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 354 reviews.

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Very friendly and accommodating!!

- Shari D

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Our Latest Patient Testimonial

Very professional, friendly staff, made me feel at ease from start to finish.

- Michael M

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Our Latest Patient Testimonial

Amazing experience and would definetly recommend to anyone. Was able to be seen within 24 hours and the staff and doctor were caring, curteous, and made the experience bearable.

- Sarah M

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Extremely friendly office staff. Every one was very professional.

- Diane B

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IT WAS A PERFECT VISIT. IN AND OUT. EVERYONE PLEASANT. I LEFT SMILING.

- BECKY C

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Our Latest Patient Testimonial

Overall was a good experience, but any surgery will be painful. The staff was very friendly and the doctor was great. He made me feel comfortable.

- Kelly E

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Thank you for your caring treatment!

- Jung L

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Our Latest Patient Testimonial

Any form of dentistry always makes us cringe. It would seem to be a natural reaction. We dread even making the initial call for an appointment. However, I can honestly say that after my tooth extraction, I would have no hesitation contacting this office again. Extremely busy, but well organized staff. From the moment you enter and approach the check-in counter, they are ready for "you". Very friendly and professional.

- Linda W

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Our Latest Patient Testimonial

My overall experience was great. I was warmly welcomed and greeted in the waiting room as the window was busy. I have never had this happen. Everyone was very kind and welcoming.

- Connie P

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Our Latest Patient Testimonial

Overall - - The receptionist, staff, & dental assistant were very pleasant & made me feel @ ease & comfortable in facing a tooth extraction. The Doctor (Dentist) made me feel at peace & felt real confident in his expertIse. The tooth extraction was done in a shorter period of time than I expected.

- Arlene L

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Dr SanGiacomo rescued me by doing an unanticipated extraction shortly before an international flight. I was very grateful.

- Karin S

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Highly recommend this office. Great staff and dentist.

- Maryann W

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The staff was wonderful you can tell they care about there patients.

- Anonymous

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Our Latest Patient Testimonial

Very professional crew. Amazed at how painless the procedure was... The pain two days after was pretty bad, but following directions given by your office was very helpful....

- penny L

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Our Latest Patient Testimonial

My surgery went well. I was very pleased with this office.

- Daniel D

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Our Latest Patient Testimonial

Excellent dental practice. Thank you for your care and concern.

- Linda H

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Our Latest Patient Testimonial

I was anxious and the nurse as well as Dr. SanGiacomo assured me I would be fine. Through their caring ways and kind words, I was able to have my extractoin and bonegraft without any sedation. I highly recommend this office for needed oral procedures.

- Virginia D

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Very warm and caring staff.They took me in on the same day I called and in 1 hour I was done.Wonderful Surgeon who was polite and very skilled.Will surely return if needed.

- michael c

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I needed an emergency wisdom tooth extraction, but no one in the syracuse area was available. Dr. SanGiacomo's office explained the options I had if I wanted to have the procedure done immediately, and they were able to schedule me THAT DAY! Although I was hesitant to only use Novocain, the procedure was extremely quick and pretty much painless as far as tooth extraction goes.

- Calli S

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My experience with Cortland Oral Surgery was very enjoyable under the circumstances. I would definitely recommend them to anyone needing oral surgery.

- Terry B

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