Extractions are generally treated as a last resort in dentistry, especially for children who are still developing their primary and permanent teeth. However, some situations call for extraction because the tooth cannot be salvaged due to extensive damage or decay, or gum disease.
In other situations, an extraction is necessary to prepare for some other treatment like orthodontics, the mouth is overcrowded, or the tooth is impacted. You can trust that our Mechanicsburg team will always do everything possible to save your child’s teeth.
In a consultation appointment, Dr. Odoom will perform an oral exam and consult x-rays to determine if the tooth can be saved or requires extraction. Our Mechanicsburg team can also tell you what type of extraction is needed.
When teeth are impacted, we need to make an incision to reveal the tooth hidden behind the gums. Some additional bone may need to be cut and the tooth will be sectioned (cut into smaller fragments) to make it easier to remove. This is done under local anesthetic and additional sedation if needed.
The tooth is loosened in the socket using a dental elevator. This severs the ligaments that are attaching the tooth to the socket and makes it easy to remove.
Only after the tooth has been fully loosened will we use forceps to firmly grab it and remove it from the socket.
Following a tooth extraction, it’s important to first and foremost control bleeding, swelling, and pain management. You will be given gauze to bite down on for about 30 to 60 minutes immediately after having your tooth extracted from our Mechanicsburg practice.
After this, if bleeding continues you can change to fresh dampened gauze or wet caffeinated tea bags to encourage blood clotting. Swelling will peak about 2 to 3 days after the extraction, but you should apply a cold compress in the first 24 hours for 15 minutes on and off.
Avoid all forms of suction, alcohol, tobacco products, hot liquids & hard foods, and exercise for at least the first 24 hours. After 24 hours, you can rinse your mouth with a saltwater solution and brush and floss your teeth. Stay away from the extraction site when cleaning your teeth and eating.
This depends on your pain tolerance, the type of extraction, the location of the tooth, and individual healing differences. However, generally, most people feel that any pain and tenderness subsides within 3 days to a week following the tooth extraction.
Surgical extractions take a little longer to heal and require cutting into the gums before removing teeth so this can be expected to take a little longer than basic extractions. Taking anti-inflammatory pain medication, icing the area, and rinsing with saltwater solutions should greatly help alleviate the pain and discomfort.