Your Comfort in Mind
At our clinic, we recognize that tooth extraction surgery is sometimes the best option for preserving oral health. If you need one or more teeth removed, you can rely on us to provide gentle, comprehensive care in a warm, nurturing environment. We understand that the process of having a tooth extracted can be daunting, and we pledge to make every attempt to keep you comfortable throughout the procedure. We always assure that a complete and deep anesthesia is reached and for especially anxious patients we offer medications (sedation) that will help you relax.
What is Conscious Sedation:
Is it safe? Will it work for me? These are some of the most commonly asked questions regarding “Sedation Dentistry”. To help you and your loved ones decide if this is right for you, we’re going to answer these questions for you before you even have to ask.
There is a choice of sedation medications that can be used. You and your doctor will review many factors like your individual medical history to choose which one is right for you. Most of our patients are administered Triazolam. This medication has been used for many, many years and has now found a home in dentistry. In 1996, it was prescribed over 26,000,000 times. Other medications with similar safety backgrounds may also be used for your treatment. The historical safety of these medications gives us great confidence in using them. There is even a medication available to reverse the effects!
To ensure your safety, while you are medicated you are continually monitored for vital signs. Baseline readings are taken at your first visit so we know what is normal for you.
Points to remember: Conscious Sedation is a mild sedation.
- It is safe.
- You are in control of your own airways and reflex.
- It is possible to take you out of sedation condition quickly with a reversal agent.
- There are NO aftereffects such as headaches or nausea.
- You can return to work the next day without any problems.
- You feel like you are having a nice afternoon nap.
- You are relaxed and slightly amnesic and yet stlll able to respond to the dental team’s verbal commands.
- Most patients remember arriving at the dental office and leaving the office.
When a tooth is so badly damaged that it can not be repaired by a filling or a root canal, the tooth may need to be extracted. The procedure involves the dentist numbing the area, and then using surgical instruments to free the tooth from the jawbone. In some cases, pieces of the gum and bone will need to be cut away to remove a tooth. Proper healing of the area will require the patient to follow several important instructions from the dentist.
Healing after Extraction
Following extraction surgery of a tooth, a blood clot forms in the socket, usually within an hour. Bleeding is common in this first hour, but its likelihood decreases quickly as time passes, and is unusual after 24 hours. The raw open wound overlying the dental socket takes about 1 week to heal. Thereafter, the socket will gradually fill in with soft gum tissue over a period of about one to two months. Final closure of the socket with bony remodeling can take six months or more.
What to do after Extraction
After having a tooth extracted, it is important to take care of your mouth. Expect to experience some pain, swelling and possibly even bleeding for a day or two after the procedure. Taking medication and proper care can reduce all of the above and get you back to your daily routine faster.
- Take all prescription or non-prescription pain killers your dentist prescribes. Your dentist may also prescribe an antibiotic. Take it to either clear up an infection you already have or prevent the extraction area from becoming infected.
- Relax when you get home. Physical activity can cause bleeding in the extraction area. It is important to avoid disturbing the extracted area at all.
- Keep steady pressure on the extraction area for the first 2 to 4 hours. Use rolled up gauze or a moist green or black tea bag formed into a ball. Pressure helps control bleeding and allows initial blood clot to form.
- For the first 24 hrs. DO NOT smoke, rinse your mouth, spit out, use a straw to drink or create any suction in your mouth. Suction or vigorous rinsing will disturb the clot and will cause further bleeding and prevent proper healing.
- Although the bleeding should stop after 2 to 4 hrs. of applying pressure, some “oozing” of blood may continue for up to 24 hrs.
- After initial 24 hrs. make a salt water mix of 1 tsp. salt to a glass of warm water. Use this to gently rinse your mouth several times a day. The salt water mixture reduces swelling and pain if used for the first few days.
- Keep brushing your teeth and tongue after the tooth is pulled, brushing very softly in the area of the extraction.
* If severe bleeding persists after 6 hrs of applying pressure please call Dr. Preis immediately.
What happens after treatment?
To help ease any pain or discomfort after a tooth has been removed, Dr. Preis can prescribe a narcotic pain medication, however, over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) are also effective in alleviating discomfort after a dental extraction. If pain persists after several days, please contact our office. If swelling of the face occurs, it can be treated with an ice pack for the first 24 hours after the procedure, and then with warm compresses thereafter. Warm salt-water rinses should be continued if swelling persists a day or longer after a tooth has been extracted.