Tooth Extraction

wisdom tooth extraction is a common procedure done in conjuction with orthodontic workThere are several dental conditions that may necessitate a tooth extraction.  A severely decayed tooth that cannot be restored with a root canal is the most common.  A tooth that has sustained a deep fracture would also need to be removed.  Advanced gum disease can result in multiple teeth extractions.  And we typically do several extractions when preparing a mouth for dentures or in some cases a bridge.

Does Dr. Prato Do Wisdom Tooth Extractions?

One of the most common questions we are asked is: “does Dr. Prato do wisdom tooth extractions?”.  Dr. Prato will extract wisdom teeth that are visible and have already erupted through the gum line.  If a wisdom tooth is embedded underneath the gums and is only visible with an x-ray,  Dr. Prato will refer you to an oral surgeon, a specialist in tooth extraction.

The Reasons For Wisdom Tooth Extraction

Most people – but not everyone – will need to have their wisdom teeth extracted at some point.  Our jaw bone is simply not big enough to accommodate these extra molar teeth.  When our wisdom teeth attempt to erupt, they usually become impacted.

tooth extraction is necessary for impacted wisdom toothAn impacted tooth is one that cannot erupt or cannot fully erupt because it is being blocked by another tooth.  An impacted wisdom tooth can cause several problems in the long run.  These include:

  • Infection  The tooth itself and the surrounding gum tissues are prone to infection because it is extremely difficult to clean an impacted wisdom tooth with routine brushing and flossing.
  • Damage to surrounding teeth.  An impacted wisdom tooth often grows in at an angle and puts a great deal of pressure on the neighboring tooth.  The impacted tooth can actually wear down the adjacent molar.
  • Pain.  An impacted wisdom tooth can cause pain, particularly if the roots have grown in too close to the nerve.  Some people may also experience persistent gum tenderness, similar to a “teething” sensation.

Tooth Extraction Recovery

The first 2 or 3 days after tooth extraction are the most critical as your mouth needs time to heal.  Some bleeding is normal on the first day, particularly if a molar or wisdom tooth has been extracted.  To promote healing, make sure you get plenty of rest and avoid strenuous activity during the first 24 hours.  Avoid foods such as nuts, chips, or any bread that may have a hard crust.  Most importantly, take care of the tooth extraction site.

Do plenty of rinsing and swishing with warm salt water, but DO NOT BRUSH THE SITE for 3 or 4 days.  Leave the area alone.

Whatever you do, avoid trying to retrieve any small particles of food that may become entrapped in the socket or the sutures.  If you disturb this area or try to clean it out with a toothpick, you may dislodge the blood clot that has formed. The blood clot is necessary to protect the tooth socket from exposure while it is healing.  If the clot dislodges, the socket can become infected – and this is called dry socket.

Make sure to call our office if any of the following symptoms develop:

  • The pain worsens on the day after surgery
  • Bleeding becomes harder to control
  • you have fever or chills
  • swelling increases
  • rash, redness, or itching