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 354 reviews.

Our Latest Patient Testimonial

This was our first visit to the office and considering what is happening with the pandemic, we felt very comfortable. The staff and doctor were very nice. The ease of appointment, paperwork and care after was great!!

- Kerry M

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent patient service, very friendly staff, quick execution of the procedure and no pain!

- Karl S

5 out of 5 stars on

Our Latest Patient Testimonial

I highly recommend Cortland Oral Care.

- Steve M

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. SanGiacomo was very calming and explained things well. Has a great personality.

- Victoria W

5 out of 5 stars on

Our Latest Patient Testimonial

Good visit, quick and painless.

- Rhonda F

5 out of 5 stars on

Our Latest Patient Testimonial

Such a great office! I was in so much pain and everyone that was there was really kind and helpful-from scheduling my appointment(that I was able to move ahead of time due to a cancellation), to making sure I was warm, comfy, and properly numbed before my procedure. Dr. SanGiacomo was very skilled and knowledgeable, and my procedure went by smoothly and quickly (the pain was to be expected). Overall everything from beginning to end was really easy, the pricing was very fair (especially for someone like me with no dental insurance) and I will absolutely continue to come here and recommend this place to everyone I know.

- Preya C

5 out of 5 stars on

Our Latest Patient Testimonial

It was very fast, I was in and out! And the recovery is amazing, wouldn’t want to go to another oral sergeant!

- Trisha K

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Our Latest Patient Testimonial

Highly recommend!! Service was the best !!!!

- Amber M

5 out of 5 stars on

Our Latest Patient Testimonial

I couldn't have been more pleased with the my visit and the procedure done. The staff and doctor helped me to feel at ease during a possibly stressful procedure

- Jerry M

5 out of 5 stars on

Our Latest Patient Testimonial

Fast, easy, overall great experience

- Sam H

5 out of 5 stars on

Our Latest Patient Testimonial

The doctor and staff were really great.

- Courtney H

5 out of 5 stars on

Our Latest Patient Testimonial

I was so nervous but everybody made me feel at ease. The procedure was no problem and I have not had any pain and not needEd any meds. Thank you.

- Cindy R

5 out of 5 stars on

Our Latest Patient Testimonial

Doctor SanGiacomo (spelling?) is the best dentist/oral surgeon when comes to extractions. He has a gentle touch and when he administers the pain shot he does so carefully. Every other Dentist I've gone to had been more of stabber.

- Josiah H

5 out of 5 stars on

Our Latest Patient Testimonial

Both of my children have had their wisdom teeth out and everyone was very helpful and kind.

- Stacy W

5 out of 5 stars on

Our Latest Patient Testimonial

Thank you so much. Was a pleasure doing business with you.

- Irene Q

5 out of 5 stars on

Our Latest Patient Testimonial

Entire office staff were wonderful once again. Both of my daughters have had wisdom teeth removal. The doctor, nurses and front office staff are very kind, caring and amazing!

- Chrissy T

5 out of 5 stars on

Our Latest Patient Testimonial

I highly recommend Cortland Oral Surgery Center and Dr. SanGiacomo. He made a stressful situation comfortable by his manner and the only pain I felt was the Novocain needle.

- Julie K

5 out of 5 stars on

Our Latest Patient Testimonial

So thankful for everyone at the office!

- Mercedes S

5 out of 5 stars on

Our Latest Patient Testimonial

Appointment time 3:30, done and gone by 4:05. This is pretty great too because of the condition my tooth was in. Doc did awesome, staff was friendly.

- Bridget M

5 out of 5 stars on

Our Latest Patient Testimonial

The extraction site is healing nicely after 24 hours, with little swelling or pain. Thank you.

- David E

5 out of 5 stars on