Dental Extractions – Stoneham

Tooth extraction is the process in which a tooth is completely taken out of the socket it is attached to in the mouth. A simple extraction is when the tooth that needs to be removed is visible. A surgical extraction is when the tooth has not yet broken the gum line and to remove that tooth, our dentist will have to make a small incision into your gum.

Reasons a tooth may need to be extracted include:

  • Tooth is blocking another tooth from coming in
  • The tooth is a source of infection or illness
  • Crowding and more

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Drs. Cara Lund, William C. Lund or Marc E. Pearlstein will discuss alternatives to extractions as well as replacement of the extracted tooth.

Do You Need a Tooth Extraction?

We can extract teeth when they are decayed, broken, or poorly positioned. Contact us to learn more.

Call us: 781-438-2700

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction 

  1. Your anesthesia will wear off in approximately 1 to 3 hours after the procedure. It is very important not to chew on the numb side until the anesthesia wears off. It is easy to bite or burn your cheek, tongue, or lip while numb. 
  1. We have placed a suture (stitch) in the extraction site that should dissolve in 1 week. 
  1. To help form a blood clot, keep biting on the gauze for at least 30 minutes or until the bleeding stops.  You may change the gauze if it becomes saturated.  A slight amount of blood may continue to leak from the extraction site until a clot forms.  If the bleeding is heavy, bite on fresh gauze for an additional 30 minutes. If this does not work, please contact us. 
  1. You may have some discomfort and swelling following the extraction.  Please follow the pain management regime outlined for you and take antibiotics if prescribed.  Make sure to finish the whole antibiotics prescriptions even if you feel fine. 
  1. If you notice some swelling, you can use a cold compress or iced bag to your face (20 minutes on, 20 minutes off…)
  1. DO NOT SMOKE for at least 24 hours after the extraction.  Smoking delays healing and increases the risk of infection. 
  1. Limit strenuous activity for 24 hours to keep your blood pressure lower which will reduce bleeding and help the blood clot to form. 
  1. Do not use a straw, rinse your mouth vigorously, or spit excessively.  These activities can dislodge the blood clot. 

   9.  You can eat what you feel comfortable eating, but try to avoid any sharp food (e.g., chips) or overly hot food or beverages.  Avoid alcoholic beverages for 24 hours. 

   10.  Keep up your normal oral hygiene, but brush gently in the area of the extraction.

   11.   You can rinse your mouth with warm water with a little salt added (1 tsp. of salt per 8 oz. of water) if you are concerned about food particles getting stuck in the extraction site.

   12.  Sleep with an extra pillow under your head – if there is a little blood on your pillow in the morning, do not be alarmed.