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 334 reviews.

Our Latest Patient Testimonial

Very pleasant office staff and the Dr. Was very easy to talk with and my pain was minimal.

- Joyce S

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Our Latest Patient Testimonial

Fast and friendly service all around

- Lee C

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Our Latest Patient Testimonial

The staff scheduling my appointment worked to accommodate my situation. Everything was explained very well. Procedure went well with no problems. The Dr and assistant were very nice and professional.

- Frank T

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Our Latest Patient Testimonial

The IV for anesthesia was easy and painless. Every aspect of this business is top notch!

- Ann R

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Our Latest Patient Testimonial

The Doctor and staff put me at ease, even though I was not looking forward to the procedure. The Doctor gets lots of gold stars for starting my IV as painfree as possible! Amanda watched over me prior to the procedure and made me comfortable. Thanks!

- Joellyn W

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Our Latest Patient Testimonial

Excellence in every way. If they had a bar with complimentary drinks in the waiting room, I'd have a tooth extracted every week. Very nice and considerate staff. And Dr. SanGiacomo is just great. Friendly and informative.

- Daniel N

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Our Latest Patient Testimonial

The staff and the doctor were very nice to me. The women who took me out to my car in a wheelchair was very helpful getting me in the car. THANKS TO ALL OF U, U WERE VERY NICE.

- Nancy B

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent surgeon, procedure went smooth felt very comfortable,

- Anonymous

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A very good experience

- June B

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Our Latest Patient Testimonial

Getting teeth extracted is never fun but Dr. SanGiacomo and his staff made the procedure as pleasant and painless as possible. They also have great follow up care, thank you!

- Crispian D

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Our Latest Patient Testimonial

Quick, nearly painless tooth extraction, wonderful experience!

- Jonathan B

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Our Latest Patient Testimonial

Overall good experience with Corrland Oral Surgery

- Frederick C

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Our Latest Patient Testimonial

Very happy w the service given to my son and the care of him. Staff is wonderful as well

- Jaden F

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Our Latest Patient Testimonial

What was an intimidating problem with my tooth was made much easier by the caring treatment. Thanks for the excellent care.

- Mary W

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Our Latest Patient Testimonial

We had an excellent experience from start to finish for my daughter’s wisdom teeth extraction. The front office staff was exceptionally helpful with insurance questions and general questions about the procedure. The medical staff (doctor and nurses) were excellent. They also give you a booklet spelling out exactly what you need to do for follow-up care. I couldn’t have been happier with how things went.

- Sue S

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Our Latest Patient Testimonial

Had an appointment scheduled the week prior but came down with a severe cold. Was given the option of keeping the appointment or rescheduling for less than a week later, which I did. The procedure went very smoothly which led to a very easy recovery.

- Karen C

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Our Latest Patient Testimonial

I’ve had 2 teeth pulled by this Doctor and he’s done a great job both times. Everyone is nice.

- Cindy W

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Our Latest Patient Testimonial

excellent, thoroughly professional in every way, I have highly recommended

- abby n

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Our Latest Patient Testimonial

The staff was very nice, and the doctor was fantastic. He's also very funny, which put me at ease. Highly recommended!

- Thuy L

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Our Latest Patient Testimonial

The doctor was timely and has a good sense of humor. Would recommend the doctor.

- Paige E

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