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 230 reviews.

Our Latest Patient Testimonial

The staff was very pleasant and good at their work. The doctor was very caring and removed my tooth quickly and with very little pain. I am very happy with the outcome.

- Wendy F

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Our Latest Patient Testimonial

Great job team!

- Brian L

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Our Latest Patient Testimonial

Very easy procedure...great doctor and nurse!

- Daniel C

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Our Latest Patient Testimonial

I think it is a good dental center, staffs and doctor here are friendly.

- Zaoli C

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Our Latest Patient Testimonial

I am so satisfied with Dr. San Giacomo, that I don't believe I will ever go anywhere else for oral surgery. Thank you to all who cared for me during my surgery and after-care!

- Katherine P

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent service. Good staff.

- Jackson J

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Our Latest Patient Testimonial

I’ve had two procedures and would definitely come back to Cortland Oral Surgery for any other needs I had of this nature.

- Leslie M

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Our Latest Patient Testimonial

Friendly and relaxing. Was very comfortable and relaxed for the procedure

- Charles T

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Our Latest Patient Testimonial

The staff and Dr. were professional and courteous. Quick in and out pain free extraction. Overall great office

- Jessica D

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Our Latest Patient Testimonial

Fast procedure

- Jessica F

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Our Latest Patient Testimonial

was easy

- Roxanne R

5 out of 5 stars on

Our Latest Patient Testimonial

Scheduled quickly to remove a cracked tooth. The procedure went well with a follow up visit the next week.

- Anonymous

5 out of 5 stars on

Our Latest Patient Testimonial

Great Staff and Doctor. I had 2 teeth pulled They explained each detail before extraction and during the process. I was very impressed.

- richard V

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Our Latest Patient Testimonial

I was very happy with the service we received. I would recommend this office to others.

- Kyleigh E

5 out of 5 stars on

Our Latest Patient Testimonial

Upon call to have a tooth extracted I received a appointment that week and a time that worked for me. I used the on line site to fill out the paper work so to speed up everything upon my arrival. The dr. and his assistant made me feel comfortable answered all my question and kept informed all through the procedure. After the procedure the assistant went over what I should expected and do now that the tooth was removed. I also received a hand out what she had gone over and said if I had any questions to call. The over all experience went smooth and the Dr. and staff were great.

- James L. s

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Our Latest Patient Testimonial

I would and will recommend you to anyone needing an oral surgeon.

- Karen H

5 out of 5 stars on

Our Latest Patient Testimonial

I was extremely happy with my experience in your office. Dr. SanGiacomo and his staff were excellent in terms of efficiency, courtesy and kindness. The procedure was flawless and pain free. I was expecting to awake the next day in pain, yet I was surprised to wake with little to no pain and no need to take any pain medication. Thank you all. Paul

- Paul S

5 out of 5 stars on

Our Latest Patient Testimonial

It was a great experience! Nobody likes the dentist but this office really made it comfortable, easy, and fast! The doctor/dentist was GREAT!!

- Jaffa B

5 out of 5 stars on

Our Latest Patient Testimonial

The visit was Great! When I called the day before and made appt. It was for 3:30 the next day and after filling out information on line for my appt. The receptionist called me back and was able to get me in that next morning at 8:30 instead! I was in alot of pain and my face was swellon. I was scared and the Dr was joking around with me and it helped me loosen up! Thank you for that!!

- Jennifer S

5 out of 5 stars on

Our Latest Patient Testimonial

I think I said it all love the quick service !!

- Howard C

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