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 320 reviews.

Our Latest Patient Testimonial

Excellent care to all his patients! Staff is wonderful and friendly .

- Allison S

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Our Latest Patient Testimonial

Friendly staff, made a somewhat traumatic and difficult procedure more tolerable.

- Jack R

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Very Impressed! I would recommend Dr. SanGiacomo to any patient who would be in need of his expertise!

- Kimbery C

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Very pleased with care and service.

- Michael F

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Our Latest Patient Testimonial

Scheduling was easy, staff was friendly courteous and on time. Forms to fill out are available on line, a big plus. Web site was informative with a lot of good info. I would go back for future related procedures if needed.

- Ken B

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Very excellent experience

- Pat S

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Procedure was quick and painless... re3covery has been very smooth.

- Bob D

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Our Latest Patient Testimonial

Everyone is so nice and helpful. Dr. SanGiacomo is awesome, he's caring, considerate and explains everything and makes you feel at ease. They are always able to accomodate me with my appointment times too. I'd definitely recommend this office to all of my friends and family. Great team work you guys.

- Shari C

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I was really nervous for my appointment and was quickly at ease! The staff answered all of my questions and were very soothing and helpful. A great experience and I would recommend this practice to my friends and family!

- Janice G

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Our Latest Patient Testimonial

All went well and the staff could not have been more friendly or professional - Dr was very good but I didn,t see much of him cause he knocked me out, at my request

- Joseph L

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Everything went smoothly and the doctor was personable, pleasant and put me at ease.

- Joyce G

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Friendly service; Office staff very efficient; Extraction couldn't have gone better

- Matt R

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Could not be happier with the care I received before during and after my extensive implant surgery.i feel like I went to the best place I could have chosen.

- Rich C

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Our Latest Patient Testimonial

My son needed his wisdom teeth extracted and the orthodontist referred us to Dr SanGiacomo. The office staff was friendly and helpful with scheduling and making sure our insurance was billed correctly. During the first visit the doctor answered all of our questions and explained the procedure to us. Dr. SanGiacomo was wonderful with my son making him feel comfortable during what could've been an extremely stressful time. The doctors sense of humor helped make my son less anxious about the surgery. The assistants were very nice and took time explaining the post surgery instructions so that I knew what to expect once we were home. I highly recommend their office.

- Mary S

5 out of 5 stars on

Our Latest Patient Testimonial

Had a great experience today everything was explained to me and everyone was friendly

- Joanne H

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Our Latest Patient Testimonial

Great staff and easy visit.

- Elizabeth c

5 out of 5 stars on

Our Latest Patient Testimonial

I was anxious about my molar extraction. The staff was friendly and courteous. Tamara was kind and helpful. The "Mouth Care" pamphlet is thorough and provides written advice after returning home. Although, I would not want to have another extraction, the Cortland Oral Surgery Center is where I would return if additional dental work were needed.

- Pamela M

5 out of 5 stars on

Our Latest Patient Testimonial

Great Surgeon, Would recommend for sure. They go above and beyond. Thanks for the new smile

- gregg c

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Our Latest Patient Testimonial

Love Dr SanGiacomo and his staff!

- Denise R

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Our Latest Patient Testimonial

Everyone at the office was very kind and helpful during what could've been a nerve-wracking experience. Dr. SanGiacomo spent a lot of time explaining the procedure to me so that I felt very comfortable before starting the extraction.

- Kristina B

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