Tag: extraction site

Dental Extractions

Dental extractions are among the easiest and best ways to get relief from a toothache. As the name implies, an extraction involves removing the tooth. If your pulp has died or the tooth has become severely infected, extraction may be your only route. Depending on the tooth, the dentist can do either a simple extraction or a more complicated extraction.

Simple extractions
These types of extractions, the simple extractions, are the most common in the world of dentistry. During a simple extraction, the dentist will remove the tooth by loosening the gums around the socket. He will grasp the tooth with forceps and move it from side to side until he can get it to break free from the socket and remove it.

The teeth are held to the bone by a thin piece of soft tissue. This soft tissue is known as the periodontal ligament. The dentist uses this tissue to remove the tooth. As you may know, the key to removing a tooth by pulling is to rock the tooth from side to side, which enlarges the socket in the bone and breaks the ligament that helps to hold the tooth in place.

Simple extractions, also known as pulling, dont take long to complete. The dentist will numb you before he starts, so you wont feel anything. Depending on the tooth, pulling it will normally take just a few minutes after you have been numbed with local anesthesia. Once completed, the dentist will place gauze in your mouth to bite on and you will be free to go.

Complex extractions
As we all know, not all teeth can be pulled. Sometimes, the tooth will be so decayed or broken off that the dentist will have nothing to grasp above the gum line. In cases such as this, the dentist will need to perform a more complicated extraction, which involves getting the tooth out below the gum line, as he wont be able to use the standard method of pulling and rocking.

These types of extractions involve the dentist making an incision in the gums around the tooth, and raising the flap he cut to expose the bone. Once he has exposed the bone, there may be enough of the tooth exposed for the dentist to grab and remove it using the pulling method. In most cases however, the tooth will be embedded in the bone, meaning that the dentist will be unable to pull the tooth out.

With teeth that are imbedded in the bone, the dentist will need to use a drill and chip away at the bone to get to the tooth. This is known as cutting the tooth out, and happens to be very common with impacted teeth or teeth that are severely decayed. Once the dentist has cut his way to the tooth and removed it, he will sew back the flap of skin that he cut to get to the tooth. The flap of skin and the socket will heal over time – providing you take care of it.

Dental extractions are very common, and happen on a daily basis for dentists. Oral surgeons are the best for extractions, as extractions are all they do. All types of extractions, even the most complex, will take time to heal. As long as you take care of your extraction site, youll avoid common pitfalls such as dry sockets and other mishaps. Although they can be painful once the procedure is over – youll eventually start to feel a lot better once you have had the tooth or teeth removed.

Dealing With Infections

Once a tooth has been extracted, bacteria will still be alive in the mouth, even more so with those who have bad oral hygiene. Infections are very common following extractions. Depending on how bad the tooth was that the dentist removed, he may prescribe you some antibiotics to take that will greatly reduce your risk of getting an infection. In some cases though, even antibiotics cant prevent an infection.

If you go to the dentist before the extraction experienced swelling of the face, swollen gums, pain in your teeth under light pressure, or bleeding around the extraction site, then you may already have an infection. If you indeed have an infection before you get the tooth treated, the dentist will prescribe you antibiotics to use following treatment. If you have a really bad abscess, youll need to use antibiotics to treat the infection before the dentist will remove the tooth.

In some cases, people develop an infection after the extraction, even though they may not have been infected beforehand. The reason for this, is bacteria. Following an extraction, bacteria will be more alive in the mouth than ever before. With the extraction site being exposed, the bacteria will be able to get into the site. This can lead to an infection due to the site being exposed and the fact that you are unable to use mouthwash or brush during the first 24 – 48 hours. Not being able to sterilize your mouth means that you are unable to kills the germs responsible for bacteria.

After extractions, the first sign of infection is renewed bleeding. This normally occurs around 48 hours after the extraction. Even though it normally isnt severe, you should still call your dentist and make an appointment to be seen. Your dentist will be able to stop the bleeding and give you some antibiotics and other prescriptions that will fix the problem.

Some dentists prefer to give patients antibiotics before they will do any type of extraction. Although you may not have an abscess, most dentists prefer to get rid of the infection before they start doing their work. They do this because they know the local anesthesia wont work all that good with infections, and it may take them a lot of work and a lot of medicine to numb the area that you have the infection in.

In the event that the tooth has to be removed and the dentist simply cannot wait a few days, it is possible to get you numbed. Although it will take quite a bit of medicine to numb the area, it can be done. Sometimes, dentists will choose to use an IV sedation or laughing gas, in the event that local numbing doesnt help. An IV sedation will normally put you to sleep or knock you out, so that the dentist can remove the tooth that is causing you so much trouble.

Even though infections can cause a lot of pain and need to be dealt with immediately, you may not have to take antibiotics once the dentist has extracted the tooth. If your mouth is clean and you dont have a lot of germs, you can normally heal the would by taking care of it. Rinsing your mouth out with salt water for the first few days will keep the extraction site clean. As long as you take care of the extraction site and do what your dentist tells you, you shouldnt have any further problems with the extraction site or the infection.