Dr. Homonnay is always looking for the most conservative approach for having his patients keep their teeth. We do all we can to preserve your natural tooth and tooth structure as long as possible. Inevitably, there are those times when a tooth is no longer healthy and is detrimental if not removed. Please call 615-557-3487 if you have an emergency and we will see you as soon as possible.
Why would my tooth need to be removed?
Generally, the number one reason to have a tooth extracted is due to extensive decay beyond the point of repair. At this stage the tooth cannot have a root canal or a crown, or possibly both of those have already been done. Some other reasons include advanced gum disease, fractured, traumatized, abscessed, or impacted teeth. Impacted wisdom teeth are the number one reason that cysts and pathology develop in the oral cavity other than from smoking. For this simple reason more often than not it is wise to have them removed. This is determined on a case-by-case basis.
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When you come in for your tooth removal visit, Dr. Homonnay will numb the tooth, gums and the entire jaw in that area. He will then gently begin to rock the tooth back and forth in order to expand the tooth socket enough to slide the tooth out. During this process you will not feel any sharp pain but you will experience a bit of pressure. This is completely normal. At any point in the procedure if you are uncomfortable you will have plenty of opportunity to let us know. From time to time sectioning the tooth into pieces is required. This is usually when a tooth has curved roots or is partially anchored to the socket. Once the tooth is sectioned it is easier for the smaller pieces to be removed.
For proper healing, what do I need to do after my tooth is removed?
After your tooth is removed it is imperative to allow the clot to begin forming. This is the beginning of the healing process. We will provide you with several packs of gauze to pack in the site. We recommend biting down on a few of the gauze pads for 1 hour after your procedure. This is to help stop bleeding and oozing. After the clot forms it is very important not to disturb it. A few of the things that have the potential to disturb the clot are smoking, drinking alcohol, rinsing vigorously or sucking through a straw. All of these may result in a dry socket. We recommend not doing any of these things for at least 72 hours.
We do recommend rinsing with warm salt water starting 24 hours after your appointment. We also do not advise exercise for 24 hours, because it will increase the risk of bleeding. Soreness, swelling and bruising after your procedure is normal. You may want to use a cold compress, and take the medication we give you as prescribed. Any swelling should subside in a day or two.
Finally, make sure to resume your normal oral hygiene protocol a day after your procedure. If you have any questions or are having a dental emergency please call our office at 615-557-3487.
Are you in pain, or having a dental emergency? Call us at (615) 557-3487 to schedule your emergency appointment.