Extractions

You and Dr. SanGiacomo 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 have 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, in most cases, Dr. SanGiacomo will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone 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 section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Cortland Oral Surgery

5 out of 5 stars based on 102 reviews.

Our Latest Patient Testimonial

Thank you for fitting me in when my dentist referred me. So, nice to be rid of the painful tooth. Even though you were running behind and clearly had, had a very long day everyone was caring and kind!

- Corena M

5 out of 5 stars on

Our Latest Patient Testimonial

Dr and Office staff were understanding , helpful, and made a unpleasant procedure as good as it could be!

- Susan M

5 out of 5 stars on

Our Latest Patient Testimonial

Care was excellent, procedure done very quickly and professionally. Both staff and Doctor were considerate and careful. I would recommend this office to anyone without reservation. Thanks for an excellent job and for being so amazingly kind as to accept my (low paying) insurance!

- Mary-Heather H

5 out of 5 stars on

Our Latest Patient Testimonial

Although I wish the tooth could have been saved, sadly it had to be pulled. I didn't feel any pain, and I'm healing well.

- JoAnne S

5 out of 5 stars on

Our Latest Patient Testimonial

Very pleased with the procedure and friendliness of everyone there.

- George C

5 out of 5 stars on

Our Latest Patient Testimonial

The staff and dr. were very professional and friendly. I would highly recommend this office. Thanks.

- Patricia E

5 out of 5 stars on

Our Latest Patient Testimonial

Pleasant experience considering! Thank you!

- Dean E

5 out of 5 stars on

Our Latest Patient Testimonial

He's a rock star!

- Sue H

5 out of 5 stars on

Our Latest Patient Testimonial

Clean office, pleasant people, very friendly

- Elva S

4 out of 5 stars on

Our Latest Patient Testimonial

My visit was pleasant even for a dentist. Everything went smoothly and in a timely fashion. I don't have dental insurance but they accommodated me and made it affordable.

- Winnie R

5 out of 5 stars on

Our Latest Patient Testimonial

Highly recommended

- Mary G

5 out of 5 stars on

Our Latest Patient Testimonial

Was very satisfied with information that was given to me and the kind and caring staff.

- Kathleen J

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first visit to this oral surgery practice. I was impressed with both the Dr. and his assistant nurse. Both took great care to explain procedures and to make me comfortable. Hopefully I will not have to return, but if necessary I would not hesitate to have future procedures performed here. It is also a plus to have an oral surgeon close to home.

- Marilyn M

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first visit to Dr. SanGiacomo's oral surgery practice. Doctor SanGiacomo and his entire staff were exceptionally friendly, informative, and professional. Both Dr. SanGiacomo and everyone on his staff made yesterday's surgery as enjoyable as it could possibly be. I enthusiastically recommend Cortland Oral Surgery to anyone who needs the services of a top-flight oral surgery practice.

- Robert K

5 out of 5 stars on

Our Latest Patient Testimonial

I was at ease as soon as I walked in the office. The staff was friendly and the doctor was great. Made me feel at ease. Very impressed!

- Patricia C

5 out of 5 stars on

Our Latest Patient Testimonial

I came to this office for a tooth extraction and placement of both a bone graft and membrane. The procedure went much quicker than I'd expected and was completely painless; I have not had any issues with pain/inflammation/infection after the procedure. Dr. SanGiacomo and the rest of the staff were very helpful and friendly during my visit.

- Rose W

5 out of 5 stars on

Our Latest Patient Testimonial

office was easy to get appointment. Everyone is very caring. This office is wonderful.

- Pamela A

5 out of 5 stars on

Our Latest Patient Testimonial

Although it was not a pleasant procedure, the staff and doctor made me as comfortable as possible and I was able to schedule an apt that worked for me and they were very prompt about timing, with very little wait time. Thank you for your excellent care!

- Michael T

5 out of 5 stars on

Our Latest Patient Testimonial

I highly recommend this office for any surgery. Great staff and great post care. They made me feel very comfortable for the actual surgery. Thanks again

- Tara S

5 out of 5 stars on

Our Latest Patient Testimonial

The staff is always very friendly. I always dread having any dental work done, but I must say I never worry when Dr. S is in charge.

- Cindy H

5 out of 5 stars on