Tooth Extraction

What is a dental extraction?

A dental extraction is a procedure when we take a tooth out. Any tooth on the upper jaw or the lower jaw, whenever we take a tooth out, that's called a dental extraction.

What are the reasons tooth extractions may be necessary?

The tooth extractions may be necessary for multiple reasons. Sometimes the tooth is very broken, sometimes the tooth has a large cavity, sometimes the tooth has an infection, or sometimes the tooth has a lot of bone loss around it and it gets really wiggly and just basically comes out on its own.

When would a dentist recommend a dental wisdom tooth extraction?

Wisdom teeth extractions are most commonly recommended for lack of space. This means there's not enough room in the mouth for the wisdom teeth and as they start to come in, they start pushing on all the neighboring teeth and the neighboring gum and all the areas causing a lot of pain. That's usually the most frequent reason why we recommend that people get their wisdom teeth extracted. Sometimes wisdom teeth can also develop cavities, in which case it's usually not recommended to do a root canal and a crown on the wisdom tooth. It's much better off just getting the tooth taken out.

When would braces require tooth extraction?

Sometimes when you go to get braces, the orthodontist may recommend you take four teeth out in order to make room. Personally, I don't like this idea at all. I think all the teeth should stay and if your orthodontist is recommending that you get some teeth taken out for braces, you should seek a second opinion.

Is tooth extraction and filling advisable for young children?

Sometimes even young children need to get a tooth extracted. Even baby teeth can get cavities, they can get infections, and they can cause pain. We definitely don't want our kids in pain. So yes, sometimes a tooth extraction is necessary on baby teeth, but the key then is to then maintain the space and keep the room so that when the adult tooth comes in sometime later that there's room for that tooth.

If I have gum disease, when would tooth extraction be helpful?

What happens with gum disease is the bone underneath the gum is really what's affected. So it's not even so much the pink gum that you see in your mouth as much as the bony structure underneath. And what happens with gum disease is that that bone starts to recede away and run away from the bacteria that's in your mouth. And as a result of that, what happens is that the foundation that is keeping your teeth in your head starts to run away and the teeth end up getting really, really loose and wiggly. Sometimes too wiggly to remain in your head, and then they need to get taken out.

Will I need dental implants after tooth extraction?

Dental implants are almost always recommended after a tooth extraction, except for wisdom teeth. Those are really the only teeth that we don't replace with implants. But all the other teeth, we need them. You need the front ones, you need the back ones, you should have all the other teeth. So if you need to get that tooth taken out, we always plan to put an implant in that space.

What should I know about tooth extraction after care and recovery?

Key cardinal rules after getting a tooth pulled out are: no smoking, no spitting, no rinsing, no drinking through straws. In that area where that tooth once was, in that hole, there's going to be a blood clot forming there. And that blood clot is really, really good for healing. So any kind of vigorous swooshing, rinsing, spitting, or any kind of sucking motion that creates a vacuum, like smoking a cigarette or drinking through a straw, can create a vacuum in your mouth and that can dislodge that clot. If it happens, it's not the end of the world, everything will still heal fine, but it hurts. And it hurts a lot.

What is a dry socket and how can I avoid it after a tooth extraction?

A dry socket is what happens when you lose that blood clot after a tooth extraction. It hurts and it heals slower. The most common complication after a tooth extraction is a dry socket. All you have to do in order to avoid that is to follow the key cardinal rules. No smoking, no spitting, no rinsing, no drinking through straws. As long as you don't dislodge that blood clot, you'll be totally fine.

When should I schedule an appointment for a tooth extraction?

The earlier you schedule an appointment for a tooth extraction that's needed, the better. The more likely it is that we can take this tooth out nicely without having to do some heavy duty work on the gums or the bone around it, the more likely it is that there'll be good bones still there for us to put an implant in down the line. So if you need a tooth extraction, don't wait.

If you have any additional questions or you're ready to take action, please give us a call at (201) 845-5533. We're here to help.

Tooth Extraction

While our focus at Paramus Dental Arts is on preventative care, we perform tooth extractions on a regular basis. We are always looking for ways to avoid an extraction by keeping your oral health in good shape. We will clean your teeth on a regular basis, discuss a healthy diet with you, and treat gum disease, cavities, and infections to the best of our abilities; in order to keep your teeth healthy and intact. As a general dentist, we will also work to restore your tooth if it has been damaged – all of which can help you to maintain your natural teeth for years to come.

If you are experiencing discomfort or your tooth is in need of repair, we invite you to call our dental office at (201) 845-5533 to schedule an appointment. During your examination, we will let you know if your tooth can be saved or if a tooth extraction is the best option for preventing the spread of infection and eliminating your discomfort. In our dentist office, we will take the steps necessary to ensure your comfort so that regardless of which treatment option you select, you will feel relaxed during the process.

The process of having a tooth extraction

If you do need to have a tooth extraction, there are several ways that we can go about the procedure. First, we will numb the area of your mouth so that you do not feel any direct discomfort. You will feel pressure during the procedure but otherwise remain relaxed and comfortable. If your tooth has matured and broken through the gums, we can use dental tools to wiggle the tooth and pull it out of the socket. Afterward, the area will be thoroughly cleaned, and gauze will be used to stop the bleeding while you recover. If your tooth is impacted or still below the surface, as is common with wisdom teeth, oral surgery may be necessary for removing it.

When completing this procedure in our dental office, we typically create an incision in the gums so that there is a flap. The flap is gently lifted so that we have access to the impacted tooth. In many cases, we can wiggle the tooth and lift it out of the socket. However, if there is bone or tissue on top of the tooth, it will need to be cut away first. If the tooth is particularly stubborn and not budging, we might need to break it into several pieces and remove it that way. Once the tooth has been removed from the socket, the area will be thoroughly cleaned before the flap is placed back down and sutured in place. Gauze is then used to stop the bleeding.

How to care for your mouth after a tooth extraction

At Paramus Dental Arts, we perform a tooth extraction in the least invasive manner possible to shorten the recovery time. Most of our patients will recover in the office for around an hour while we make sure that the bleeding has sufficiently slowed down, and any anesthesia is wearing off. We typically recommend having someone pick you up after having a tooth extraction. At home, you will want to rest and taking a nap is highly recommended. Be sure to drink plenty of water but avoid drinking anything that is too hot or too cold as this could lead to sensitivity for the first couple of days. We also recommend avoiding the use of a straw, for the first few days, as the suction could cause the affected area to start bleeding.

How the procedure was completed will influence how long it takes to recover but, in general, the swelling will go down after a few days. In our family dentist office, we recommend taking ibuprofen to help reduce the swelling and to use an ice pack or cold compress for 15 minutes at a time. During your recovery, you should eat foods that are high in nutrition but soft. Drinking a smoothie with vegetables, fruit, yogurt, and protein powder is an excellent way to keep your nutrition levels up without needing to bite down on anything. As you add foods back in, be sure to start with things that are soft like noodles and gradually work your way up to a full diet.

While caring for your mouth after a tooth extraction, you also need to keep your mouth as clean as possible. Brush your surrounding teeth like normal while carefully avoiding the surgical site. You can also rinse with water and baking soda or an antibacterial mouthwash to reduce the risk of an infection developing. We may want to see you for a follow-up appointment, as well.

Check out what others are saying about our tooth extraction services on Yelp: Tooth Extraction Paramus

Paramus Tooth Extraction

Signs that you might need a tooth extraction

At Paramus Dental Arts, we practice preventative care and can help in an emergency situation. If you feel intense discomfort in your tooth or your jaw, give us a call since this could be a sign of a dental abscess or severe infection. Simultaneously, if it hurts when you bite down or chew this can also be an indication of a cavity or infection. Other signs like puss or bleeding indicate that you should call (201) 845-5533 and schedule an appointment with our family dentistry office right away.

What you should know about wisdom teeth removal

If you still have your wisdom teeth, you may need to have them removed. We invite you to schedule an appointment with our dentist office so that we can examine your teeth and take X-rays to determine whether or not you should keep your wisdom teeth. Not everyone needs to have them out, so it depends on how much room you have and whether they are growing in straight or impacted. Also, if you have worn braces, they might need to be removed to prevent them pushing the other teeth forward. The process of removing wisdom teeth is roughly the same as any other tooth with the exception of when and why we perform the procedure. At Paramus Dental Arts, we typically recommend wisdom teeth removal in the teenage years. General extractions are more common as people age and have a tooth that needs to be removed due to a severe infection or significant damage. To find out whether or not you should keep your wisdom teeth, call (201) 845-5533 to schedule an appointment to speak with Dr. Olga Degtyareva.

Questions Answered on This Page

Q. What is the process for a tooth extraction?

Q. How do I care for my teeth after the tooth extraction?

Q. Is there a specific procedure for removing wisdom teeth?

People Also Ask

Q. Which tooth replacement is right for me?

Q. Can dental bridges replace my missing teeth and restore my smile?

Q. Are dental implants better than dentures or dental bridges?

Definition of Dental Terminology

Cosmetic Dentistry
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the function) of a person’s teeth, gums and/or bite.
Tooth decay is when the enamel of the tooth begins to decay and cause erosion from plaque and tartar on the teeth.
Dental Caries
Dental caries are also known as cavities and result from a lack of proper oral hygiene leaving plaque that forms tiny holes in the teeth.
Dental Checkup
A dental checkup is an appointment that involves cleaning the teeth, identifying any signs of infection and removing said signs of infection at least once every six months in the office.
Dental Filling
A dental filling involves restoring the structure of the tooth by using metal, alloy, porcelain or plastic to fill the tooth.
Dental Prophylaxis
A dental prophylaxis is a professional and detailed cleaning that involves the removal of plaque, calculus and stains from the teeth.
Dental Sealants
Dental sealants contain a resinous material that we apply to the chewing surfaces of the posterior teeth to prevent dental caries.
A dentist, also known as a dental surgeon, is a doctor who specializes in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity.
Gingivitis is the inflammation of gum tissue that results from plaque, other infections in the mouth and poor oral hygiene.
Preventive Dentistry
Preventive dentistry is the dentistry that focuses on maintaining oral health in order to prevent the spread of plaque, the formation of tartar and infections in the mouth.
Tartar forms when plaque builds up on the surface of the teeth and calcifies into a hard surface that is much more difficult to remove and will require professional treatment.
Tooth Enamel
Tooth enamel is the protective visible outer surface of a tooth that contains the dentin and dental pulp.

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