Tooth Extraction | Scottsdale Dental Services

Your doctors at Scottsdales Dentist 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 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 (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.

In most cases, in order to avoid these complications, our doctors will discuss alternatives to extractions as well as replacement options for the extracted tooth.

The Extraction Process

At the time of extraction Scottsdales Dentist and its qualified doctors will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction 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 will 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 the extraction 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.

After Extraction Home Care

Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this. If bleeding has not decreased in 3-4 hours, bite on a dampened tea bag placed directly over the surgical site.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

• Avoid rinsing or spitting for 24 hours after the extraction.
• Avoid use of a straw, smoking or hot liquids.
• Do not rinse vigorously for the first three days following surgery.

Swelling

If swelling occurs you can place ice on your face for 20 minutes on and off for 20 minutes. Repeat this cycle as you feel necessary for up to 3 hours.

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.

Eating

For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction brushing the teeth near the extraction site is permitted although gently.  Avoid commercial mouth rinses, as they tend to irritate the site for 72 hours. Beginning 24 hours after the extraction you can gently rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket occurs 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 post extraction instructions will reduce the chances of developing a dry socket. Dry sockets manifest themselves as a dull throbbing pain, which don’t appear until three or 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.

Our doctors will apply a medicated dressing to the dry socket to sooth the pain.

Healing

After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth over 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.