You and Drs. Kasper or Sclafani 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. Kasper or Sclafani will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Extraction Process
At the time of extraction the doctor will need to numb your tooth, jaw bone 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 Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.
Keystone Oral & Maxillofacial Surgery, P.C.
I went to a local dentist to have a tooth removed, but was referred to Dr Kasper. I was surprised that I got in the very same day! I'd never been to an oral surgeon, and frankly I was extremely nervous & scared...but the doctor, along with all of the staff, were all exceptionally great! They calmed me down, made me feel extremely comfortable...Everything was explained very thoroughly, and my anxiety subsided. The procedure took maybe 15 minutes. This was by far the best visit to any dentist I've ever experienced, and i will not go anywhere else from now on. Highly recommend!
- Charlene M
As a retired nurse I was very skeptical about having and upper plate. I saw dr. Sclafani and everything went perfectly. He is very well organized and answered all my questions with complete explanations of the procedure. I would recommend this office to everyone. It was a wonderful experience and I will go back if I need anything further.
- Valerie L
I would definitely recommend the KEYSTONE Team for their excellent service and care and for squeezing me into their already-filled appointment schedule because I had a dental emergency. My procedure required an abcessed molar extraction and removal of infected matter in jaw and pathology analysis., and it was complicated by me being in active cancer treatment, but Dr. Kasper was highly recommended as being the best to remedy my problems. I respect Dr. Kasper and his entire staff for their excellent care and followup and for making my visit much more pleasant than I thought possible. I would not go anywhere else for my next dental problem or oral surgery needs.
- Robert S
I had such anxieties over this procedure that once thru the doors Vanished and felt everything promised was delivered and More. This was only Phase 1 but now I have no worries for Phase 2. Dr Sclafani has the Calm, Pleasant, Understanding demeanor that puts you right at ease for a not so pleasant experience one has to face. He carries this energy right thru his whole staff. I cant say enough Good for this group:) 5 *****
- Cindy T
I'm glad my doctor chose Keystone. I would go back if ever needed this type of service. Kudo's to Keystone
- Lisa C
I'm 33 years old and am in severe chronic pain due to LGMD Muscular Dystrophy which is slowly taking my life. It's very difficult for me to go to appointments, Dr Kasper and his assistant did everything possible to make me comfortable and made getting my molar extracted which I dreaded a pleasant experience if that's possible. I'm recommending anyone I know with dental work to him. I had a nasty painful abcess and they got me in right away when the first doctor I was referred to told me a few weeks. Virtually no wait, Dr Kasper and his staff are very efficient, highly skilled and extremely intelligent. His assistant made sure I was comfortable the entire time I was there, even when they weren't operating. His assistant was super cool. I felt like I was shooting the breeze with one of my good friends . I cant receive certain types of anesthetic due to my Muscular Dystrophy so I was awake during the procedure. It was over in no time, Dr Kasper was lightening fast so that I didnt have to sit in the chair forever.
- Louie D