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 116 reviews.

Our Latest Patient Testimonial

Everyone was great! Procedures went well. Hope I would not have to return(LOL!!) but if the need arose I would definitely return to Cortland Oral Surgery!!

- Joanne M

5 out of 5 stars on

Our Latest Patient Testimonial

Yesterday morning i went in for my wisdom teeth extractions and the staff and doctor were so great. They saw how nervous i was, especially about the IV and going under anesthesia they did a great job getting the IV in the first time, i have no bruising on my arm at all. My mouth is a little sore and swollen on the bottom left side but other than being sleepy, i feel great. Thank you so much for taking care of me!

- Toria S

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Professional, informative, made me relax and have very reasonable rates.

- Cassandra R

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Our Latest Patient Testimonial

Very satisfied.

- Anne H

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Our Latest Patient Testimonial

I was extremely scared and would have given anything to my husband to let me cancel my appointment! Never had a tooth extracted and am 41 yrs old with only two cleanings in my life, zero cavities I may add! It is the sound of things that make me cringe, not needles like the normal people! I must say my experience yesterday was fantastic and I will never fear coming there again! Ok maybe a little for my impacted wisdom teeth but I will go to sleep for that You are all amazing and made me feel comfortable and eased my anxiety!!!!

- Stacey F

5 out of 5 stars on

Our Latest Patient Testimonial

Probably one of the best dental experience I've had. Got me right in for an emergency tooth extraction. Hardly any pain. And the after care booklet was great.

- Heather P

5 out of 5 stars on

Our Latest Patient Testimonial

Dr was so awesome and trying to get my daughter to laugh and relax before doing the iv, everything went great.

- Katherine M

5 out of 5 stars on

Our Latest Patient Testimonial

The Dr. and staff are very caring and skilled. They made my experience very pleasant! I would most definitely return if needed and certainly highly recommend them!!

- Eva C

5 out of 5 stars on

Our Latest Patient Testimonial

Very professional from front desk to the Doctor.

- Gerry S

5 out of 5 stars on

Our Latest Patient Testimonial

I was made to feel very relaxed.Every staff member was so nice,you can tell they all work well together,to make you comfortable.

- Jeanette M

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Our Latest Patient Testimonial

Awsome is the only word I can come up with. Not bad for having a extraction done !

- Robert A

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Our Latest Patient Testimonial

The entire staff is very efficient and courteous. In and out in about half an hour.

- Roger S

5 out of 5 stars on

Our Latest Patient Testimonial

Thank you again so much for all your hard work and kindness.

- Dustin S

5 out of 5 stars on

Our Latest Patient Testimonial

Very satisfied. Had two extractions with little pain.

- Kris R

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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

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