Tooth ExtractionsThe modern dental treatment concept always focuses upon the prevention of permanent removal of teeth from the oral cavity. It is recommended to save natural teeth through the provision of root canal therapy or other dental restorations whenever possible. Saving natural teeth is always ideal. However, certain conditions necessitate extraction of the damaged teeth to prevent the occurrence of harmful consequences. Dr. Moyer uses the latest equipment in a calm environment to perform essential tooth extractions using pain free surgical techniques.
Why do I need permanent removal of my natural teeth?Dr. Moyer opts for the extraction of teeth in the following situations:
|•||The occurrence of severe tooth infection which cannot be eliminated with root canal therapy procedures. Infection spreads through the enamel and dentin portions of the teeth and reaches the soft pulp tissues where nerves and blood vessels reside. The condition gets worse when it spreads past the apical foramen into the perirradicular tissues resulting in severe throbbing pain associated with mobility of teeth
|•||Patients who are undergoing chemotherapy or radiotherapy become immune compromised and need removal of compromised teeth which come in line with the radiation
|•||Teenagers and adults who opt for orthodontic braces for their mal-aligned and crowded teeth often require extraction of premolar teeth for gaining the required space for alignment of teeth
|•||Compromised periodontal attachment owing to periodontal diseases causing loosening of teeth and furcation area defects
|•||One of the major reasons for surgical removal of teeth is pericoronitis or infection of the soft tissues around a rotated wisdom molar resulting in severe pain, swelling and trismus. This occurs most commonly between 17 and 23 years of age. Infection occurs due to food debris lodging in the pocket formed between the second molar and third molar tooth|
Which situation necessitates delay of tooth removal?Dr. Moyer warrants delay in undergoing tooth extractions in case of severe local area infection around the teeth that need to be removed. This is due to the fact that local anesthetic solutions cannot penetrate and numb the infected areas due to low PH. Performing tooth extractions in these cases can cause severe discomfort and pain. You will be prescribed antibiotics and painkillers followed by rescheduling the appointment a few days later.
What will be done during the tooth removal procedure?
Dr. Moyer will assess the condition after taking a complete history and carrying out thorough clinical examination. A planned procedure will be explained and an informed consent will be taken. Extractions will be performed under profound local anesthesia in a painless manner. Post-operative instructions will be given and required medications will be prescribed. In case of multiple tooth extractions, general anesthesia administration in a hospital setting can be considered.
How is wisdom tooth removal different from simple extractions?
Simple tooth removal includes slight detachment of attached gingival from the tooth surface with a periosteal elevator following local anesthesia application. Forceps are then used to pull the tooth from its socket.
Wisdom molars are often rotated and stuck within bony tissue, necessitating complex procedures. Their removal involves making an incision with a surgical blade, followed by cutting and removal of required bone with the help of a bur in a surgical hand piece. Unlike simple extractions, wisdom molar surgery is followed by swelling of the area and requires special care and post operative medication for a week.
What instructions will Dr. Moyer give after removal of my tooth?
Following your extraction procedure, Dr. Moyer will advise you to:
|•||Avoid hot drinks and spicy foods, especially soon after extraction when the area is still numb
|•||Do not panic if little bleeding continues for a night
|•||Avoid rinsing vigorously as it can dislodge the healing clot
|•||Avoid sneezing or taking drinks with a straw
|•||Keep your head higher for the first night using an extra pillow
|•||If bleeding becomes profuse, bite on a pressure gauze or a wet tea bag and contact Dr. Moyer as soon as possible
|•||Rest for at least a day|
What are the reasons for extracting multiple teeth?
|•||Injury or Accident: When several teeth have been severely fractured or partially knocked out, multiple extractions may be the only option. If left untreated, tooth decay can wreak havoc on a fractured tooth, making it more difficult to chew and speak.
|•||Advanced Periodontal (Gum) Disease: Periodontal disease can cause an infection that damages the bones, tissues, and ligaments that keep your teeth in place. If your teeth become too loose, you may need to undergo extraction and restorative treatment.
|•||Compromised Immune System: When a patient has a compromised immune system, the likelihood of infection increases greatly. In severe cases, extraction may be required to improve your health.|
What is the process for extracting multiple teeth?Before the procedure, Dr. Moyer will assess the severity of the problem to ensure that extraction is the right solution. To help us prepare and plan for treatment, we will perform a physical exam, take x-rays, and review your medical history. Extractions are performed under local anesthesia to eliminate pain and discomfort.
Below are some general guidelines, but after your procedure, David R. Moyer Cosmetic & Family Dentistry will give you a list of post-operative instructions.
|•||Keep the gauze pads in place over the extraction sites for at least one hour. After this time, you can remove and discard of the gauze. A new gauze pad is only required if minor bleeding persists.
|•||Avoid touching or irritating the surgical sites. Vigorous mouth rinsing, sucking on straws, and smoking can dislodge the blood clots and cause continuous bleeding.
|•||Restrict activities and avoid exercise the day of your procedure. We suggest lying down while elevating your head with a few pillows.
|•||Take the prescribed pain medication preemptively. This coincides with the local anesthetic wearing off.
|•||Drink lots of fluids, but do not use straws. Avoid hot liquids on the first day. While you heal, be sure to drink at least six to eight glasses of liquids per day.
|•||Use an ice pack on the outside of your face for the first 24 to 48 hours. This will help minimize swelling.
|•||Eat soft food for the first several days. Foods that can be chewed and swallowed easily will help you avoid damaging the extraction sites.|
The removal of several teeth is quite different for the extraction of just one. You may notice a swelling that reaches a maximum by the second day. You may also develop a sore throat. This should subside in two or three days. If you experience a slight elevation in your body temperature, don’t worry. It should subside within 24-48 hours. There is always the possibility of developing dry socket when a tooth is removed. If you experience severe pain between the fourth and sixth day, contact our office immediately.
Do You Need a Tooth Extraction?If you think you may be in need of one or more tooth extractions and would like to schedule an appointment, please call us today 480.935.6295.
At David R. Moyer Cosmetic & Family Dentistry, our main goal is to prevent you from losing your permanent teeth. However, certain situations may require multiple tooth extractions to improve your oral and overall health. In this case, Dr. Moyer uses cutting-edge technology and the latest techniques to allow for a comfortable and efficient experience. Once you have properly healed, we can begin any restorative treatments you have chosen and give you a new and beautiful smile!