Extraction:
We prefer to extract teeth only as a last resort. If there is any way to save a tooth, we will recommend that first. When you lose a natural tooth, it becomes very important to replace it, for the following reasons: Your appearance may suffer. Your chewing ability will be decreased, and your other teeth may become damaged from having to do all the work.

TMD (Temporomandibular Dysfunction) syndrome (pain in the joints) can be brought on, or made worse by missing teeth. Replacing a missing tooth is often more expensive than fixing it to begin with. You will be numb and comfortable during the extraction. The anesthesia does not take away all the pressure and pushing sensations, it is normal to feel those sensations. Anti-anxiety medications are available. You may be referred to an oral surgeon for this procedure.

Post-op. Instructions*:

• Remove the gauze pack in 30 minutes. (Some soreness is normal for a day or two.)
• Brush gently and don’t rinse or spit forcefully.
• For mild swelling, place ice packs, 20 minutes on, twenty minutes off, for up to 48 hours. After 48 hours, use heat.
• Avoid physical exertion and exercise.
• Follow all instructions for medications.
• Call immediately if you develop a rash, vomit, faint or develop a temperature over 102.
• Limit diet to soft foods and liquids.
• Avoid alcohol and smoking.
• Some bleeding is common. Bleeding is controlled by pressure, bite on moist gauze or a teabag for 30 minutes.
• Avoid chewing your cheek and tongue while you’re numb.

*Contact our office 24 hours a day, 7 days a week if you have questions or concerns.

Alternative Treatments: Occasionally, extractions are indicated, such as with wisdom teeth, hopeless teeth or crowded teeth. Sometimes finances dictate extractions, but there are usually better alternatives. Your treatment plan should reflect these alternatives. If you don’t treat a tooth with active disease you risk pain, swelling, infection, illness and death.

Risks of extractions:

• Some upper extractions may run the risk of a sinus perforation, which could require surgical repair by a specialist.
• Possible nerve damage, reversible or irreversible.
• Dry socket and infection.