When is it necessary to remove a tooth?
Some reasons why extraction is necessary are:
- Severe Decay: This may cause destruction of a large amount of the tooth making it un-restorable.
- Advanced periodontal disease: This can lead to loss of the bone which supports the tooth and hence mobility of the tooth. Once lost it is impossible to restore the bone.
- Fractured teeth or roots: In cases where the tooth is vertically fractured or the fracture line extends deep under the gums, there is no option but to extract. Unlike bones, tooth fractures can not be fused together.
- Orthodontic correction: To create space for proper alignment of the teeth,removal of some teeth may be advised.
- Malpositioned teeth: Teeth located out of the arch are often difficult to clean and can cause damage to the adjacent teeth. Their removal is often the best solution.
- Impacted teeth: Teeth, which are trapped in the bone and unable to erupt often, need to be extracted.
Will I be in a lot of pain after surgery?
After surgery, some discomfort is normal. Analgesic tablets ( i.e. Aspirin, Tylenol etc.) may be taken under your dentist's direction. Prescription medication, which may have been given to you, should also be taken as directed. But if pain persists, call your dentist.
Will I have a swelling?
To prevent swelling, apply an ice pack or a cold towel to your face in the area of the extraction during the first 12 hours. Apply alternately, 20 minutes on then 20 minutes off, for an hour or longer if necessary.
When and what can I eat?
Eat normal regular meals as soon as you are able after surgery. Cold, soft food such as ice cream or yogurt may be the most comfortable for the first day. It is also important to drink plenty of fluids.
May I brush my teeth as I normally do?
Do not brush your teeth for the first 8 hours after surgery. After that, you may brush your teeth gently, but avoid the site of surgery.
When can I resume smoking after an extraction?
Do not smoke for at least 12 hours after the extraction as it will promote bleeding and interfere with healing.
Today, with all the facilities and knowledge available to us, an extraction is the absolute last resort. At our dental center, our goal is to try and avoid this option at all costs.