Tooth extraction

A tooth extraction is a procedure to remove a tooth from the gum socket. It is usually done by a general dentist, an oral surgeon, or a periodontist.

There are several reasons people have a tooth pulled:

  • A deep infection in a tooth (abscess)

  • Overcrowded or poorly positioned teeth

  • Gum disease that loosens or damages teeth

  • Tooth injury from trauma

  • Impacted teeth that are causing problems, such as wisdom teeth (third molars)

Before the Procedure

Tell the assistant about any medicines you take, including over-the-counter medicines, and about your medical history. A tooth extraction can introduce bacteria into the bloodstream. So be sure to tell the assistant if you have or have had conditions that may make you prone to infection. These may include:

  • Heart disease

  • Liver disease

  • Weakened immune system

  • Recent surgery, including heart surgery and bone and joint procedures that involve metal hardware

After the Procedure

You may go home shortly after the procedure.

  • You will have a gauze in your mouth to control the bleeding or we may use the PerioLase to cautherize. This will also help a blood clot to form. The clot fills the socket as the bone grows back in.

  • You may be given an ice pack for your cheek area to help keep swelling down.

  • As the numbing medicine wears off, you will have to take the recommended pain relievers, such as ibuprofen (Motrin, Advil) or Tylenol.

To care for your mouth:

  • Begin gently brushing and flossing your other teeth the day after your surgery.

  • Avoid the area near the open socket for at least 3 days. Avoid touching it with your tongue.

  • You may rinse and spit starting about 3 days after surgery. Your dentist may ask you to gently wash out the socket with a syringe filled with water and salt.

  • The stitches may loosen (this is normal) and will dissolve on their own.

Follow up:

  • Follow up with us as directed.

  • See your dentist for regular cleanings.

Before

After

Before

After