Dr. Lee, what are dental extractions?
Dental extractions are a procedure we typically perform when the tooth is no longer salvageable and we have to physically remove it from the body.
When is a tooth extraction recommended?
Tooth extraction is usually recommended when there is a large infection or there isn't a lot of healthy tooth structure remaining. In such cases, we can no longer build back the tooth through a crown and a root canal, so we have to completely remove it.
What should I expect during a tooth extraction?
During the tooth extraction, you will be fully anesthetized and numbed prior to starting the procedure. Oftentimes, we will check to make sure all the nerves are anesthetized. You will feel a lot of pressure sensations, but you shouldn't feel any sharp, shooting pain. Patients can also opt for nitrous gas, which helps take the edge off if you don't feel fully comfortable. If you wanted full IV sedation, we would probably refer you to a specialist, such as an oral surgeon or a periodontist.
Do dentists give pain meds after tooth extraction?
After most tooth extractions, dentists do not typically prescribe pain medications or antibiotics. Research has shown that acetaminophen and ibuprofen together help to offset post-operative pain. Since the tooth is the source of the infection, once it's removed, additional antibiotics are usually unnecessary.
How can I avoid a dry socket after tooth extraction?
After the tooth extraction, it's important for the blood clot to form in the socket and remain there. A dry socket occurs if the blood clot is prematurely removed. To avoid this, get plenty of rest, avoid lifting weights or working out, don't drink through a straw or aggressively spit, and avoid tobacco use and alcoholic beverages. Warm salt water rinses, ice packs, and using acetaminophen or ibuprofen for inflammation and pain can also help.
How can I stop bleeding?
We often check to ensure the bleeding stops before you leave the dental office. In the beginning, pressure on the gauze in your mouth helps stop the bleeding. Taking it easy afterwards is also important. If you see a little bleeding after, gently spit it out, but it should stop soon after you leave the dental office.
When should I schedule an appointment for a tooth extraction?
Ideally, we want to see you before it gets to the point where you have to pull the tooth. If you start to notice constant throbbing pain, it wakes you up at night, or the tooth breaks, schedule an emergency appointment as soon as possible. We will properly diagnose and let you know if we can save the tooth or if it needs to be extracted.