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 174 reviews.

Our Latest Patient Testimonial

I was very anxious about getting these extractions. The staff were very encouraging and put me at ease. Dr SanGiacomo was very professional and has a great sense of humor,which I really appreciated!

- Patricia M

5 out of 5 stars on

Our Latest Patient Testimonial

Everything went very smooth, the tooth extraction was actually easier than I thought

- Timothy T

5 out of 5 stars on

Our Latest Patient Testimonial

Had a bad tooth ache, called and got me right in. Great service and great result as I have not had any issues. Staff was very friendly and helpful. Doc is the best.

- Gary H

5 out of 5 stars on

Our Latest Patient Testimonial

Great place and amazing staff

- Nicole S

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Our Latest Patient Testimonial

Very efficient, I felt very comfortable.

- Mike K

5 out of 5 stars on

Our Latest Patient Testimonial

friendly staff that makes you feel very comfortable. made sure i was not in pain during the procedure. explained everything clearly

- tim f

5 out of 5 stars on

Our Latest Patient Testimonial

I had had such terrible experiences in the past with getting a tooth pulled and I stated that right off the bat. From the first person I told that to....to the Doctor himself.....they all eased my worries and were very confident that I would have a different experience! And I did! Would recommend them 100% to anyone from now on! It's awful to have to have a tooth pulled to begin with and this Doctor combined with his staff were outstanding in my mind!

- Sue S

5 out of 5 stars on

Our Latest Patient Testimonial

The staff was very friendly and attentive. The doctor has a down to earth attitude which helps put you at ease.

- Lee E

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly and great place to have oral surgery

- Keith D

5 out of 5 stars on

Our Latest Patient Testimonial

Our experience was great. My son had all 4 wisdom teeth (all impacted) removed. The staff was friendly and informative. The doctor was laid back and funny, which put us at ease! Thank you all for a good experience

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

Great service and the explanation of the insurance was top notch.

- Phil B

5 out of 5 stars on

Our Latest Patient Testimonial

The doctor and staff made me feel more at ease. Infomation was very forth coming and the doctor kept me informed of what he was doing at all times.

- Donna O

5 out of 5 stars on

Our Latest Patient Testimonial

Couldn’t have asked for a better experience. Procedure went well and I was comfortable and all my questions were answered. Post surgery care was explained in depth and given a pamphlet to refer to at home.

- Barbara A

5 out of 5 stars on

Our Latest Patient Testimonial

This was the 4th time a family member needed widom teeth removed and everything has gone smoothly with all the procedures.

- Peggy D

5 out of 5 stars on

Our Latest Patient Testimonial

For a not so pleasant procedure, they made it more than tolerable. The staff was so supportive and the care was excellent!

- Courtney S

5 out of 5 stars on

Our Latest Patient Testimonial

The entire staff was courteous and helpful. Any concerns I had were addressed promptly.

- Celeste S

5 out of 5 stars on

Our Latest Patient Testimonial

great service

- STEVEN S

5 out of 5 stars on

Our Latest Patient Testimonial

they did a great job

- lucas b

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly staff and dentist, nice establishment

- Yvonne A

5 out of 5 stars on

Our Latest Patient Testimonial

Hope I will not need any more extractions - prior to this one it has been about 46 years since I had to have a tooth extracted - but if I should I will definitely return to this office.

- Linda M

5 out of 5 stars on