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In some situations, we may determine a tooth is beyond repair and will need to be removed. One of the most common reasons for tooth extractions is severe decay. However, this isn’t the only reason. Periodontal disease or broken teeth may also require this procedure due to the difficulty of repairing them. Poor positioning, including impacted teeth, and the need to make space for orthodontic treatments are additional reasons for extractions.

Unfortunately, when one tooth is removed, it can cause issues with chewing, your jaw joint and your other teeth shifting. This can all have a negative impact on your overall oral health. To prevent these problems, we will discuss your options for extractions and replace the missing teeth.

The Process of Extraction

When you come in for your extraction, we will first numb the tooth, the surrounding gums and the jawbone using local anesthetics. You will feel a lot of pressure but should feel no pain. This is because the tooth must be rocked firmly, so the socket widens enough for the extraction. Because the anesthetic has numbed the nerves, you will feel only pressure, not the pain. If you do experience pain, please don’t hesitate to speak up so we can administer the additional anesthetic.

Sectioning the Tooth

Some teeth must be divided before extractions. If the tooth is rooted deeply in its socket or has a curved root, making it difficult to expand the socket enough to remove it, we may need to cut the tooth into pieces before removing them.

Proper After Care

  • You can expect some bleeding. Use a moist piece of gauze to cover the empty socket, biting down on it firmly for 30 minutes until bleeding is under control.
  • Blood clots should form within the socket. This is a necessary part of healing. Take care not to dislodge these clots.
  • Don’t rinse or spit for 24 hours after the procedure.
  • Don’t smoke, use a straw or drink hot liquids during healing.
  • If you experience swelling, use ice for 10 minutes and then take it off for 20 minutes. Repeat as needed for up to 24 hours.
  • Non-prescription pain medication like ibuprofen or acetaminophen should help with any pain or discomfort you feel.
  • Chew in other parts of your mouth to prevent irritating the extraction site. Avoid hot liquids and alcohol for the first 24 hours. You may need to use a liquid diet for the first 24 hours.
  • Don’t brush the extraction site for one full day. On the second day, you may clean the area gently. Don’t use commercial mouth washes because they are more likely to irritate. At the 24 hour mark, use a salt water rinse of one teaspoon of salt in warm water after eating and before bed.
  • If the blood clot doesn’t form or becomes dislodged, you will experience what is known as dry socket, which can delay healing. Be sure to follow these instructions to lower your risk. The symptoms of dry socket typically appear three to four days after extractions and consist of a dull, throbbing pain. This pain may be moderate or severe and radiates away from the extraction site. This problem can cause bad breath or a bad taste in your mouth. If this happens, visit us as soon as possible so we can apply a medicated dressing to eliminate the pain.

We offer tooth extractions to patients in Lakeview, Waukegan, and Chicago, IL.

Chicago Office

(773) 528-0068

1426 West Belmont Ave. #1
Chicago, IL 60657

Waukegan Office

(847) 360-1610

2841 Grand Ave.
Waukegan, IL 60085
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