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 246 reviews.

Our Latest Patient Testimonial

I would highly recommend this office to anyone in need of oral surgery. They are very professional and good at what they do.

- Matthew K

5 out of 5 stars on

Our Latest Patient Testimonial

This dentist is absolutley amazing. The staff we great. They all left a great lasting impression. My 15 year old daughter loved them too.

- Christy R

5 out of 5 stars on

Our Latest Patient Testimonial

The relaxing atmosphere with friendly people here made getting my tooth pulled an easy experience. I went home with all the info I needed, and by the morning I wouldn't have known it was pulled. Thank you!

- Amanda L

5 out of 5 stars on

Our Latest Patient Testimonial

Very smooth operation. Staff was attentive and thorough. Noone likes Oral Surgery, but overall it was a great experience!

- Blake D

5 out of 5 stars on

Our Latest Patient Testimonial

my daughter was very nervous about getting her wisdom teeth out. she ended up having a great experience

- melony s

5 out of 5 stars on

Our Latest Patient Testimonial

I have to say you all are so wonderful! Your kindness was above anything I expected. I need to thank Dr. SanGiacomo for taking me on as a patient. He was wonderful at explaining everything and he was gentle extracting the tooth. I love the nice little book of instruction he gave me. All I can say if anyone who has a tooth extracted and they read the book and do what it says you will have no problem. I have no pain medication to take and I have had no pain or swelling. Thank you Dr. SanGiacomo and staff for the wonderful care you gave me!

- Rose F

5 out of 5 stars on

Our Latest Patient Testimonial

I was very nervous about having all 4 of my wisdom teeth extracted. I definitely thought the worst. The procedure was quick and comfortable. My daughter will need her wisdoms out soon and we will be coming back.

- Romney B

5 out of 5 stars on

Our Latest Patient Testimonial

Literally the most supportive team I have ever had work on my teeth. From Dr. SanGiacomo to the receptionist, they treated me with the highest level of expertise and kindness. I was scared because it was a large wisdom tooth, but 14 hours after surgery and I am feeling very little pain.

- Edith G

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly and caring. Made me feel very comfortable.

- Karlene S

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Our Latest Patient Testimonial

Fastest and painless

- Willy A

5 out of 5 stars on

Our Latest Patient Testimonial

Highly recommended!

- D F

5 out of 5 stars on

Our Latest Patient Testimonial

Excellent dentist with good bedside manner. His humor and joking helped ease my anxiety about the procedure.

- Loralee P

5 out of 5 stars on

Our Latest Patient Testimonial

Although I had a difficult tooth to extract, doctor handled the situation well. No problems or pain after “sleeping on it”.

- Diane N

5 out of 5 stars on

Our Latest Patient Testimonial

Very smooth for a nervous patient. Great job, staff and. Doc.

- Mary O

5 out of 5 stars on

Our Latest Patient Testimonial

i was surprised with how at ease they made me feel

- bradley b

5 out of 5 stars on

Our Latest Patient Testimonial

very good

- William F

5 out of 5 stars on

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

5 out of 5 stars on

Our Latest Patient Testimonial

Great job team!

- Brian L

5 out of 5 stars on

Our Latest Patient Testimonial

Very easy procedure...great doctor and nurse!

- Daniel C

4 out of 5 stars on

Our Latest Patient Testimonial

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

- Zaoli C

5 out of 5 stars on