Or tooth removal
There are certain situations in which your Madison Family dentist may recommend having a tooth removed. The most common reasons are:
- A severely decayed or infected tooth
- Severe periodontal disease leading to a loss of bone and soft tissue support
- Inadequate space for erupting permanent teeth or extra teeth that are blocking others from erupting
- Preparation for orthodontic treatment (braces)
- Inadequate space for your wisdom teeth
- The visible portion of a tooth or root is severely fractured
The Two Types of Extractions
- Simple – A simple extraction is the removal of a tooth that is still visible. Simple extractions can usually be done under local anesthetic with the use of instruments that elevate and grasp the visible portion of the tooth. A simple extraction can be done during a routine dental visit.
- Surgical – A surgical extraction involves removing a tooth or portion of a tooth that cannot be easily accessed due to a severe fracture, significant decay or a tooth that has not fully erupted. During a surgical extraction, your dentist may uncover the tooth by elevating the soft tissues surrounding the tooth and, in some cases, by removing bone to expose more of the tooth to facilitate removal. The tooth may also need to be divided into several pieces to make removal easier. Complicated surgical extractions are performed by an oral surgeon. Madison Family Dental will refer you to experienced oral surgeons in the Madison area.
We can use the DentalVibe for Patient Comfort
A Madison Dentist Committed to Your Care
Post-operative Care Following a Tooth Removal (Extraction)
- You can expect that your child will leave the office biting on gauze. They should remain biting on it for 30 to 45 minutes, or as directed by the dentist.
- You can expect your child to be numb and you should watch them closely. Kids can do a lot of damage by chewing on a numb lip, cheek, or tongue and not realize it until the anesthetic wears off.
- Keep activities low key for the first 24 hours. No running or jumping. Children should sit out of gym class as well. Reading, computer, homework, and television are some ideas for quiet activities.
- It is often best to give children ibuprofen or Tylenol, whatever you would normally offer for a fever or headache, before the anesthetic wears off. This may be all the pain medicine that they need.
- No spitting or using a straw for the first 24 hours.
- Try to eat soft foods for the first couple of days. Avoid hard, crunchy things and very hot things, like soups. Yogurt, eggs, ice cream, mashed potatoes, and applesauce are some good examples of things to eat during the first 24 hours.
- Brushing is ok, just be gentle in that area.
- You can expect the extraction site to ooze for the first few days and the saliva will likely be pink. This is normal.
Before and After
This young man had small lateral incisors, also known as peg laterals. He had braces on for a few years and recently had them removed. He came to our office wanting his teeth to finally look “normal”. We recommended crowns on his teeth due to the large space that needed to be filled in. The patient was extremely happy with the final result and was ready to head off to college.