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 86 reviews.

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

Our Latest Patient Testimonial

Staff an everyone where very good !

- Kelly S

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excellent experience

- Joan H

5 out of 5 stars on

Our Latest Patient Testimonial

Very quick and best of all painless tooth extractions. Friendly and informative. Cost was very reasonable.

- Amanda H

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Our Latest Patient Testimonial

Doctor was friendly

- Nadia J

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Our Latest Patient Testimonial

The staff was wonderful! Everyone was very supportive and helped make a very negative experience for me, easier to get through. Amazing staff and doctor, great personalities and very professional.

- Ashley Y

5 out of 5 stars on

Our Latest Patient Testimonial

Over all good

- Vicky S

4 out of 5 stars on

Our Latest Patient Testimonial

If you need the services, this is the best place to be.

- Bruce R

5 out of 5 stars on

Our Latest Patient Testimonial

So glad that we have a great doctor with great staff here in Cortland!!

- Jane D

5 out of 5 stars on

Our Latest Patient Testimonial

You have excellent people working for you, very kind and thoughtful.

- sheila h

5 out of 5 stars on

Our Latest Patient Testimonial

I had my top 2 wisdom teeth removed as well as peices of tooth from failed root canals. The nurse was very nice and answered all the questions I had. The doctor has a great sense of humor! I would highly recommend their services.

- Jennifer D

5 out of 5 stars on

Our Latest Patient Testimonial

Unfortunately, ever since an auto accident in 1983, I've lost most of my teeth. So I've had many different oral surgeons extract teethover the years. Dr. SanGiacomo is the best of them all.

- Willuam P

5 out of 5 stars on

Our Latest Patient Testimonial

Everything about the procedure was thoroughly explained, and although the entire in-office time wasn't extensive, there was no sense that people were rushing to get on to the next patient. I was given detailed after-care instruction that included an outline of potential problems and what to look for. The entire staff was friendly and professional, and made me feel welcome instead of just another transaction.

- Guy U

5 out of 5 stars on

Our Latest Patient Testimonial

This was for my daughter,s g e was very satisfied with how easy her procedure was and how caring the was as well.

- Connie O

5 out of 5 stars on

Our Latest Patient Testimonial

Very pleased with the staff and Doctor's friendly and caring nature. I was ensured and comforted through out my procedure, as I was nervous. I heard that Dr. SanGiacomo was the best, it was absolutley true. I needed an infected tooth extracted, my appointment was with in a week from the time I had seen my dentist.

- Christina R

5 out of 5 stars on

Our Latest Patient Testimonial

My overall visit was great. I am very glad I went here. I have told my friends and family how nice the entire staff is.

- Charliene R

5 out of 5 stars on

Our Latest Patient Testimonial

Thanks again.

- Jennifer A

5 out of 5 stars on