Extractions in Hackettstown | oral surgery, wisdom teeth extractions, wisdom tooth surgery, tooth removal | tooth decay, tooth infections, impacted teeth, extra teeth, fractured teeth

Independence  Dental  Associates,  L.L.C.

Richard J. Cleave,
DMD, FAGD

General Dentistry, Implants,
 IV Sedation, Oral Surgery,
 Moderate IV Sedation Permit # 034
Brian D. Bachrach, DMD
General Dentistry 

  Samantha R. Bogle, DMD
  Orthodontics

915 County Road 517 # 23 
Hackettstown, NJ 07840
(908) 852-2215

IndependenceDental@gmail.com

We Are A Comprehensive Full
Service Dental Facility.
Call Us For An Appointment Today.
You Will Be Happy You Did!

Extractions

 


Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially or never emerge at all.

When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection called pericoronitis to develop. This situation can be very painful and cause considerable swelling inside and outside of your mouth.  Often infections will recur and this will lead to the need to have your wisdom teeth removed.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under Moderate IV Sedation so that they will be comfortable and not anxious during the surgery.

The gum tissue around the wisdom tooth is cut open to reveal the bone or tooth based on the degree of impaction and direction of the tooth. The tooth is loosened with an instrument called an elevator.  This loosening is also termed luxation.  Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces with a surgical drill first before being removed.  Most cases will require sutures, stitches, to be placed to aid in healing.  We often put a piece of collagen into the wound after extraction to aid in development of a good organized clot, which is the absolutely essential for continued healing.  After the surgery you will need to rest. If IV Sedation was used you will need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be supplied and applied at the completion of the surgery, and you will need to change it when it becomes soaked. Usually the gauze is not soakedwith blood.  It is soaked with saliva.  If bleeding continues for longer than 24 hours or for some unusual reason becomes heavy, you should call the office.  Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down.  Our office will use a long acting local anesthetic to keep you comfortable as well as prescribe you an analgesic, pain killer.  The office will also supply you with an ice pack expecially fitted to your jaw.  Not only does ice help keep swelling to a minimum the first day of surgery but is also useful as a pain reducer.  We will often also supply you with a rinse that you will add salt to so that you can start rinsing your mouth on the day after your surgery.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

  • Gelatin
  • Pudding
  • Yogurt
  • Mashed Potatoes
  • Ice Cream
  • Thin Soups
  • and other food you can eat without excessive chewing.



When drinking, make sure you do not use a straw. The sucking motion can cause increased bleeding and sometimes can loosen your sutures and slow the clotting process.

Smoking after oral surgery is the worst thing that you can do.  This can delay healing significantly and lead to infections of the bone tha will require addition treatment and expense.  The post surgical infections from smoking affect both bone and tissue healing and often lead to a dry socket, also called an osteitis.  Please abstain from smoking during you healing stage which is from 7 to 10 days.

If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call our office for a  follow up appointment so that the doctor can determine the type and degree of the problem.  Often time post operative problems, when not caused by smoking, are related to food impaction and your lack of oral hygiene in and around the extractions sites.  Our office will give you the necessary irrigation syringes to help you clean these sites adequately if you are having a problem. 

 

 

 
 
 
Hackettstown Dentist. Dr. Richard Cleave DMD FAGD provides Extractions, oral surgery, wisdom teeth extractions, wisdom tooth surgery, tooth removal to patients suffering from tooth decay, tooth infections, impacted teeth, extra teeth, fractured teeth in Independence Township, Washington Township, Mansfield Township, Mt. Olive Township. Independence Township Dentist providing Extractions in Hackettstown, New Jersey.