Extractions

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Wisdom teeth extractions are a fairly common procedure performed at All About You Dental Care. Developing wisdom teeth often cause problems while they push upwards through the gums. When a wisdom tooth becomes impacted, it indicates the tooth is coming in at an incorrect angle and not directly upwards through the gum tissue. This tends to cause pain and result in the tooth growing in unevenly. For some extraction patients, the wisdom tooth might only emerge partially.

 When a wisdom tooth emerges partially and grows into an incorrect position, the unwanted result can be a flap of skin tissue that develops over the tooth. This unneeded extra tissue can make the tooth and the surrounding area tough to clean. Additionally, the problematic flap can form a type of trap for food particles that can raise the risk of cavities or infection. This uncomfortable condition – known as pericoronitis – triggers swelling and discomfort. In some instances pericoronitis may run its course and go away naturally, but in other cases dental treatment is required.

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Impacted Teeth

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Impacted teeth and wisdom teeth that may lead to difficulties like infections should be removed. Extractions can range from the removal of a single tooth to the removal of all four wisdom teeth at once. Based on the preference of the dentist and the patient, a local anesthetic might be used to numb the areas where the teeth will be extracted. Some extraction patients choose to go under a general anesthetic so that they will be sedated throughout the procedure.

The Extraction Procedure

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The gum tissue surrounding the wisdom tooth is cut open to allow access to the tooth. Your dentist then loosens the tooth by gripping it firmly and wiggling it back and forth. The movement slowly separates the tooth from the gums so it can be lifted upwards and out. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted from the gums. In this situation the tooth must be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be required to seal the area. Soluble sutures are typically the best option, because they dissolve without needing further treatment.

After Dental Extraction Surgery

After this type of oral surgery you’ll need plenty of rest. Arrange to be driven home by a friend or family member because you may still be under the effects of the anesthesia. You can expect for the extraction site to bleed for a short time after the surgery. Gauze will be applied at the completion of the surgery, and you’ll need to change it out regularly. If bleeding continues more than one day do not hesitate to call Dr. Lavrisa. Rest after you get home but do not lie flat, which could extend the bleeding. Elevate your head with a pillow when resting. Pain medication is typically prescribed in the event you experience continued discomfort and soreness after your extraction. You may apply an ice pack to ease the pain and to keep the swelling down. Your dentist may also offer you a safe and effective cleaning solution to keep the extraction site free from infection.

You will be on a diet of soft foods for a few days following your extraction surgery. Some recommended foods include:

  • Gelatin
  • Pudding
  • Yogurt
  • Mashed Potatoes
  • Ice Cream
  • Thin Soups
  • …and other food you can eat with minimal or no chewing.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and hinder the clotting process. It is also recommended that you do not smoke after an extraction. If you have persistent pain, bleeding or irritation, call your dentist for a follow up visit.

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