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

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Staff made me feel super at ease and comfortable. Doctor explained everything he was doing, step by step. Cant think of anything negative about my experience.

- Charles B

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My appointment with Dr. SanGiacomo today was a pleasurable experience.

- Rich K

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I have never had such an amazing experience at a dental office before. He made sure I was relaxed and he broke everything down for me. He made sure I understood what was going to happen.

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Very professional and friendly

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it was an easy visit and the staff was exemplary

- Heather W

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The Dr did a great job and did it really quick and I didn't feel a thing, mind you I had very minimal novacain because I'm 7 months pregnant. Oh and the nurse talk you down a lot, she was awesome! So overall my experience was great!

- Erin M

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Exceptional care. Thoughtful office staff were nice enough to call and offer me a cancellation spot to move my procedure up a week ... knowing I was in discomfort. Always have been scared and full of anxiety with any dental appointments ... until I found this office. The staff and Dentist are very kind, gentle and professional keeping me comfortable and relaxed during a scary procedure me. Thank you so much for getting me through something I had put off for far to long .... you all are fantastic. My husband has an appointment soon and my daughter needs a couple teeth removed before braces and I also will be bringing her here. Worth the drive .... we came in from Auburn!

- Teresa V

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Well organized, minimal pain, very professional and reasonable charge.

- Arthur B

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Outstanding dental services

- Maria F

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Called for an appointment to get achey tooth pulled and was 2 weeks out, but said I'd take a cancellation and got in next day luckily. Was quick and done easily. It was a great place to go everyone there was very nice.

- Carl A

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The overall experience was very positive.

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It was a great experience

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Very impressed and grateful for the exceptional care. Thank you.

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Awesome dentist

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My daughter had her wisdom teeth removed. All went well and I'm pleased with the procedure and staff.

- Cindy S

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Great oral surgeon with a great staff.

- Ron P

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Straightforward, supportive and considerate staff. Comfortable, peaceful office space. Doctor was informative and compassionate - a consummate professional. I highly recommend Cortland Oral Surgery.

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I would highly recommend this office. The doctor and all of the staff are wonderful.

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I stopped in to drop off the X-rays for them to look at before my extracions, and the person who was supposed to be in at 8:30 cancelled, so I got in 3 hours early.

- David P

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This is my 3rd time to the office and each time they are great to deal with

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