Our dentist at GriDent will do everything to save your living teeth. But sometimes, it is more of a health risk to have the tooth stay in than for it to come out. If the tooth is in very bad condition, it will eventually lead to the dentist having to extract it. There are many tooth replacement options that can maintain the rest of your teeth and we can advise you in the posibilities.
What Is It?
Tooth extraction is the removal of a tooth from its socket in the bone.
You will be asked about your medical and dental histories. And your dentist will take an X ray of the area to help plan the best way to remove the tooth. If all the wisdom teeth will be removed then you will need a panoramic x ray, which takes a picture of all of your teeth at once.
Most simple extractions do not cause much discomfort after the procedure. You may take an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) for several days, or you may not need any pain medication.
The surgical extractions cause more pain after the procedure because they are more complicated. The difficulty of the extraction assigns the level of your discomfort and how long you will have it. Mostly after a few days post surgical pain disappears.
A cut in the mouth tends to bleed more than a cut on the skin because the incision cannot dry out and form a scab. After the extraction, a piece of gauze will be bitten for about 20 to 30 minutes to put pressure on the area and allow the blood to clot. For the next 24 hours, the area may still bleed minimally and it will be taped off after that. The clot that forms on the wound shouldn’t be disturbed.
Ice packs can be put on the face to reduce postoperative swelling. You can try warm compresses if your jaw is sore and stiff after swelling dissipates. You should eat soft foods for a few days after the extraction. Also rinsing with warm salt water (1/2 teaspoon of salt in a cup of water) is useful for the first few days to help keep the area clean. Overall healing takes between one and two weeks.
What are the risks?
It is possible that an infection sets in after an extraction although you have a healthy immune system. A common complication called a dry socket occurs when a blood clot doesn’t form in the hole or the blood clot prematurely breaks off or breaks down. In a dry socket, the underlying bone is exposed to air and food. This can be very painful and can cause a bad odor or taste. A dry socket needs to be treated with a medicated dressing to stop the pain and encourage the area to heal.
If the extraction needs to be closed with stitches, the stitches are removed a week after the operation. You shouldn’t spit, use straws or smoke after the surgery. More bleeding can be caused because these actions can pull the blood clot out of the hole where the tooth was. A dry socket can be caused and that occurs in about 5% of all extractions. It happens more often in smokers and women who take birth control pills and it is more common when lower back teeth are removed.
When to contact a dentist?
You should call your dentist if the swelling gets worse instead of getting better and if you experience fever, chills or redness in the area. If you have infection, the antibiotics are prescribed. You should call your dentist if the area of the extraction becomes very painful. This could be a sign of a dry socket. And you should notify your oral surgeon if the area continues to bleed after the first 24 hours.