The usual reason a tooth needs extracting is because it has become so decayed that it can’t be saved. Dr. Goldberg will investigate the options of placing a crown or inlay/onlay on the tooth, which would preclude extraction, but if the decay is so advanced that it has damaged much of the tooth structure, it may need to be extracted.
Here are some other reasons a tooth may need to be extracted:
Before pulling a tooth, Dr. Goldberg will discuss the pros, cons, alternatives, and risks with you. Once you understand the process and all of your questions are answered, he will then administer local anesthetic to numb the area of the tooth. He will then uses a number of different instruments to gently remove the tooth.
When the tooth is out of the socket a blood clot will form. It’s important to try to maintain the clot in place. Dr. Goldberg will pack a gauze pad into the socket and will have you bite down on it to stop the bleeding. If the gums were opened, they may be closed with a few self-dissolving stitches. If you will be replacing the tooth with a dental implant, a bone graft will be placed into the socket.
Having a tooth extracted is surgery, and you can expect some pain. Usually it is mild and manageable with either over-the-counter pain medications. If something stronger is needed or advised, Dr. Goldberg will discuss it with you. Other instructions will probably apply, such as the use of ice and salt water rinses. Instructions are customized to your particular situation, and will be discussed one-on-one. You can continue to brush and floss, but you need to avoid the extraction site.
If the blood clot breaks off from the socket, the bone is exposed to air and food. This is called dry socket, and it can be very painful and will typically cause strong odor or bad taste. If this happens, you’ll have to return to our offices and Dr. Goldberg will fill your dry socket with a medicated dressing to stop the pain and encourage healing.
The initial healing period after a tooth extraction usually takes from one to two weeks. New bone and gum tissue will start to grow into the gap. However, it’s a bad idea not to replace the missing tooth. This is because teeth stay in place thanks to the pressure placed upon them by adjacent teeth. When a tooth or teeth are gone, the adjacent teeth tend to slide into the gap. This is a problem for the person’s bite and general alignment. The best replacement for a missing tooth is a dental implant.
Dr. Goldberg has been performing dental extractions for over 2 decades. He has advanced training and skill in this arena, and also performs many dental implants and bridges to replace the missing tooth. He knows how to look forward and see the final tooth replacement if that is what you wish to have accomplished, so he knows how to handle the extraction in a gentle and proper method to make the end result as perfect as possible.
“Your personal interest and caring for me is what I trust. After meeting you and discussing my needs, I trust you and appreciate your taking the time to explain everything to me…” – Linda