Surgery

Tooth Extractions

You and your doctor may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they’re severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Sometimes teeth may need removal because they’re 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 Brauer or Dr. Townsend will in most cases, discuss alternatives to extractions, as well as replacement options for the extracted tooth. Please ask the Doctors or the Team at Tuscany Dental Centre if you have any questions.

The Extraction Process

At the time of extraction, the dentist will need to numb your tooth, jawbone, and gums that surround the area with a local anesthetic.

During the extraction process, you’ll feel a lot of pressure. This is from the process of rocking the tooth in order to remove the tooth. You’ll feel the pressure without pain. If at any time during the procedure please let us know by lifting your hand.

Tuscany Dental Centre also offers a sedation option for wisdom teeth extractions. If sedation is your choice, you will be briefed on how the sedation process will work, along with instructions on how to arrive and depart the clinic.

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 that the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section, one at a time.

After Extraction Home Care

  • Rest – if you have been sedated you must rest in an elevated position for the first 2 hours.
  • Bleeding – some bleeding may occur. Place a piece of gauze folded over the empty tooth socket and bite down firmly for 30-45 minutes to help the clot the blood.
  • Pain and Medications – after the procedure is completed Dr. Brauer or Dr. Townsend will discuss medications and pain control with you and if you have any questions please see the post operative sheet you’ll be given. If you have more concerns or cannot find the answer you need call us right away. Tuscany Dental Centre 403-239-0010.
  • Eating – for most extractions, be sure you chew away from the extraction site. Avoid hot liquids and alcoholic beverages. Soft foods are recommended for the next day or so after surgery. Avoid things that are nutty or crunchy with tiny bits that can be lodged inside of the socket.
  • Brushing and Cleaning – avoid brushing the teeth near the extraction site for one day. After which you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the tissues. 24 hours after the extraction you can rinse with salt water (1/2 teaspoon salt in a cup of warm water) after meals and before bed.
  • Swelling – if swelling occurs, you can place ice or cold packs on your face for 10 minutes on and 20 minutes off. Repeat this cycle as you feel necessary for up to 24hours.
  • To Avoid Disrupting the Blood Clot – as this is an important part of the healing process please avoid the following:
  • Avoid rinsing or spitting for 72 hours after the extraction
  • Avoid using a straw, smoking, slurping spaghetti noodles, and hot liquid
  • Dry Socket – dry socket occurs 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. Following the post-extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull, throbbing pain, which doesn’t appear until three or 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 will appear dry. Please call Tuscany Dental Centre and we will apply a medicated dressing to the area to soothe the pain.
  • Healing – after a tooth has been extracted, there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1 to 2 weeks, you should no longer notice any inconvenience.