones, and sedation options.  If you’re considering sedation for an extraction or another dental procedure or treatment then please contact our front desk or speak with your dentist.

Impacted Wisdom Teeth

If a patient’s wisdom tooth is impacted then the dentist will have to take extra steps to remove the tooth.  When a tooth is impacted it means it’s not erupting through the gum line like teeth do. Teeth can also be partially impacted in situations where they partially erupt through the gum line, but not fully.  Sometimes the tooth needs to be fragmented into more than two pieces, or a slightly larger incision needs to be made in the gum line. Impacted wisdom teeth are typically the easiest of impacted teeth to handle.  When teeth begin to be impacted in other areas of the mouth is when specialist oral surgeons need to be introduced.

After The Extraction

Once the tooth has been extracted a blood clot will naturally form where the tooth was.  If a blood clot does not form then the dentist will apply a collagen plug. Gauze will also be applied on the clot to assist in stopping the bleeding.  If the case warrants it then dissolvable sutures will be used to close up the area. The blood clot can be dislodged, which is called a dry socket, because the bone underneath the extraction area is exposed.  At this point you would need to revisit the dentist or office and have steps taken to form a new clot.

At Home Care

Recovery from a tooth extraction takes a couple days on average, but can vary from patient to patient.  It’s important to follow your dentist’s exact prescriptions and directions. Typically gauze pads can be used for three to four hours before needing to be replaced.  It’s best practice to switch them out before they’re soaked with blood. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down.  Bags of ice can be used to control swelling, but you should never exceed ten minutes per application. Avoid any motion or sensation like spitting or sucking on straws or slurping to avoid dislodging the blood clot. Try to stick to a diet of softer foods the first day or two after the procedure.  Yes, that’s right, ice cream is back on the menu! Your dentist’s prescription and advice always, always, always takes precedence over any other information including the tips listed above.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.

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