Tooth Extractions

Our services include routine extractions, atraumatic extractions, and surgical extractions. These are performed using local anesthetics with or without nitrous oxide.  At the time of treatment, Dr. Riad may decide a bone graft is needed to preserve bone height in preparation for an implant or other treatment option.

Several reasons tooth extraction may be needed:

  • Extensive decay which makes the tooth no longer restorable,
  • Severe bone loss from periodontal disease,
  • Broken or fractured tooth,
  • Severe infection,
  • To prepare for orthodontic treatment (braces or Invisalign).

What to expect during an extraction procedure:

Dr. Riad will anesthetize the area to be extracted. Once fully numb, you should expect to feel only pressure during the extraction process.  Using several instruments, the tooth is separated from the surrounding tissue and bone.

Some teeth may require sectioning (separating the roots with a handpiece). This is very common when extracting posterior (back) teeth. Expect to hear noises associated with the extraction process.

Options to replace missing teeth

Depending on the function of the tooth that was extracted, the remaining space often times needs to be replaced with bridgesdental implants or dentures. If the extracted tooth is not replaced, it can often result in joint problems (TMJ), decreased chewing ability, migration of adjacent teeth towards the space, food impaction, and periodontal disease.

Post-operative care after tooth extraction

Care of the mouth following a surgical procedure is essential in the healing process. There is a certain amount of swelling, discoloration, discomfort and bleeding, which can be expected.

Bleeding: Some bleeding and oozing is to be expected for several hours. Avoid spitting and use of a straw as they may provoke oozing. Keep firm pressure on the gauze pack for 30 minutes and then discard. If bleeding is more than slight, use sterile gauze or a moistened tea bag over the area and again apply firm pressure for 30 minutes.

Discomfort: If a prescription was given, use as directed. The prescription should be filled promptly and taken exactly as directed before the local anesthesia wears off. Do not take pain medication on an empty stomach as it may cause nausea. If a prescription was not given, over-the-counter medications (aspirin, acetaminophen, or ibuprofen) can be taken as directed.

Swelling and bruising: Some degree of swelling and bruising is normal and can be minimized with the use of ice or cold packs applied to the face at the extraction site for 10 minutes and then removed for 10 minutes. This should only be done for the first 24 hours. Maximum swelling will occur about the second or third post-operative day and then slowly recede.

Diet: A soft or liquid diet is recommended for the first few days following surgery. Until the numbness wears off, be careful chewing to prevent biting the numb area.

Mouth care: After 24 hours, begin gentle warm salt water rinses for one week and resume gentle brushing of remaining teeth. Avoid use of alcohol, smoking or carbonated drinks for 3-4 days after surgery. This may interfere with clot formation and slow the healing process.

NOTE: Antibiotics may decrease the effectiveness of birth control medications. Additional methods of birth control should be used while taking antibiotics.