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HAVING A TOOTH REMOVED

Dr. Moore performs hundreds of oral surgeries each year including the extraction of wisdom teeth. 

While it is our goal to help you restore your teeth, we understand that much of the time a patient's circumstances dictate the treatment they request. If you have lost teeth in the past, or choose to have a tooth (teeth) extracted now, our staff will educate you about options for restoring function and a confident smile. 

Tooth extraction is the removal of a tooth from its socket in the bone.

PURPOSE

Extraction may be used to remove teeth that are so badly decayed or broken that they cannot be restored. Patients sometimes choose extraction as a less expensive alternative to filling a tooth or having root canal therapy and placing a crown on a severely decayed tooth.

Teeth are often removed because they are impacted. Teeth become impacted when they are prevented from growing into their normal position in the mouth by gum tissue, bone, or other teeth. Impaction is a common reason for the extraction of wisdom teeth. Extraction is the only known method that will prevent further problems.

Teeth may also be extracted to make more room in the mouth prior to straightening the remaining teeth (orthodontic treatment), or because they are so badly positioned that straightening is impossible. 

PRECAUTIONS

In some situations, tooth extractions may need to be postponed temporarily. These situations include:

  • Infection that has progressed from the tooth into the bone. Infections may make anesthesia difficult. They can be treated with antibiotics before the tooth is extracted.

  • The patient's use of drugs that thin the blood (anticoagulants). These medications include warfarin (Coumadin) and aspirin. The patient should stop using these medications for three days prior to extraction.

  • Patients who have had any of the following procedures in the previous six months: heart valve replacement, open heart surgery, prosthetic joint replacement, or placement of a medical shunt. These patients may be given antibiotics to reduce the risk of bacterial infection. 

PROCEDURE

Dr. Moore generally performs extractions with local anesthesia if the tooth is exposed and appears to be easily removable in one piece. Multiple &/or surgical extractions are performed with local anesthetic and the use of nitrous oxide &/or conscious sedation.

An instrument called an elevator is used to loosen (luxate) the tooth, widen the space in the bone, and break the tiny elastic fibers that attach the tooth to the bone. Once the tooth is dislocated from the bone, it can be lifted and removed with forceps.

Extracting an impacted tooth or a tooth with curved roots typically requires cutting through gum tissue to expose the tooth. It may also require removing portions of bone to free the tooth. Some teeth must be cut and removed in sections. The extraction site may or may not require one or more stitches to close the cut (incision).

PREPARATION

Before an extraction, the dentist will take the patient's medical history, noting allergies and prescription medications. A dental history is also taken, with particular attention to previous extractions and reactions to anesthetics. The dentist may then prescribe antibiotics or recommend stopping certain medications prior to the extraction. The tooth is x-rayed to determine its full shape and position, especially if it is impacted.

If the patient is going to have conscious sedation,arrangements should be made for a friend or relative to drive the patient to the office and to their home after the surgery.

POST-

OPERATIVE CARE

An important aspect of aftercare is encouraging a clot to form at the extraction site. The patient should put pressure on the area by biting gently on a roll or wad of gauze for several hours after surgery. Once the clot is formed, it should not be disturbed. The patient should not rinse, spit, drink with a straw, or smoke for at least 24 hours after the extraction and preferably longer. Vigorous exercise should not be done for the first three to five days.

For the first two days after the procedure, the patient should drink liquids without using a straw, and eat soft foods. Any chewing must be done on the side away from the extraction site. Hard or sticky foods should be avoided. The mouth may be gently cleaned with a toothbrush, but the extraction area should not be scrubbed.

Wrapped ice packs can be applied to reduce facial swelling. Swelling is a normal part of the healing process. It is most noticeable in the first 48-72 hours. As the swelling subsides, the patient may experience muscle stiffness. Moist heat and gentle exercise will restore jaw movement. Dr. Moore may prescribe medications to relieve the postoperative pain.

RISKS & RESULTS

Potential complications of tooth extraction include postoperative infection, temporary numbness from nerve irritation, jaw fracture, and jaw joint pain. An additional complication is called dry socket. When a blood clot does not properly form in the empty tooth socket, the bone beneath the socket is painfully exposed to air and food, and the extraction site heals more slowly.

After an extraction, the wound usually closes in about two weeks. It takes three to six months for the bone and soft tissue to be restructured. Complications such as infection or dry socket may prolong the healing time.

Source: Gale Encyclopedia of Medicine, Published December, 2002 by the Gale Group; Health AtoZ.com

 

WISDOM TEETH REMOVAL

As wisdom teeth are the last permanent teeth to erupt, often times there is not enough room left in your mouth to accommodate them. This can cause wisdom teeth to remain impacted or only partially erupt, which may cause swelling, tenderness, and infection.The optimal time to remove wisdom teeth is in the late teens to early twenties, but they may be removed at a later age if necessary.  

Extractions and wisdom teeth are common procedures, but it is important for the dentist to take a 3D image of the mouth & jaw and perform a pre-surgical consultation.  Free oral conscious sedation is available for wisdom teeth removal so you can relax & experience minimal discomfort.

During wisdom tooth extractions, the dentist will :

  • Provide patient with sedation and local anesthetic in the area(s) extractions will be performed
  • Make an incision in the gum tissue to expose the tooth and bone Remove bone that blocks access to the tooth 
  • Divide the tooth into sections if required
  • Elevate and remove the tooth
  • Clean the extraction site
  • Place sutures
  • Place gauze over the extraction site to control bleeding and help a blood clot to from.  

RISKS

Most wisdom tooth extractions don't result in long-term complications. Rare complications may include:

  • Damage to nearby teeth, nerves, jawbone or sinuses during surgery.
  • Dry socket, or exposure of bone when the post-surgical blood clot is lost from the site of the surgical wound
  • Infection in the socket from bacteria or trapped food particles

 

Contact Us:

Email: Smile@TrustedDentistry.com 

Aegis Dental Group 
3560 Elkhart Road 
Goshen, IN 46526

875-574-7711

Smile@TrustedDentistry.com

Monday - Thursday 9:00a.m. -5:00p.m. 
Friday - Saturday 9:00a.m. - 1:00p.m

Angola Dental Center 
205 East Harcourt Rd. 
Angola, IN 46703

260-665-5767

Smile@TrustedDentistry.com

Monday - Thursday 9:00a.m. -5:00p.m. 
Every Other Tuesday 11:00 a.m. - 7:00 p.m. 
Friday - Saturday 9:00a.m. - 1:00p.m

 

 

 

 

 

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Aegis: 574-325-5764

Angola: 260-232-0895

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