If the tooth is impacted (buried in the gum), the dentist will remove the overlying gum tissue to expose the tooth. Using forceps, the dentist will grasp the tooth and gently rock it back and forth. This action will loosen the tooth and break the ligaments that hold the tooth in place. The tooth will be pulled, and a blood clot will form in the empty socket. The dentist will pack a gauze pad into the socket. In some cases, the dentist will place a few stitches to close the gum edges.
Immediately After Procedure
You will need to bite firmly but gently on the gauze pad. This will reduce bleeding and permit a clot to form in the tooth socket. If rapid bleeding continues, replace with a fresh pad every 20-30 minutes. Otherwise, leave the pad in place for 3-4 hours.
How Long Will It Take?
It often takes about 20 minutes but may take longer for impacted teeth.
How Much Will It Hurt?
You will feel pain in your jaw. Your dentist may give you pain medicine.
When you return home, do the following to help ensure a smooth recovery:
To reduce swelling, apply an ice pack to the area. Apply for 10 minutes at a time.
Do not dislodge the blood clot that forms in the wound. Do not spit or rinse forcefully in the first 24 hours.
Do not smoke.
Do not allow food particles to pack into the socket.
Do not use drinking straws in the first 24 hours.
Begin rinsing your mouth 24 hours after the procedure. Use a solution made of ½ teaspoon salt and 8 ounces warm water.
Eat a soft or liquid diet for the first 24 hours.
Avoid activity for the first 24 hours. For the next 1-2 days, limit your activity.
Continue to brush and floss other teeth. This will help prevent infection in the extraction site.
Be sure to follow your doctor's
In the first 24 hours, expect some swelling and bleeding. The initial healing period usually takes about 1-2 weeks. New bone and gum tissue will grow into the gap.
Having a missing tooth can lead to shifting teeth, improper bite, or difficulty chewing. Your dentist may attempt to restore the area with an implant, fixed bridge, or denture.
Call Your Dentist
After arriving home, contact your dentist if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, or any discharge from the open socket
Excessive bleeding continuing for more than four hours after surgery
Pain that you cannot control with the medicines you have been given
Cough, shortness of breath, chest pain, or severe nausea or vomiting
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a