Several Reasons for Tooth Extraction
- There are people with extra teeth that are preventing new ones from coming out.
- Baby teeth sometimes do not fall out in due course, making it difficult for the permanent ones to emerge.
- People who are getting braces will probably need a tooth extraction to accommodate the ones being put into position.
- Patients receiving radiation therapy on the head or neck may need to have their teeth removed around that area.
- People taking cancer drugs are likely to develop teeth infection as the immune system can become weak because of these drugs, and so the infected tooth will have to be extracted.
- Some teeth will have to be removed following an organ transplant, if they become infected. Those with organ transplants are at high risk of developing infections due to the prescription medicines they are taking that can suppress or weaken their immune system.
- Wisdom teeth, or third molars, are often extracted either before or after they have erupted. A wisdom tooth often appears in the late adolescence or early 20s. They need to be extracted especially if they are decayed, cause pain, or become infected. These teeth usually become impacted or stuck in the jaw and don’t emerge, which can irritate the gum as well as cause swelling and pain, thus the impacted tooth has to be extracted. Whenever the four wisdom teeth must all be removed, they are often extracted together.
X-ray imaging is done on the area to come up with the most suitable plan for the extraction. You have to provide your complete medical and dental history, along with a record of all the medications that you are taking.
If it is your wisdom tooth that has to be removed, you may go through a panoramic X-ray. This is going to take an image of all of your teeth right away. It will show a lot of things that can be very helpful for the procedure:
- The impact that the wisdom teeth has on the surrounding ones.
- The relationship between the upper teeth and the sinuses.
- The relationship of the lower teeth to a jawbone nerve that supplies sensation to the lower teeth, lower jaw, chin and lower lip. This nerve is called the inferior alveolar nerve.
- Any issues in the mouth such as infections, bone disease, or tumors.
There are dental practitioners who prescribe antibiotics before and after the surgery, although such a practice may vary from one oral surgeon or dentist to another. Antibiotics are more likely to be prescribed whenever:
- An infection is present at the time of surgery.
- The immune system is weak or suppressed.
- You went through an extensive surgery.
- You have a certain medical condition.
When the procedure is over, someone else has to drive you home. Your doctor will provide you with post-surgery instructions that you must strictly follow.
How It Is Done
Tooth extraction can be classified into two:
- Simple extraction is performed on a visible tooth in the mouth and is often performed by general dentists. During a simple extraction, the dentist uses an instrument called the elevator to loosen it, and then removes it with a different instrument called the forceps.
- Surgical extraction is much more complicated than a simple extraction. This is performed if the tooth has not come in yet or has broken off at the gum line. A surgical removal is very often carried out by an oral surgeon, although a general dentist may perform it as well. In this type of extraction the doctor is going to make a tiny cut into the gum. Sometimes, it becomes necessary to remove some of the bones surrounding it or to cut it in two in order to pull the tooth out.
A simple procedure is often performed with the injection of a local anesthetic. Sometimes, a patient may be given drugs to help him/her to relax. In the case of surgical extractions, the local anesthetic will be given to the patient via a vein or an intravenous injection.
In case you are having a conscious sedation, you will probably be given steroids along with other medications through an IV line. The steroids will help to reduce the pain and swelling following the procedure.
You may feel some pressure during a procedure. However, you should not feel any pain, so you have to inform your doctor if it is somewhat painful.
After The Procedure
- The doctor will give you specific instructions regarding preparations as well as expectations before the surgery and afterwards. Be sure to ask any questions you might have prior to leaving your doctor’s office.
- A slight discomfort can be expected, even after a simple extraction. Your doctor will probably prescribe medication for the pain, although you may take over-the-counter Ibuprofen drugs; for instance, Motrin, Advil, etc. You should take the dosage as prescribed by your doctor.
- Surgical extractions are often painful afterwards. The extent of discomfort and its duration will depend on how difficult the removal was. Most pain typically disappears after two days.
- A mouth incision usually bleeds more than an incision on the skin since it cannot dry out or scab. When the procedure is over, you will be told to bite into a piece of gauze for about 20 to 30 minutes to promote blood clotting. The bleeding should gradually stop on the following day. Be careful not to disrupt the blood clot that is forming on your wound.
- Ice packs and/or apply warm compresses can be applied to relieve the swelling, if there is any.
- Eat cool, if not soft food, for a few days. Once you feel comfortable, you may then try eating other foods.
- Rinse gently using warm salt water, beginning on the 24th hour following the procedure. This will help to keep the area sterile.
- If you need stitches, your doctor will probably make use of the dissolving variety, which can take one week or two weeks. Washing with warm salt water will facilitate for the stitches to dissolve quickly. Some of the stitches will have to be removed by your surgeon or dentist.
- Smoking, using a straw, or spitting after the surgery is not advisable. This can disturb the blood clot from where the tooth was removed and can pull it out. You are not supposed to smoke on the date of your surgery and also within 24 to 72 hours after your tooth extraction.
A condition known as a dry socket develops in approximately 3 percent to 4 percent from all tooth extractions. This can happen whenever a blood clot fails to form inside the hole or when it collapses very early.
A dry socket is a case where the core bone is open to the environment inside the mouth. It is likely to cause a bad odor or taste, and can be painful as well. Dry sockets often start to cause pain on the third day following the surgery.
Dry socket takes place 30% of the time whenever impacted teeth are extracted as well as for difficult removals. Smoking at the day of surgery increases the risk and smokers, along with women who are taking birth control pills, are susceptible to developing a dry socket. A medicated dressing is used to treat a dry socket to relieve the pain and boost healing.
An infection may develop after a procedure. However, it is very unlikely that you will develop any infection if you have a healthy immune system.
Other possible issues can include:
- Unintentional damage to nearby teeth, such as breaking of fillings.
- An extraction, which is incomplete, where the root of a tooth remains inside the jaw. The dentist usually removes the root to avoid infection; however, leaving a tiny root tip in place is sometimes less risky.
- A fractured jaw because of the pressure that is applied to it during extraction. This occurs more often among seniors because of their thinner jaw bone due to osteoporosis.
- A hole inside the sinus of an upper rear molar at the time of the procedure. A tiny hole will often close on its own within several weeks. If not, additional surgery may be needed.
- Soreness in jaw muscles and/or joint where may find it difficult to widely open your mouth. This may be a result of the injections, keeping your mouth open, and/or too much pressure on your jaw.
- Numbness in the chin and lower lip for an extensive duration. This is an issue that is not very common. It is a result of an injury to the lower jaw’s inferior alveolar nerve. Complete healing may take between three to six months. In very rare cases, the numbness can become permanent.
When to call the Office
- The swelling gets worse.
- You have fever, chills, or redness.
- You find it difficult to swallow.
- There is bleeding in the area which you are unable to control.
- The area keeps bleeding or oozing following the initial full day.
- You feel numbness in your tongue, lip or chin for over 3 to 4 hours after the extraction.
- The site of the extraction becomes excruciatingly painful, which is possibly an indication of a dry socket.
If an infection is present, your dentist will most likely prescribe antibiotics.
Tooth Extractions Costa Mesa, Orange County Community
We have experienced professional dentists who can give you a safe tooth pulling procedure in Costa Mesa, Orange County, CA. Book an appointment with our office located in OC. We accept patients with PPO and no insurance.