Extractions

Tooth Extraction & Oral Surgery in Parker

In certain situations when no treatment can be done to save a broken or infected tooth the extraction of a tooth is the treatment of choice.  Reasons a tooth may need to be extracted included:  severe gum infection, severe nerve infection, tooth abscess, tooth fracture down to the jaw bone, loose tooth due to gum disease, trauma, deep decay.

It is not normal for adult permanent teeth to be loose or painful.  If you find you have a loose tooth call your dentist.  A loose tooth could be the sign that there is a more serious issue going on.

I think I need my wisdom teeth extracted

Signs that you need your wisdom tooth extracted: puffy, red and swollen gums in the back of your mouth over your wisdom tooth, pain in your jaw, throbbing pain from the back of your mouth.

At what age should I get my wisdom teeth taken out?

The right age to take out wisdom teeth is patient dependent, everyone develops at a different rate, however, in general 16 years old is the earliest age for routine wisdom teeth extractions and as a rule of thumb ideally asymptomatic wisdom teeth should be extracted by your mid twenties unless informed otherwise by your dentist.

Wisdom teeth that are malpositioned frequently cause periodontal or gum issues.

They can also trap food, plaque and bacteria that may lead to cavities in adjacent teeth.  To prevent the complications caused by retained wisdom teeth it is a good idea to have them removed when your dentist advises you to do so.

Extraction Post Operative Instructions

  • Proper care of the mouth following most dental procedures can reduce complications and speed the healing of the surgical area.
  • Protection of the blood clot… Maintain gentle pressure by biting on the gauze sponge that has been placed over the surgical area. Keep steady firm pressure for 45 minutes. Repeat as often as needed. Be sure to moisten the gauze with a little water so that it won’t stick to the clot.
  • Do not rinse… or use a mouthwash for at least 24 hours. After 24 hours, rinse with warm salt water (1/2 teaspoon table salt in 8 oz. of warm water) every 1-2 hours is recommended. The use of commercial mouthwashes during the healing period is NOT advised due to the alcohol content.
  • Discomfort… Following dental surgery it is normal to experience some discomfort. If medication has been given or prescribed, take as instructed.
  • The toothbrush… may be carefully used in the area of the mouth not involved by the surgical procedures. A clean mouth heals faster.
  • Eating… Adequate food and fluid intake following surgery is most important. If you find that eating your regular diet is too difficult, you may supplement your diet with liquids such as Carnation Instant Breakfast ( CIB / any flavor). The high quality, nutritional value of CIB is important for prompt healing following such procedures. Should you not be able to chew solid foods of any nature, for several days or longer, contact our office.
  • Avoid… all excessive activity. Don’t pick at the surgical area. Don’t consume liquids through a straw. Avoid alcoholic beverages and refrain from smoking until healing is well established.
  • Sutures… If they were used, do not fail to return for their removal on the appointment date given.
  • Control swelling… Gently apply ice packs to area for periods of 20 minutes on, 10 minutes off. This procedure should continue for the first 24 hours only.
  • Medications… Make sure you take your prescribed medications strictly following instructions. Women taking birth control medications should be aware that antibiotics can cause the birth control medications to be ineffective possibly resulting in pregnancy. Alternate methods should be used while on the antibiotics.
  • FOLLOWING MOST SURGICAL PROCEDURES THERE MAY OR MAY NOT BE PAIN. YOU WILL BE PROVIDED WITH MEDICATION FOR DISCOMFORT THAT IS APPROPRIATE FOR YOU. IN MOST CASES, A NON-NARCOTIC PAIN REGIMEN IS RECOMMENDED CONSISTING OF ACETAMINOPHEN (TYLENOL®) AND IBUPROFEN (ADVIL®). THESE TWO MEDICATIONS TAKEN TOGETHER, CAN BE AS EFFECTIVE AS A NARCOTIC WITHOUT ANY OF THE SIDE AFFECTS. IF A NARCOTIC HAS BEEN PRESCRIBED, FOLLOW THE DIRECTIONS CAREFULLY. IF YOU HAVE ANY QUESTIONS ABOUT THESE MEDICATIONS INTERACTING WITH OTHER MEDICATIONS YOU ARE PRESENTLY TAKING, PLEASE CALL OUR OFFICE, YOUR PHYSICIAN AND/OR YOUR PHARMACIST.
  • If a bone graft was placed…do not be alarmed if small pieces of the bone graft material become dislodged, be careful not to disrupt the bone graft or soft tissue membrane covering the extraction site. Make sure to attend your post operative visit for the doctor to evaluate the grafted site.
  • Allergic reactions… for generalized rash, itching, or other reactions, call our office immediately. If we are not available at the time, go to the nearest hospital emergency room.

Do not hesitate… to call if any questions arise.

ADDITIONAL POSTOPERATIVE INSTRUCTIONS Following the Removal of IMPACTED WISDOM TEETH

  1. Following the removal of sutures, your usual oral hygiene routine may be resumed. However, the areas immediately adjacent to the 3rd molar (wisdom tooth) socket may be tender and therefore, should be brushed carefully. Gentle brushing will not injure the healing tissue.
  2. Special care must be given to the healing areas of the lower impacted wisdom teeth. The use of a plastic syringe, as demonstrated by the nurse, is suggested as an aid to keeping this area clean. A Water Pik, with minimal pressure, may be used in place of the syringe. A diluted solution of any popular brand mouthwash may be used or warm salt water (1 teaspoon salt to an 8 ounce glass of warm water) may be used as a substitute. This routine, in conjunction with regular brushing of the teeth, should be performed each time immediately after food consumption.
  3. The use of the syringe for the lower sockets must be maintained for at least 3 weeks. Improper oral hygiene in this area may result in complications and a postoperative infection, which can occur many weeks following the initial surgical procedure.
  4. In the event of any complication, especially pain or swelling, or if there is any question regarding your postoperative progress, please telephone this office immediately.

Thank you for your cooperation.

Post Op Instructions in Case of Sinus Communication

MAXILLARY SINUS INSTRUCTIONS
You are given this information sheet because your surgery today involved entry into the sinus under your cheekbone. This was due to either:

  • The roots of your upper back teeth extended into the sinus, and a temporary communication from the sinus into the mouth was created following the extraction in this region, or
  • The surgical procedure performed today involved treating a problem within your sinus(es).

When you eat or drink following surgery near the sinus, liquid may pass into the sinus and may be discharged from the nose. This discharge may appear bloody. Do not become alarmed, this is normal.

TO SPEED HEALING AND PREVENT COMPLICATIONS, FOLLOW THE INSTRUCTIONS LISTED BELOW:

  1. Do not create suction by smoking, sucking on straws, etc.
  2. Try to suppress sneezing. To prevent pressure buildup if sneezing occurs, keep the mouth open.
  3. Do not forcefully blow your nose to “clear” the sinus or nasal passages.
  4. Return for suture removal and post-operative appointments as advised by the doctor.
  5. You should purchase and use the following medications.
  6. Avoid Swimming and any strenuous activity for a week
  7. Do not play any wind instruments for a week

SUDAFED 30 mg tablets: Take 2 tablets every 6 hours for _____ days.

AFRIN or NEO-SYNEPHRINEnasal spray: Use as per package instructions for no more than three (3) days.

Antibiotics: __________________________. Take as directed on prescription.

8. Take all above and prescribed medications as directed.

Finally, if you are concerned or do not understand the instructions, do not hesitate to call the office at any time.

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