Extractions

 

Dr. Ramer may determine that you need a tooth extraction for any number of reasons.  Teeth may need to be extracted because they are severely decayed, have advanced periodontal disease, are broken in a way that they cannot be repaired or are causing significant problems with the patient’s ability to eat comfortably.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Ramer and Dr. Merino will discuss alternatives to extractions as well replacement of the extracted tooth.

Home care instructions following extractions

Bleeding

After any extraction, some small amount of bleeding may occur. Normally placing a small piece of dry gauze which can be folded to make it thicker and placed over the area while appying biting pressure will control the situation.  This gauze should changed every 10-15 minutes and if bleeding persists, please call our office immediately.

Healing

In order for the extraction socket to heal properly, a small blot clot forms in the extraction site.  It is important not to interupt this process and therefor the following instructions must be followed.

  • Avoid rinsing, spitting or using a straw for 24 hours after the extraction.
  • Avoid smoking or any alcoholic beverages for the first 24 hours.

Swelling

If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you may use a non-prescription pain relief medications such as acetaminophen or ibuprofen.  Please refrain from using aspirin products as they are blood thinners and will delay the healing process.

Eating

For most extractions just make sure you do your chewing away from the extraction site.  Stay away from very cold or very hot liquids and alcoholic beverages for 24 hours. 

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day at which point you can resume gentle cleaning.  Beginning 24 hours after the extraction, you can rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) after meals and before bed.

Dry Socket

Dry sockets occur when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing a dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction.  The pain can be moderate to severe and radiate from the extraction area.  A dry socket may also cause bad breath and/or a bad taste in the mouth.

Please call our office at any time with any questions or concerns you may have.  

(954) 718-8840