Tooth Extractions IN MEDFORD, OR

A tooth that has been damaged beyond repair due to injury, decay or advanced periodontal disease may need to be extracted to protect your overall oral health. Additionally, in some cases, a tooth may become broken in a way that is irreparable, in which Dr. Fagundes will also need to perform an extraction. There are also some instances where a tooth may be unable to erupt through the skin due to poor positioning, (like in the case of many wisdom teeth) where an extraction also becomes necessary.

If Dr. Fagundes has determined that you require a tooth extraction you should be aware that upon removal of the tooth or teeth you will need to consider a tooth replacement solution. If a tooth is removed and not replaced, it can cause a wide array of oral health concerns that can lead to further dental complications. To avoid these complications, it is important to discuss your replacement options with Dr. Fagundes prior to your tooth extraction.

What Happens When You Have a Tooth Extracted?

As previously mentioned, a tooth that is extracted, but not replaced can lead to further oral health issues. The bone of the jaw requires constant stimulation to remain healthy. When you bite down and chew you are stimulating the jaw bone. When a tooth is lost, but not replaced there is no stimulation and therefore you run the risk of bone loss. Loss of bone density in the jaw can lead to face distortion as well as shifting of the remaining teeth. Not only that, but neglecting to replace an extracted tooth will also have negative implications on your bite, the alignment of your teeth and jaw, as well as the functionality of your mouth.

Having a tooth removed is not as scary as it may seem. There are two types of extraction procedures: a simple extraction and a surgical extraction; both of which have minimal recovery time and risk associated with them. The most important part of having a tooth extracted is following recovery instructions to prevent infection and replacing the missing tooth.

How It’s Done

Simple tooth extractions are done on those teeth that are visible to the naked eye. If you require a simple extraction Dr. Fagundes will begin by numbing the area with a local anesthesia. Once the area is adequately numbed Dr. Fagundes will proceed to loosen the problematic tooth or teeth with an instrument known as an elevator. Once the tooth is loosened Dr. Fagundes will use forceps to remove it.

Surgical extractions are a bit more complex as they involve removing a tooth (or teeth) that lie beneath the gum line or have yet to erupt. In most all cases a surgical extraction will be performed by an oral surgeon. However, they can be performed by a general dentist if necessary. During a surgical extraction a small incision into the gum is made and the problematic tooth removed. In some cases it may be necessary to have bone around the tooth removed or even to have the tooth cut in half prior to extraction. Depending on the severity of the case you may be given local or general anesthesia.

What to Expect

You can expect that following your tooth extraction you will be given a list of instructions, of which you should take care to follow closely. Since a cut in the mouth takes longer to heal than one on the skin because it is moist and unable to dry out, you will be asked to bite down on a piece of gauze at the site of extraction for 20-30 minutes immediately following your extraction. This will cause the wound to clot and the bleeding will from there taper off. It is important that you do not disturb this clot, for doing so will not only lead to bleeding, but will also leave the wound open and vulnerable to infection. It is important to remember that having a tooth extracted is considered surgery and for this reason you can expect to feel minor pain and discomfort following the procedure. In most cases, these sensations are mild and can be relieved with over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs). However, more complex extractions may require that Dr. Fagundes prescribe a stronger pain reliever. Regardless of the complexity of the extraction most pain will resolve within 3 days’ time.

Risks Following a Tooth Extraction

In about 3-4 percent of all extractions a condition called dry socket will occur; and in cases where impacted teeth are removed 30 percent of patients will develop dry socket. Dry socket refers to a problem where a clot does not form over the wound where the tooth was extracted. When a clot does not form underlying bone and tissue are exposed to food and air, which in most cases is very painful. Typically, if dry socket develops you will know approximately three days after surgery when you may begin to have a foul taste in your mouth and experience excruciating pain.

Since infection is more likely with dry socket it is important to call Dr. Fagundes if the pain from your tooth extraction gets worse over the few days following the procedure, as opposed to better.