Dr. Sreter, the well known Jerusalem 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 are 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.
To avoid these complications, Dr. Sreter will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Extraction Process
At the time of extraction the doctor will need to numb your tooth and gums with a local anesthetic. During the extraction process you will feel only pressure with no pain.
You feel the pressure without pain because 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 Dr. Sreter will supplement the anesthesia so that you will be completely comfortable.
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. Dr. Sreter simply cuts the tooth into sections then removes each section one at a time.
Some oozing may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this.
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 drinking hot liquids.
If swelling occurs, you can place ice on your face for ten minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.
Pain & Medications
Dr. Sreter will prescribe pain relief medications such as acetaminophen or ibuprofen (artofen). Some patients may require Tylenol with codeine (cod acamol forte).
After an extraction avoid eating until the numbness wears off. You can then eat but avoid the extraction site by eating on the other side of the mouth. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours in some cases.
Brushing & Cleaning
After the extraction, avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the extraction site. .
Beginning 24 hours after the extraction, you can rinse with salt water (one half teaspoon of salt in a glass of warm water) after meals and before bed.
Dry socket is 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.
By following the postoperative extraction instructions carefully you will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain that usually doesn't appear until three to 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.
Dr. Sreter will apply a medicated dressing to the dry socket to soothe the pain. This usually ameliorates the pain almost immediately.
After a tooth has been extracted there will be a resulting space. In time, this will smooth and fill in with new gum tissue. This process can take many weeks or months. During this time Dr. Sreter will advise you about the optimal way to restore the missing tooth.