Sometimes Extractions are necessary

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Here, at New Baltimore Family Dentistry, it is our goal to help preserve your natural teeth. Sometimes due to extensive decay, injury or a particular dental situation it may require a tooth to be extracted. We understand you may be anxious or nervous and that is why you should talk to us about any concerns you may have; we are here to help in any way possible.

WISDOM TEETH EXTRACTIONS are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic will be used to numb the areas where the teeth will be extracted. Some patients may prefer to go under a general anesthetic (sedation) so that they will be sedated during the procedure; you may discuss these options with your doctor.

If you are taking ANY blood thinning medications (Including Aspirin or other over the counter), it is ABSOLUTELY necessary to bring this to your doctor's attention at least 7 DAYS PRIOR TO YOUR EXTRACTION!

After the surgery you will need to rest. You may need to be driven home by a friend or family member because of the anesthesia, that is a personal decision. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will be given additional gauze as you will need to change it as instructed. If bleeding continues for longer than 24 hours you should call our office. 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. For the first 24 Hours you should not be lifting or bending, just relaxing. The doctor may prescribe pain medication only if it is deemed medically necessary; you can also use an ice pack if needed. After an extractin there should be ABSOLUTELY NO SPITTING, SUCKING (through a straw) and NO SMOKING; all these things are high-risk factors to loosen sutures and that may not allow for natural clotting which could cause Dry Socket which is a painful condition. Each day after having the extraction should be a little better than the last; if it feels any different than that, you should CALL the office right away.

You will be limited to soft foods for a few days after your surgery like pudding, yogurt, mashed potatoes, ice cream, soups and other Non-acidid foods that you can eat without chewing.

AGAIN, when drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process, the same with spitting. PLEASE DO NOT SMOKE. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call our office at 731-2797 for a follow up.

When removing a tooth it is important to consider what will be done with the empty space after that tooth is removed. Wisdom teeth are in the back of the mouth, so that site will heal on its own with no complications. If it is necessary to remove another tooth, plans must be made. If a tooth is removed and nothing is done with the extraction site, the jaw bone may degenerate and change shape during healing and can cause your teeth to shift. This can create problems in your bite and affect your ability to speak and chew.

If you want to fill the space with a dental implant, a sturdy jaw bone is necessary to install the implant. If you opt for a dental bridge, the bridge must be molded and placed before the teeth shift.

We are always open to a conversation on what you would like to do with your extraction site before removing a tooth. Our doctors will be able to make a recommendation and layout a treatment plan. Make sure to schedule follow up appointments to properly care for your extraction site.

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