Cosmetic & Family Dentistry

Extractions

Each individual tooth is important to the structure of the jaw and health of the surrounding teeth. That's why we will most often attempt to save the natural tooth using procedures such as Fillings, Inlays and Onlays, build-ups, Crowns, and Root Canals. However, there are several possible reasons we might recommend extracting a tooth instead of saving it.

  • There can be so much decay in the tooth that it can not be restored, and may endanger the surrounding teeth and jaw. In this case, we will recommend removing the tooth and replacing it with a Bridge, Dental Implant, or Removable Partial Denture.
  • A baby tooth can cause problems if it does not fall out as it should. Most often, this is because it was not shaped correctly, or because it has too long of a root.  It will be important to remove the baby tooth to make room for the permanent tooth to emerge.
  • Misaligned or impacted teeth (such as the wisdom teeth) can cause pain or discomfort and affect the alignment of the rest of the jaw.  

With most extractions, a local anesthetic will be all that is needed to make the procedure comfortable. While this procedure is generally very fast, please share any concerns or preferences for sedation with Dr. Yurovsky.

When a tooth has been removed, nearby teeth may move and cause problems with chewing or with your jaw joint. To avoid these complications, Dr. Yurovsky may recommend that you replace the extracted tooth with a dental implant.

Dental Implants are the most natural replacement for missing teeth because they mimic the natural tooth root, rather than simply bridging the gap, as is done with Bridges. Because dental implants replace the tooth root, they prevent the neighboring teeth from shifting and interfering with proper jaw function.

Post-Operative Instructions

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Post-Op Instructions
For Dental Extractions

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  • Apply gauze with firm pressure for 30 minutes.
  • If bleeding starts again, place a fresh piece of gauze over the bleeding area. Bite on the gauze with steady, firm pressure for 1 hour. Do not chew on the gauze.
  • Take all medication as directed. For pain, you can take an over the counter pain reliever, such as Advil or Tylenol.
  • Brush your remaining teeth 3 times a day for the first 24 hours. Do not rinse your mouth or use mouthwash products.
  • After the first 24 hours, rinse your mouth with warm salt water (1 teaspoon salt in an 8-ounce glass of warm water). Repeat this at least 4 or 5 times a day to help keep the extraction clean.
  • While lying down, please keep your head raised up on 2 or 3 pillows to prevent bleeding and swelling.
  • Be sure to drink plenty of fluids and eat anything you can swallow. Do not eat foods such as nuts, potato chips, or spicy foods, etc.
  • Do not drink any alcoholic beverages or smoke for at least 24 hours.
  • Do not drink with a straw for 24 hours.
  • Do not spit, as it will cause more bleeding.
  • In order to minimize healing time, we advise that you return home and rest after having one or more teeth extracted.
  • Bruising is normal post-extraction, and should disappear in a few days.
  • Small, sharp bone fragments may loosen and come through your gum. These are not roots. If these bone fragments bother you, call the office so that we can set up a time to remove them.
  • If your pain increases after 72 hours (3 days), or if you have any continued bleeding, please call the office.

Please feel free to call the office to report any condition that appears to be unusual. We may be reached during regular office hours at (215) 545-1202. If we are not in the office, you will receive instructions on what to do on our voicemail.