Redmond Art of Dentistry offers limited oral surgery procedures to its patients in Redmond, Bellevue, and Sammamish
What procedures do we provide?
- Single and multiple tooth extractions
- Full mouth extractions
- Ridge augmentations
- 3rd molar (wisdom tooth) extractions
- Socket preservation
Why would I need a tooth extracted?
Sometimes teeth get to the point where they cannot be restored with a filling or crown predictably (having a poor prognosis). Teeth having a poor prognosis can be due to:
- A deep cavity in which not enough natural tooth remains.
- Teeth that are periodontally compromised.
- Mobile teeth.
- Teeth suffering from an endodontic infection and a root canal cannot be performed.
- Broken teeth that cannot support a crown. In cases like this Dr. Bickel and Merchant suggest that the tooth be removed from the mouth so a more predictable restoration can be placed such as a bridge or dental implant.
What happens during the Oral Surgery appointment?
At Redmond Art of Dentistry we want to make your sure oral surgery experience as pleasurable as possible. We start out with reviewing your health history to ensure there are not any health concerns or medication interactions. Your vitals are then taken; blood pressure, pulse, and temperature. We also need an X-ray of the tooth, showing the length of the roots and the surrounding structures.
Patients typically choose to have nitrous oxide as the effects of nitrous have a quick onset and offset. In other words, the relaxing effects of nitrous come on quickly, and when stopped, leave your body quickly so you are safe to drive home or to work after the appointment. A local anesthetic is then applied to numb the tooth or teeth to be extracted along with the surrounding tissues.
We then use or special instruments to loosen the tooth from the ligaments and bone, and conservatively extract the tooth. In order to preserve the socket, we recommend socket preservation. Socket preservation is the process in which we place a grafting material into the empty socket where to root previously resided in order to preserve the jaw bone (alveolar ridge). This helps with the speed of your recovery and preserves the shape of your jawbone. It is highly recommended to have socket preservation performed if you plan on having an implant placed in the future.
What can I expect after my Oral Surgery appointment?
Immediately after the tooth extraction, We apply moist gauze to the area and ask for you to bite down firmly. The pressure will help with blood clotting and reduce the amount of bleeding. We ask that the patient swap out the gauze every 20 minutes until bleeding has stopped. Leaving gauze in for extended periods of time can disrupt the blood clot formation. As traumatic as you may think an extraction is, most patients report only a little residual pain and often time only need an anti-inflammatory to control the discomfort.
Post-op Instructions after surgery
Avoid agitating the area: Doing anything to agitate the area may cause irritation, leading to infection and bleeding. We ask that you chew on the opposite side of your mouth for the next 24 hours and to keep sharp objects away from the extraction site.
Avoid smoking or drinking through straws:: Smoking, drinking trough straws, or any sucking motion can disturb the area by dislodging the blood clot. We ask that you avoid this for one week if possible
Brushing: Avoid brushing your teeth for the first 8 hours following extraction. After the 8 hour time period, brush your teeth but be cautious around the area of extraction.
Mouth Wash: Avoid rinsing your mouth for 24 hours following extraction to prevent disturbance to the area and dislodging of the blood cot. After 24 hours, we encourage you to rinse with warm salt water.
Bleeding: Gauze will be placed at the extraction site and you will be instructed to swap out the gauze every 20 minutes or so until the bleeding has stopped. We will give you a pack of gauze to take home with you. If bleeding persists, you may fold a teabag and place it on the extracted site. Tea contains Tannic Acid which has shown to reduce bleeding.
Pain: Some discomfort is to be expected after oral surgery. Analgesic tablets such as Ibuprofen or Tylenol should be taken and a prescription medication may be prescribed
Swelling: You may or may not experience swelling. Typically for a simple extraction, slight to no swelling occurs. To prevent and minimize swelling, we recommend applying a cold ice pack on for 20 minutes and off for 20 for one hour.
Diet: We recommend that you eat a regular meal as soon as you feel you are able to after surgery. Cold, soft foods such as ice cream and yogurt may be easiest for the first day.