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 410 reviews.

Our Latest Patient Testimonial

Although no one wants a tooth removed this office is by far the cleanest, most respectable office! I can’t thank them enough for my outstanding care in such a hard time.

- Erika B

5 out of 5 stars on

Our Latest Patient Testimonial

My experience was good. The doctor and staff are professional and friendly. I feel like I'm in good hands.

- Steven M

5 out of 5 stars on

Our Latest Patient Testimonial

Great visit, the surgeon and all the workers are super friendly and professional! If I need anything else I will definitely be going back here

- Jasmine J

5 out of 5 stars on

Our Latest Patient Testimonial

Very satisfied

- Kayla B

5 out of 5 stars on

Our Latest Patient Testimonial

very professional.

- Linda R

5 out of 5 stars on

Our Latest Patient Testimonial

3 extractions in one visit - we all stayed with it and got her done very fair pricing

- Peter h

5 out of 5 stars on

Our Latest Patient Testimonial

Very pleasant atmosphere Staff very friendly and very welcoming The Dr has a great personality... Makes your visit pleasant

- Joy E

5 out of 5 stars on

Our Latest Patient Testimonial

Cortland's finest, great staff, top notch Dr., Feeling great

- Thomas E

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was great. Good communication.

- Ray S

5 out of 5 stars on

Our Latest Patient Testimonial

wonderful people

- Jack F

5 out of 5 stars on

Our Latest Patient Testimonial

Satisfied with the procedure. Kept me informed with what he was doing.

- Teresa B

4 out of 5 stars on

Our Latest Patient Testimonial

I went in for oral surgery to have many teeth removed to prepare for dentures. I never felt judged. I was comforted and guided through the whole process.

- Rae T

5 out of 5 stars on

Our Latest Patient Testimonial

I felt well-cared for and appreciated the feedback as the procedure progressed.

- Susan B

5 out of 5 stars on

Our Latest Patient Testimonial

Staff, friendly, no waiting& procedure went well. Was a little apprehensive about procedure, but felt comfortable& dentist was excellent , highly recommend this dentist.

- Shelby R

5 out of 5 stars on

Our Latest Patient Testimonial

I had an overall great experience. The procedure went very smooth absolutely no pain. Haven’t had to use any pain medication. Great job!!!

- John O

5 out of 5 stars on

Our Latest Patient Testimonial

A great experience even know no one want's to have a tooth pulled. The staff were pleasant and very easy going.

- Chadd H

5 out of 5 stars on

Our Latest Patient Testimonial

Everybody from the secretary to the dentist where so nice. I wish this my regular dental office.

- Nicole H

5 out of 5 stars on

Our Latest Patient Testimonial

Super friendly staff and extremely courteous. They got me in early to my appointment and made sure the procedure went as smooth as it could have gone.

- Jennifer M

5 out of 5 stars on

Our Latest Patient Testimonial

One of the best experiences I’ve had with dental surgery. Plus the Doctor was hilarious. Would recommend!

- Steven C

5 out of 5 stars on

Our Latest Patient Testimonial

I would highly recommend Cortland Oral Surgery! Dr. SanGiacomo was absolutely fantastic. He is very professional and skilled.

- Deb P

5 out of 5 stars on