Tooth Extraction/Oral Surgery

DR. GERALD C. BEVERS

806.798.2996

Tooth Extraction/Oral Surgery

DR. GERALD C. BEVERS

806.798.2996

Problematic teeth issues can cause pain, swelling, problems swallowing, and other bothersome issues. These problems can be alleviated by a simple tooth extraction procedure that Dr. Bevers is very experienced in performing.

WISDOM TEETH

By the age of eighteen, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your Third Molars, also known as “wisdom teeth.”

REASONS FOR EXTRACTION

 Over Crowding
• Orthodontic Reasons
• Remove your wisdom teeth
• Tooth cannot be restored

There are various other reasons why tooth extractions can be needed, so consult with Dr. Bevers to see if extraction is a good plan to handle your oral problems. Your oral health is in good hands with us.

WHY SHOULD I REMOVE MY WISDOM TEETH?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

AFTER CARE

  • Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this.

  • Blood Clots That Form In The Empty Socket

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking, or drinking hot liquids.
  • Swelling

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

  • Pain & Medications

If you experience pain, you might use non-prescription pain relief medications such as acetaminophen or ibuprofen. The best over the counter remedy is 800 mg ibuprofen (4 200 mg tablets). 

  • Eating

For most extractions, make sure you do not chew at the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

  • Brushing & Cleaning

After the extraction, avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the extraction site.
Beginning 72 hours after the extraction, you can rinse with salt water (one teaspoon salt in a cup of warm water) after meals and before bed.

  • Dry Socket

If a blood clot fails to properly form in the socket where the tooth has been extracted or the clot has been dislodged a dry socket could occur.  However, a dry socket is a rare occurrence. If you feel you may have a dry socket, please call our office.

EXTRACTIONS

You and Dr. Bevers may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed. Others may have advanced periodontal disease or are broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth) or in preparation for orthodontic treatment.

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, Dr. Bevers will discuss alternatives to extractions as well replacement of the extracted tooth.

THE EXTRACTION PROCESS

At the time of extraction Dr. Bevers will need to numb your tooth, jawbone, and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction, please let us know right away.

SECTIONING A TOOTH

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each root one at a time.

AFTER CARE

  • Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this.

  • Blood Clots That Form In The Empty Socket

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking, or drinking hot liquids.
  • Swelling

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

  • Pain & Medications

If you experience pain, you might use non-prescription pain relief medications such as acetaminophen or ibuprofen. The best over the counter remedy is 800 mg ibuprofen (4 200 mg tablets). 

  • Eating

For most extractions, make sure you do not chew at the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

  • Brushing & Cleaning

After the extraction, avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the extraction site.
Beginning 72 hours after the extraction, you can rinse with salt water (one teaspoon salt in a cup of warm water) after meals and before bed.

  • Dry Socket

If a blood clot fails to properly form in the socket where the tooth has been extracted or the clot has been dislodged a dry socket could occur.  However, a dry socket is a rare occurrence. If you feel you may have a dry socket, please call our office.

INSURANCE ASSIGNMENT

Our office accepts insurance assignment! We also accept all major credit cards and Care Credit. Call our office for more payment options.

BUSINESS HOURS

Monday – Thursday:
8:00 AM – 5:00 PM

Friday:
8:00 AM – 12:00 PM

CARE CREDIT

We believe in making dental care as accessible as possible to our patients. That is why we gladly accept CareCredit. CareCredit is a credit card designated for health, dental and wellness expenses. Patients are able to charge expenses as soon as they receive approval for a CareCredit card, and depending on the financing option selected, patients can make interest free payments. We are happy to help answer your questions about CareCredit, and if you are ready to apply now, click here.

GET IN TOUCH WITH US!

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