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Wisdom Tooth PainOral Surgery

Tooth Extractions

Why are Teeth Removed?

Teeth are extracted for a variety of reasons:

• Decay has reached deep into the tooth

• Infection has destroyed a large portion of the tooth or surrounding bone

• There is not enough room for all the teeth in your mouth (ie. Wisdom teeth)

Dr Ghai recommends extracting impacted teeth that are only partially erupted. Bacteria can enter around a partially erupted tooth and cause an infection, which can extend into the surrounding bone and become extremely serious.

Impacted teeth continue trying to break through the gum tissue even if there is not enough room to accommodate them. The continued pressure caused by this attempted eruption can eventually damage the roots of nearby teeth. Removing a tooth that is impacted can often prevent infection, damage to surrounding teeth and bone, and save the patient from any unnecessary discomfort in the years to come.

How are Teeth Removed?

Before a tooth is removed, Dr Ghai will thoroughly review your medical and dental history and take the appropriate X-rays.

X-rays reveal the length, shape, and position of the tooth and surrounding bone. From this information, Dr. Ghai can estimate the degree of difficulty of the procedure and decide whether to refer you to a specialist called an oral surgeon or perform the extraction in the office. Dr. Ghai has seven years of experience performing many simple or complex extractions including wisdom teeth extractions in the chair.

Before removal, the area around your tooth will be anesthetized. Dr Ghai will use a local anesthetic to numb the area of the mouth where the extraction will take place.

What can I Expect After an Extraction?

It is critical to keep the area clean and prevent infection immediately following the removal of a tooth.

Derry Village Dental Care’s Post Extraction Instructions

• Bit on gauze for ½ hour. Keep Fingers and tongue away from both socket and operative site.

• DO NOT RINSE, SPIT, or Smoke for 24 hours. It is permissible to drink lukewarm or cool liquids immediately.

• BLEEDING, it is normal for the saliva to be lightly streaked with blood for about a day. If frank bleeding is present place a firm wad of gauze directly over socket and maintain steady pressure for 20 min. or longer. DO NOT SPIT or chew on gauze. A tea bag may be substituted for the gauze pad.

• SWELLING is to be expected in certain cases often reaching its maximum in about 48 hours, then disappearing spontaneously in a further 2-3 days. An ice bag may be applied. However, this is only necessary if it is found to relieve discomfort.

• DISCOLORATION a bruising of the skin occasionally occurs and disappears spontaneously in approximately a week. It is of no importance and no treatment is indicated.

• PAIN take prescription as advised. If you anticipate pain or have low pain threshold, take medication before the freezing comes out to allow the medication to start to take effect.

• DIET cool or lukewarm liquids may be taken for the first 4-6 hours after you return home, after this any soft food is permissible

• DRY SOCKET is a complication that can occur. It is a very painful infection of the bone that occurs when the blood clot is dislodged or disintegrates and leaves dry exposed bone. There are no reasons why it occurs but it is more common in smokers. DO NOT SMOKE for 24 hrs. Following an extraction. If you do, you increase your chances greatly of developing a dry socket. Rinsing and spitting directly after an extraction can also cause this.

• BRUSHING TEETH It is still necessary to brush your teeth following an extraction; however stay away from the socket or surgical site. DO NOT RINSE OR SPIT. Allow the water to roll around in your mouth gently then open and let water trickle into sink. Vigorous rinsing and spitting can cause the blood clot to dislodge, causing dry socket

• Food Impaction in the socket is normal. If you need to syringe water to dislodge food particles do son only 24 hrs after extraction.

• Non-alcoholic mouth rinses are advisable, particularly after meals, starting the following day,

Derry Village Dental Care
Located at
7070 Saint Barbara Blvd. Unit 14
Mississauga, ON L5W 0E6
Phone: (905) 564-0770
Website: http://www.derrydental.com

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