At New York Oral, Maxillofacial, and Implant Surgery we understand your hesitation in needing a tooth extracted. But sometimes it is recommended when it's the best option for your oral health. Many adults and teens have their wisdom teeth removed if they are uncomfortable or causing jaw or tooth problems. However, at times other teeth need to be removed for a variety of reasons.
Tooth infection, crowding, and tooth decay can result in tooth extraction being necessary. Some patients requiring braces might need to have a tooth or two removed to make room for the orthodontic movement of another tooth into its correct place. Others, with planned medical treatments, such as chemotherapy, radiation therapy, or organ transplants might require compromised teeth to be removed so they can keep their mouths healthy.
First Visit and Examination
We will examine your mouth and take an x-ray of your tooth. During this first visit at our office we will do a complete review of your medical history, the medications you are taking, and your history of allergies. You should let us know if you have diabetes, renal, thyroid, adrenal or liver disease, hypertension, congenital heart defects, damaged heart valves, artificial joints, an impaired immune system, or a history of bacterial endocarditis. These might affect the procedure or cause problems after the procedure.
If you are taking anticoagulant (blood thinners) medications, you must tell us. These medications could result in prolonged bleeding after your procedure. If you are taking medications called bisphosphonates, commonly prescribed for osteoporosis, osteopenia, or some cancers, you must let us know. Performing the extraction during treatment with these drugs can put your jaw at additional risk. If indicated, we will consult with your prescribing doctor about possibly modifying your medications.
Consider that we might prescribe you antibiotics in the days before the procedure if you are having a long procedure or if you have a weakened immune system or an infection.
Tooth Extraction Procedure
Depending on the condition of your tooth, the extraction might be simple (for intact visible teeth) or surgical (for decayed, broken, or impacted teeth). We will let you know what to expect during your initial appointment. For simple extractions, you'll likely be given local anesthesia to numb the area surrounding the tooth. You won't feel pain during the procedure, maybe just a bit of pressure. We then use fine instruments to help loosen the tooth. The tooth is then removed with an instrument called a forceps.
Surgical extractions and impactions may require intravenous sedation to help you feel calm and relaxed, in addition to local anesthesia. A small incision in the gum may be necessary to expose the bone around the tooth. It may be necessary to remove some bone surrounding your tooth or to section the tooth to be able to remove it. If stitches are necessary, they will be dissolvable.
Schedule Your Consultation
Contact the experienced surgeons at New York Oral, Maxillofacial, and Implant Surgery at (914) 768-8220 today, to learn more about tooth extractions!