Procedures

Extractions

You and Drs. Colarusso, Connors and Baran may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Drs. Colarusso, Connors and Baran will discuss alternatives to extractions as well replacement of the extracted tooth.

The Extraction Process

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.

Sectioning a tooth

Some teeth require sectioning. This 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.

After Extraction Home Care

It is our desire that your recovery be as smooth and pleasant as possible. These guidelines will assist you, but if you have questions about your progress, please call our office. Calling during office hours will afford a faster response to your question or concern. A 24-hour answering service is available to contact the doctor on call after hours.

INSTRUCTIONS FOR THE FIRST DAY

EXERCISE CARE: Do not disturb the surgical area today.

DO NOT. . .

  • Rinse vigorously.
  • Gargle or spit.
  • Use a straw or probe the area with any objects.
  • Take any pain medication on an EMPTY STOMACH.
  • PLEASE DO NOT SMOKE for at least 2 weeks.

OOZING: Intermittent bleeding or oozing for up to 48 hours is normal. Bleeding should never be severe.

DO. . .

  • Place fresh gauze over the surgical area and bite down firmly for 30 – 45 minutes to control bleeding if needed.
  • If bleeding persists or becomes heavy, you may substitute a tea bag (soaked in warm water then squeezed damp-dry) for 20 to 30 minutes.
  • Brush your teeth gently

SWELLING: Swelling is often associated with oral surgery. Swelling can be minimized by using a cold pack or ice bag wrapped in a towel and applied firmly to the face adjacent to the surgical area.

DO. . .

  • Apply ice packs to face rotating 20 minutes on then 20 minutes off for the first 48 hours.
  • If you have been prescribed medicine to control swelling, take it as prescribed.
  • Keep head elevated when resting or sleeping.
  • Beginning THIRD DAY apply WARM compresses (hot water bottle, moist towels or heating pad) to swollen areas for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness.

Please continue taking your regular medications at the prescribed dose and normal times.

PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort. You may have been given a prescription for pain medication which you should fill immediately. You may also take over the counter pain medications such has Advil® or Aleve®.

DO. . .

  • EAT ~ put some food in your stomach BEFORE taking any pain medication
  • Take the first pill before the anesthetic has worn off
  • Take your pain medications with a full glass of water
  • If you do not achieve adequate relief at first, you may supplement each pain pill with an over the counter analgesic such as ibuprofen. Some patients may even require two of the pain pills at one time.
  • Call our office during Normal Business Hours if you feel that you will need a refill on pain medication.

DIET: You may eat any nourishing food that can be taken with comfort. You are your own best judge.

DO. . .

  • EAT - it is important to begin eating and drinking as soon as possible
  • Soft foods are advisable for the first day such as, Popsicles, jello, soups, scrambled eggs, yogurt, pasta, etc. . .
  • If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.

DO NOT. . .

  • Use a straw for the first 24 hours after surgery
  • Eat or drink any extremely HOT foods or drinks while you are still numb
  • Eat foods like nuts, sunflower seeds, popcorn, etc.. .
  • Skip meals - regular nourishment will help you to heal faster and feel better

NAUSEA: Nausea is not uncommon after surgery. Allow your stomach to gradually settle down.

DO. . .

  • Eat soft/gentle foods: pasta, toast, crackers, tea, etc. . .
  • Sips of flat Classic Coca-Cola® or Ginger Ale can be helpful
  • Gradually advance to soups, jello®, eggs etc. . .
  • Be sure to get plenty of fluids
  • Call our office if nausea and/or vomiting persists longer than 24 hours

DO NOT. . .

  • Take any pain medication on an empty or upset stomach

INSTRUCTIONS FOR THE SECOND AND THIRD DAYS

MOUTH RINSES: Keeping your mouth clean after surgery is essential.

DO. . .

  • If you were prescribed an antibacterial mouth rinse, begin using the rinse the day after surgery as directed.
  • If you were not prescribed an antibacterial mouth rinse, gently rinse your mouth with 1/4 teaspoon of salt dissolved in an 8 ounce glass of warm water.
  • Repeat as often as you like, but at least two or three times daily.
  • If you were given a syringe, begin using 5 days after surgery. Fill syringe with warm water. Place tip of syringe into extraction site and flush surgical area after meals and before bedtime.
  • Begin your normal oral hygiene routine as soon as possible after surgery.

HEALING: Each person responds a little differently to surgery and medication. You may experience some of the following NORMAL reactions.

NORMAL. . . The first three days after surgery are generally the most uncomfortable

  • There is usually some swelling
  • Often the third post-op day will be the peak of swelling.
  • On the fourth day you should begin to see improvement and be more comfortable
  • Skin discoloration of the face and neck may be expected; it may take a week to completely disappear
  • The arm or hand near the site where the IV needle was placed may remain inflamed and tender; application of heat on the area will usually correct these symptoms.
  • The remainder of the post-operative course should be gradual, steady improvement.

CALL US IF. . .

  • You don’t see steady improvement during the first four or five days after surgery
  • There is a noticeable, distinct, persistent pain in the jaw area, often radiating toward the ear and forward along the jaw, which may cause other teeth to ache.
  • Severe pain persists
  • You should experience numbness or loss of sensation of the lip and chin which persists more than a few days
  • You feel something hard or sharp in the surgical areas

PLEASE NOTE: Telephone calls for narcotic (pain killer) prescription renewals are ONLY accepted during office hours. Call 978-534-8300 or 978-632-7270.