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 197 reviews.

Our Latest Patient Testimonial

Not sure if my previous review was received so have done a second one. Walked in after being referred by my dentist to get information on tooth extraction. Worked out that they could take me in that afternoon. With less time to worry, all the staff were professional, courteous and very calming. The doctor walked me through the procedure to extract a tooth and put my nerves at ease. Would recommend them to anyone, very pleased. Thank you to all.

- Marlene R

5 out of 5 stars on

Our Latest Patient Testimonial

I wasnt very brave when it came to the needles but they were very good about it and actually had someone hold my hand during it to help. They got me in right away, i had all 4 wisdom teeth pulled, and i was out in about an hour. They have a very kind and well working staff and i would tell anyone who needs teeth work to go here.

- Marjorie T

5 out of 5 stars on

Our Latest Patient Testimonial

Your staff was very friendly and professional. Dr SanGiacomo made me feel comfortable. I had a tooth extraction with minimal discomfort.

- Andrew C

5 out of 5 stars on

Our Latest Patient Testimonial

I had a very pleasant experience and will go back when necessary.

- Rita O

5 out of 5 stars on

Our Latest Patient Testimonial

The extraction was quick and painless

- Margaret B

5 out of 5 stars on

Our Latest Patient Testimonial

Doctor SanGiacomo made a challenging extraction much less stressful with his patience and good humor. Everything came out all right in the end, despite deep roots and brittle tooth.

- Amy S

5 out of 5 stars on

Our Latest Patient Testimonial

I dont have a single bad thing to say. Staff and Doctor were fantastic. Truly wonderful

- Tim S

5 out of 5 stars on

Our Latest Patient Testimonial

Felt at ease during my procedure

- Megan H

5 out of 5 stars on

Our Latest Patient Testimonial

Even though I did not want to be there - the staff and doctor did a fine job!!

- Diane B

5 out of 5 stars on

Our Latest Patient Testimonial

I would recommend Cortland Oral Surgery to anyone who needs procedures done. They have very friendly staff and the work is performed quickly but with great care and attention to detail.

- Hunter S

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was so nice and friendly. Very pleasant experience. Wonderful Dr. and Staff!

- Cynthia R

5 out of 5 stars on

Our Latest Patient Testimonial

We were happy with the quality of service received for this medical procedure. We were pleasantly surprised by a family discount due to another sibling having the procedure done previously.

- Erin B

5 out of 5 stars on

Our Latest Patient Testimonial

Wonderful service. Made me feel comfortable. Pretty much painless surgical extraction. Professional staff. Highly recommend this doctor.

- John E

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent service and fast

- Richard C

5 out of 5 stars on

Our Latest Patient Testimonial

These people made a stressful, normally uncomfortable procedure all most fun! Very appreciative.

- JOHN A

5 out of 5 stars on

Our Latest Patient Testimonial

Wonderful staff, the dentist was very gentle, and funny too! I went in anxious as ever, but was soon at ease. Very little pain and swelling the days following 3 teeth extractions.

- Adajean W

5 out of 5 stars on

Our Latest Patient Testimonial

Very good experience everyone was very professional and friendly. If I ever need an oral surgeon again I would definitely go back.

- Cindy C

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone in the office is wonderful! They've exceeded my expectations and made the process as easy and affordable as possible. I would (and have) highly recommend Dr. SanGiacomo to anyone who needs work done.

- Raechel A

5 out of 5 stars on

Our Latest Patient Testimonial

very pleased

- Ronald B

5 out of 5 stars on

Our Latest Patient Testimonial

Great experience with a difficult procedure! Thank you!

- Carter F

5 out of 5 stars on