Dental Care of Yucaipa - Julian M. Tudose, DDS

Oral Surgery / Extractions

Oral Surgery and Tooth Extractions

The scope of oral surgery performed by Dr. Julian Tudose in Yucaipa ranges from simple extractions to surgical extractions.

A tooth can be extracted for many reasons. Sometimes teeth are extracted for cosmetic reasons and sometimes for orthodontic reasons. Sometimes a tooth decayed to such an extent that it is beyond saving. If a tooth suffers trauma, or what is called a “vertical fracture”, it will frequently need to be extracted. Extractions are also a common precursor to receiving an implant or to receiving dentures. Sometimes, an implant can be placed at the same time that a tooth is removed; this is called an Immediate Implant, and when appropriate, can expedite the reception of the final prosthodontic.

A tooth extraction is a routine dental treatment that helps prevent more serious dental problems.

The most common tooth extractions are wisdom teeth extractions, but we may also advise removing a tooth if it's coming in at an angle, threatening the position of other healthy teeth or contributing to overcrowding in the mouth. In some cases, a broken tooth may also need to be extracted, as well as teeth with significant tooth decay that cannot be treated by a root canal. Patients with advanced gum disease may be considered for an extraction when gum disease treatment doesn't work. While it's our goal to do everything to save your tooth, in the end, removing a potentially harmful tooth can spare you time, money and discomfort.

A tooth extraction goes like this: First, you'll receive a local anesthetic to numb the tooth, jawbone and surrounding gums. If necessary, sedation dentistry can be used to help you relax during the procedure. Using a sterilized dental tool, your dentist, or oral surgeon, will first rock the tooth back and forth, and then rotate it to widen the socket for easier extraction. Because your pain receptors have been numbed, you may sense a dull pressure during this process, but shouldn't feel any pain. When the tooth is fully detached, it will be removed and the exposed gum will be covered with a small piece of gauze. You will be advised to bite gently on gauze for 30 minutes to an hour.

Unlike some dental procedures, most tooth extractions are complete in a matter of minutes, so you don't have to worry about sitting in the dental chair for long.

Be sure to follow your dentist's guidelines – they can help you avoid complications and discomfort.

Additional instructions may include:

  • Applying ice to the jaw area if you experience swelling
  • Continuing to brush, but avoiding the area surrounding the extraction
  • Gently rinsing your mouth with water
  • Taking an antibiotic or pain reliever, if needed
  • Avoiding smoking or using a straw for at least 24 hours

You may also be advised to stay away from certain foods and strenuous activity for the first few days. The good news is with proper dental care, your mouth should start to feel normal again in one to two weeks.