At Hardin Cosmetic and Family Dentistry, we understand that tooth extractions can be a source of anxiety for many patients. Our compassionate team can provide comfortable, gentle tooth extraction procedures in Indianapolis, IN. Dr. Hardin and our experienced dental professionals use the latest techniques to ensure you have a pain-free extraction. Removing a problem tooth can prevent future dental problems and maintain your oral health as a general dental treatment.
What is a Tooth Extraction?
A tooth extraction is a dental procedure where we carefully remove a tooth from its socket in the jawbone. We try to save your natural teeth whenever we can, but somtimes taking a tooth out is the best choice to keep your mouth healthy and pain-free.
At our Indianapolis dental office, we offer simple and complex tooth extractions. We perform a simple extraction when the tooth can be seen in your mouth and is easy to remove using special tools. You may need a surgical tooth extraction if the tooth is harder to reach. Complex tooth extractions can remove teeeth that haven’t fully come in or have broken off at the gumline. These procedures are done carefully to make sure you stay as comfortable as possible.
When Is a Tooth Extraction Necessary?
Dr. Hardin wants to preserve as much of your natural tooth as possible. But he’ll recommend a dental extraction if you have a severely infected or damaged tooth. Common reasons why you may need an extraction include:
- Severe tooth decay or damage that cannot be repaired with a filling, crown, or other dental restoration
- Advanced gum disease that has caused teeth to become loose
- Infected teeth that cannot be saved through root canal therapy
- Overcrowded teeth that need to be removed to prepare for orthodontic treatment
- Impacted wisdom teeth that cause pain or could damage adjacent teeth
- Baby teeth that haven’t fallen out in time to allow permanent teeth to come in properly
The Tooth Extraction Process
As a precaution, Dr. Hardin will first take X-rays of the tooth or teeth in question, to help plan the procedure. After preparing a method of extraction, you’ll be given a local anesthetic that will prevent you from feeling pain during the procedure. Next, our dentist will use a tool called an elevator to lift the tooth and loosen ligaments and gum tissue around the base of the tooth. Finally, he uses a pair of forceps, to gently rock the tooth back and forth until it breaks free of the ligaments holding it in the gum tissue. Occasionally, a stubborn tooth will resist our dentist’s soft tug, refusing to come out. In these and more complex cases, the tooth may need to be broken up into smaller pieces for removal.
Once removed, we’ll pack gauze into the socket and have you place pressure on the area by biting down. If necessary, Dr. Hardin will place stitches to close the socket.
If you’re sick the week prior to your scheduled extraction or on the day of, please contact our office, as alternative arrangements may need to be made. Please contact us if you have any questions or concerns.
Wisdom Teeth Removal
Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They’re located at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” stems from the idea that the molars surface at a time typically associated with increased maturity or “wisdom”.
In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors. The several types, or degrees, of impaction are based on the actual depth of the teeth within the jaw:
- Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth. Because it’s difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.
- Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it’s hard to keep the area clean, infection will commonly occur.
- Complete Bony Impaction: The tooth is completely encased by jawbone. This’ll require more complex removal techniques.
Reasons to remove wisdom teeth
While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:
- Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.
- Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
- Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.
- Tooth Crowding: It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn’t universally accepted by all dental professionals, and it has never been validated by any scientific studies.
Wisdom teeth examination
As with any dental procedure, our dentist will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital X-rays will be taken in order for Dr. Hardin to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems. The X-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can our dentist provide you with the best options for your particular case.
What does the removal of wisdom teeth involve?
Wisdom teeth removal is a common procedure, generally performed under local anesthesia, intravenous (IV) sedation, or general anesthesia by a specially trained dentist in an office surgery suite. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication (if necessary), to help manage any swelling or discomfort.
Comfortable Recovery After Tooth Extraction
Following your extraction, we’ll provide comprehensive aftercare instructions. Follow these tips for care immediately following surgery:
- Keep pressure on the gauze pad that your doctor placed over the surgical area by gently biting down. Dampen the gauze sponge with water if it begins to dry out. Try to maintain constant pressure in intervals of 45-60 minutes, repeating as often as needed, or until bleeding lessens. Change the gauze as needed.
- Keep your head elevated and try to lower your activity level as much as possible.
- 48 hours after surgery, rinse mouth with warm salt water every 1-2 hours. Avoid using any mouthwash containing alcohol as it can irritate the wound.
- Keep your mouth clean by brushing areas around the surgical site, but be sure to avoid sutures. Touching the wounded area in any fashion should be prevented.
- Use ice packs to control swelling by placing them on facial areas near extraction.
- Take all prescribed medications accordingly. If any itching or swelling occurs, contact the practice immediately, or go to the nearest emergency room.
- Try to eat softer foods, preferably high in protein.
- Keep your body hydrated by drinking plenty of fluids, but do not drink through a straw for the next 5-7 days.
- If you are a regular tobacco user refrain from smoking for the next 3-4 days as smoking increases your chances of getting a dry socket as well as an infection.
After your tooth has been extracted, healing will take some time. Within 3 to 14 days, your sutures should fall out or dissolve. For sutures that are non-resorbable, your doctor will schedule a follow-up appointment to remove the stitches for you. Your tooth’s empty socket will gradually fill in with bone over time and smooth over with adjacent tissues.
Possible complications after a tooth extraction:
- Bleeding – Bleeding after a tooth extraction is entirely normal. A pinkish tinted saliva and subtle oozing is fairly common during the first 36 hours. If bleeding gets excessive, control it by using dampened gauze pads and biting down to keep pressure on the area. As an alternative to gauze pads, a moistened tea bag can be used, as the tannic acid helps blood vessels contract. Apply pressure to the gauze or tea bag by gently biting down for 30 minutes. Please remember that raised tempers, sitting upright, and exercise can all increase blood flow to the head, which can cause excess bleeding. Try to avoid these as much as possible. If your bleeding does not reduce after 48 hours, please call the practice.
- Bone sequestra (dead tooth fragments) – Some patients have small sharp tooth fragments that were unable to be completely removed during surgery. During the recovery period, these dead bone fragments, or bone sequestra, slowly work themselves through the gums as a natural healing process. This can be a little painful until the sequestra are removed so please call our practice immediately if you notice any sharp fragments poking through the surgery site.
- Dry socket – In the days that follow your tooth extraction, pain should gradually subside. Rarely, patients report that pain increases to a throbbing unbearable pain that shoots up towards the ear. Often this is a case of dry socket. Dry socket occurs when the blood clot becomes irritated and ousted before healing is complete. Food and debris can then get into the socket causing irritation. Tobacco users and women taking oral contraceptives are at a higher risk of getting dry socket. Dry socket is not an infection but does require a visit to our office. If you think you may be suffering from dry socket, please contact the practice immediately.
- Lightheadedness – Because you may have been fasting prior to surgery, your blood sugar levels may be lower than normal. Until your body has had the chance to catch up and process some sugars, you should remember to stand up slowly when getting up from a relaxed position. For somewhat immediate relief, try eating something soft and sugary, stay in a relaxed position, and reduce the elevation of your head.
- Numbness – Many patients report still feeling numb hours after their tooth extraction procedure. An extended lack of feeling around the mouth is normal and can last 10-12 hours after surgery.
- Swelling – Swelling should subside almost entirely within 10 days after surgery. Immediately following your tooth extraction, apply an ice pack to the facial areas near the extraction. Continue using the ice in 15 minute intervals for the first 36 hours. After 36 hours, ice will no longer be beneficial in reducing swelling and moist heat should be used instead. To decrease swelling, apply a warm damp cloth to the sides of your face.
- Trismus (difficulty opening and closing mouth) – If you experience a sore jaw and difficulty chewing or swallowing, do not be alarmed. Occasionally patients’ chewing muscles and jaw joints remain sore 3-5 days after surgery. This soreness can also make it difficult to open and close your mouth. Soreness should eventually subside.
It will take time to heal after we remove your tooth or teeth. Within 3 to 14 days, your sutures should fall out or dissolve. Your tooth’s empty socket will gradually fill in with bone over time and smooth over with adjacent tissues.
For non-resorbable sutures, Dr. Hardin will schedule a follow-up appointment to remove the stitches for you. He’s always available to answer any questions during your recovery period.
What is Dry Socket?
After you have a tooth pulled, it’s normal to feel some pain, but it should slowly start to get better over the next few days. In rare cases, the pain can suddenly get worse and feel sharp or throbbing. You might even feel it shooting up toward your ear. This could be a sign of dry socket.
Dry socket happens when the blood clot that’s supposed to protect the area gets disturbed or comes out too early. Without that clot, food and other debris can get into the empty space and cause pain and irritation. This condition is more common in people who smoke or use tobacco, and in women who take birth control pills.
If you think you might have dry socket, contact our office right away so we can help you feel better quickly. Dr. Hardin will often prescribe pain medication so you feel more comfortable.
Why Choose Hardin Cosmetic and Family Dentistry?
We’re here to help you every step of your tooth extraction. Our experienced dentists know how to safely and gently perform both simple and surgical extractions. We care about your comfort and do everything we can to make your visit relaxing and stress-free. If you feel nervous about dental treatment, we offer different types of sedation to help you stay calm.
Our office uses the latest technology to plan your treatment and make sure everything goes smoothly. We’ll explain the entire process so you’ll know what to expect before, during, and after your extraction.
After your procedure, we’ll give you easy-to-follow instructions and stay in touch to make sure you heal properly. We understand that any patients feel anxiety about having a tooth pulled. We’re here to take great care of you and make the experience as easy as possible.
Schedule Your Consultation Today
If you have tooth pain or have been told you need an extraction, contact Hardin Cosmetic and Family Dentistry today. Our Indianapolis dental team is ready to provide the gentle care you deserve.
Call us at 317-830-0073 to schedule your appointment. You can also request a consultation online. We’re conveniently located in Indianapolis and welcome patients from throughout the surrounding communities.