Cosmetic and Family Dentist in Raleigh
The Process Of Tooth Extractions And What You Should Do After
Here at Fusion Dental Care, we take tooth extractions very seriously and want our patients to know up front what is involved. For starters, Dr. Bassiri will hold a consultation with you to determine why you need a tooth extraction. Reasons for a tooth extraction differ; it might be some teeth are decayed, some may be broken and are irreparable, or it could be due to an advanced periodontal disease. In some instance, the extraction may be necessary because the teeth are adversely misaligned (like in the case of impacted teeth), or some teeth may need to be removed in readiness for an orthodontic procedure.
A tooth extraction procedure can affect your ability to chew and other problems such as shifting teeth and jaw joint; issues that can impact your dental health negatively. To avoid such complications, Dr. Bassiri will suggest the replacement of the extracted tooth as well as suitable alternatives to the extraction procedure.
The Extraction Procedure
Your dentist will start the procedure by numbing your gums, tooth, and jawbone using a local anesthetic. However, you will feel some significant pressure as the doctor extracts the tooth or teeth. The pressure is due to the rocking of the tooth during removed which is also done to widen the socket and ease the removal of the tooth.
The pressure is felt without experiencing any pain since the anesthetic numbs the nerves thus inhibiting the pain receptors from sending signals. But the anesthetic has a minimal effect on the nerves that transmit the feeling of pressure. Notify the doctor immediately you feel any pain during the extraction.
Some teeth will require sectioning, which is a procedure implemented if a tooth is firmly rooted to the jawbone or it has curved roots and the socket cannot expand enough for the tooth to be removed. The only other solution is to cut the tooth into sections and then removing each section at a time.
The doctor will expect a blood clot to form after the removal; the clot stops excess bleeding and initiates the healing process. The doctor will give you a gauze pad that you will bite on immediately after the extraction for around 30 to 40 minutes. The pad should help stop the bleeding. If the bleeding does not stop, you will have to replace the pad with another and bite for another 30 minutes or more.
The doctor will advise you not to disturb the blood clot after it forms to avoid dislodging it. You should not suck on straws, drink alcohol, rinse your mouth vigorously, or brush your teeth within 72 hours after the extraction. Such activities can dislodge clot or dissolve it thus hampering the healing process. Also, it is important to avoid engaging in vigorous exercises for at least a day, activities that increase your blood pressure because they may reactivate the bleeding.
The Healing Process
Swelling and some bit of pain may be felt after undergoing the tooth extraction. You can deal with the inflammation using an ice pack or a closed bag of frozen corn or peas. Taking some painkillers can also help, but only those prescribed to you by the doctor. The swelling should subside within two days.
Please get in touch with the doctor if the pain medications fail to work. Also, do not forget to take any antibiotics; take them as prescribed even after the signs and symptoms of infection are gone. Remember to take lots of fluids and eat nutritiously balanced diet. Stick to soft foods that require little or no chewing for during the first few days after the extraction. You can start eating as you normally do as soon as you feel comfortable.
If the healing is fast enough, you can resume your normal dental care practices such as brushing and flossing a day after the tooth extraction; doing this at least once daily. A fresh and clean mouth also helps with the healing process.
You should be able to resume normal activities after a few days. However, call the doctor if you experience heavy bleeding, severe pain, a continued inflammation that lasts more than two days, or if you there is a reaction to the medication.
(Alternative treatment options to replace missing teeth:
Removable partial denture
(Can also explain why not replacing missing teeth is detrimental to oral health- ex: opposing teeth grow due to not having a stop, posterior tooth tilts forward, bone resorbs, all of these things can cause sinking in of the cheek, reduced function and chewing surfaces, misalignment, lack of bone and/or space to replace teeth later)