If a tooth has broken or been damaged by decay, sometimes it can be fixed with a filling, crown or other treatment. However, if there's too much damage for the tooth to be repaired the tooth will need to be extracted.


There are two types of extractions:

A simple extraction is performed on a tooth that can be seen in the mouth. Most general dentists commonly do simple extractions.

A surgical extraction is a more complex procedure. It is performed if a tooth may have broken off at the gum line or has not come into the mouth yet. Most general dentists commonly refer these types of extractions out to an oral surgeon. However, Dr. Mansperger will evaluate the situation case by case basis to determine which the best option for the patient is.

Most simple extractions can be done using just an injection (a local anesthetic). You may or may not receive drugs to help you relax. For a surgical extraction, you will receive a local anesthetic, and but you may also require anesthesia through a vein (intravenous), this would be an example of when our office would refer you to a specialist. Some people may need general anesthesia. They include patients with specific medical or behavioral conditions and young children.

During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, you need to let us know. We will do everything we can to make you feel comfortable during this procedure.

Follow-Up/ After Care

The doctors will give you detailed instructions on what to do and what to expect after your surgery. If you have any questions, make sure to ask them before you leave the office.

Having a tooth taken out is surgery. You can expect some discomfort after even simple extractions. Usually it is mild.

Surgical extractions generally cause more pain after the procedure than simple extractions. The level of discomfort and how long it lasts will depend on how difficult it was to remove the tooth. It may be necessary to prescribe pain medicine for a few days and then suggest an over the counter pain reliever. Most pain disappears after a couple of days.

A cut in the mouth tends to bleed more than a cut on the skin because it cannot dry out and form a scab. After an extraction, you'll be asked to bite on a piece of gauze for 20 to 30 minutes. This pressure will allow the blood to clot. You still have a small amount of bleeding for the next 24 hours or so. It should taper off after that. Don't disturb the clot that forms on the wound.

You can use ice packs on your face to reduce swelling. Typically, they are left on for 20 minutes at a time and removed for 20 minutes. If your jaw is sore and stiff after the swelling goes away, try warm compresses.

Eat soft and cool foods for a few days. Then try other food as you feel comfortable.

A gentle rinse with warm salt water, started 24 hours after the surgery, can help to keep the area clean. Use one-half teaspoon of salt in a cup of water. Initial healing takes at least two weeks.

If you need stitches, the doctor may use the kind that dissolve on their own. This usually takes one to two weeks. Rinsing with warm salt water will help the stitches to dissolve. Sometimes it is necessary to use stitches that need to be removed. If that is the case, a follow up appointment will be needed 1 week after your procedure.

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