Dentures
Wisdom Teeth Extractions
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. It will usually go away on its own, but it causes swelling and pain in the area.
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 a general anesthetic so that they will be sedated during the procedure.
The Procedure
The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. 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 first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After Extraction
After the surgery you will need to rest. You 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 applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. 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. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
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 foods you can eat without chewing
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.
Tooth Extraction FAQs
When is a tooth extraction necessary?
A tooth may need to be extracted when it is severely decayed, broken beyond repair, loosened by advanced gum disease, or causing crowding or other problems. Dr. Hwang aims to save natural teeth whenever possible and recommends extraction only when it is the best option for your oral health.
Does a tooth extraction hurt?
The tooth and surrounding area are numbed with local anesthetic before the extraction, so most patients feel pressure rather than pain. Some soreness afterward is normal, and our team will explain how to keep you comfortable as you heal.
What should I do after a tooth extraction?
After an extraction, bite gently on gauze to help a blood clot form, rest, and eat soft foods. For the first few days, avoid using straws, smoking, and rinsing forcefully, since these can disturb the healing site. Follow the instructions on our Post-Op Instructions page and call our office if you have questions.
What is dry socket?
Dry socket happens when the blood clot in the extraction site is dislodged or does not form properly, leaving the bone exposed. It often causes increasing pain a few days after the extraction. Avoiding straws, smoking, and forceful rinsing helps protect the clot. Call our office if your pain gets worse instead of better.
Should I replace a tooth after it is extracted?
In most cases, replacing an extracted tooth is a good idea, since nearby teeth can shift into the gap and affect your bite. Options include a dental implant or a dental bridge. Dr. Hwang can discuss replacement options with you before your extraction.
How long does it take to heal after a tooth extraction?
Healing time varies by person and by the tooth being removed. The gums typically begin to close within the first couple of weeks, while the bone underneath continues to heal over a longer period. Following your post-op instructions helps support healing.
This information is general and is not a substitute for an exam with Dr. Hwang. For emergencies, please call 911 or go to the nearest emergency room. For dental concerns, call West Campus Dental Center at 253-838-3283.
