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 308 reviews.

Our Latest Patient Testimonial

Great!

- Michelle B

5 out of 5 stars on

Our Latest Patient Testimonial

I was so nervous when I got there. But as soon as I was called to the room and talked to the assistant and doctor I knew it would be fine

- Mike R

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was very kind and the Doctor’s sense of humor helped me through a stressful situation.

- Gretchen G

5 out of 5 stars on

Our Latest Patient Testimonial

I had and excellent experience. I was not looking forward to having a tooth pulled. I was anxious. But during the whole procedure it wasn’t as bad as I thought. I loved Dr. Sangiacomo and his technique, and professionalism, and he had a nice way of talking to me to make me feel less anxious. Once it was over, I was like, your finished! A much better experience than any other teeth I had extracted in my lifetime.

- Constance A

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Our Latest Patient Testimonial

I’m not a fan of oral surgery at all! I actually passed out after I left! However, the staff & doctor were friendly & did a great job! I would definitely recommend this office if you’re in need of oral surgery!

- Angie P

5 out of 5 stars on

Our Latest Patient Testimonial

This is a very efficient group of professionals. They clearly explained the procedure and did everything they could to make me as comfortable as possible. I am very impressed.

- Hal F

5 out of 5 stars on

Our Latest Patient Testimonial

I was scared to be going in to get my wisdom teeth out without getting any anesthesia. The assistant talked me and eased my mind before the first shot of novacane. It only took about an hour to have all 4 wisdom teeth removed. All I felt was pressure. No pain at all during the procedure. Highly recommend to anyone who meeds work done on their teeth.

- Caytlyn B

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Our Latest Patient Testimonial

Wonderful experience all around. Doctor and staff are top notch! Thank you

- Julia T

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Our Latest Patient Testimonial

Getting a wisdom tooth extracted isn't fun but these folks made it bearable. The staff was kind, helpful, and supportive.

- Jim F

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Our Latest Patient Testimonial

Overall my experience here was really good and i would come again. I will be recommending my friends and family here

- Denny M

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very good

- Ronald W

4 out of 5 stars on

Our Latest Patient Testimonial

Overall experience was excellent

- Carolyn R

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was very pleasant and professional. When I called the office the next day a human actually answered.

- Barbara C

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Our Latest Patient Testimonial

It is so good to have this office in Cortland!

- Phyllis B

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Our Latest Patient Testimonial

Every body was friendly and informative

- John C

5 out of 5 stars on

Our Latest Patient Testimonial

Everything that I encountered from the first time talking to the staff on the phone was wonderful. Everyone is very pleasant and friendly. The dentist was calming. I have to say it also helped that the room was painted in a very calming tone..not stark white which helped me. The room, office and entire area was clean and welcoming.

- Teresa C

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. SanGiacomo and all the staff in the office helped me through what I considered a terrifying process. They made it bearable and as painless and quick as possible. I can't thank everyone enough for their kindness and patience.

- Laura H

5 out of 5 stars on

Our Latest Patient Testimonial

i had to have a tooth extraction for my rear molar. Needles are my worst fear but the Dr. was so good i didn't even feel it coming. His dental nurse was outstanding in every way-- from the time i sat down till the time i left she did her best to keep my mind off what was going to happen.

- Gordon I

5 out of 5 stars on

Our Latest Patient Testimonial

Filled out "History" online, no wait at the office. Procedure went fine. Highly recommend.

- Michael T

5 out of 5 stars on

Our Latest Patient Testimonial

A very tough extraction was easier with the kindness and professionalism of your staff. Thank you for making it as enjoyable as it could be!!

- Jennifer F

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