Tooth Extraction

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Obviously, no one wants to go to their dentist for a tooth extraction! Sometimes it is just necessary.

Some reasons to have teeth extracted could include:

To make room. Your mouth can get crowded. Teeth can be too large for your mouth or you might have too many teeth, or your dentist may just decide a tooth needs to be removed to align your teeth properly.
To stop infection. Sometimes decay and damage can expand underneath your teeth (to the pulp) leading to serious infection. Often this can be addressed with root canal therapy, but the infection can be serious enough where the tooth must be extracted to prevent the spread of infection.

Periodontal Disease. This is an infection of the gum – the tissues and bones that surround and support the teeth. If this infection has caused loosening of the teeth, your dentist might find it necessary to the pull the tooth or teeth.

Broken or damaged teeth. Sometimes a tooth is just so damaged it is much better to remove it a replace with a bridge or an implant.

How are Teeth Extracted?

At the time of extraction the doctor will need to numb your tooth, jawbone, 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.

Removing a tooth with Sectioning.

Sectioning 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.

Care after Tooth Extraction.


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control this.

Blood Clots That Form In the Empty Socket

This is an important part of the healing process and you must be careful not to dislodge the clot.
Avoid rinsing or spitting for 72 hours after the extraction.

Avoid use of a straw, smoking, or drinking hot liquids for 72 hours.


If swelling occurs, you can place ice on your face for ten minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain & Medications

If you experience pain, you might use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions, make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing & Cleaning

After the extraction, avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the extraction site. Beginning 24 hours after the extraction, you can rinse with salt water (one teaspoon salt in a cup of warm water) after meals and before bed.

Dry Socket

Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed. Following the postoperative extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain that usually doesn’t appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry. Dr. Abeyta will apply a medicated dressing to the dry socket to soothe the pain. It is highly advisable to follow post-operative instructions provided to avoid this unpleasant complication.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.

Be sure and contact Dr. Abeyta with any questions![/vc_column_text][/vc_column][/vc_row]

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