Tooth Extractions, Williamsburg VA
You’re General Dentist and Dr.Dr. Kiely, Dr. Green or may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. You may decide, in consultation with you’re dentist, that the restoration of a particular tooth will be more expensive than is affordable at the present time and in order to address pain or infection the tooth/teeth should be extracted. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
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, Dr.Dr. Kiely, Dr. Green or will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Extraction Process
At the time of extraction the doctor will need to numb your tooth, jawbone 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
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke or brush teeth next to the extraction site for 48 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24-48 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24-48 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.
Coastal Oral Maxillofacial Surgery & Implants, Inc.
Tooth was still infected (after a week of antibiotics) and I still didn't feel any pain when Dr Kiely extracted it. It's been 24 hrs and I don't even hurt now.
- Lauren J
Wonderful doctor & a great staff!
- Lois J
I brought my teenage son with high-functioning Autism into the office to discuss wisdom teeth removal. The staff took time to clarify every step of the process & answered all of his questions with kindness & patience. The procedure itself was performed with the utmost skill. Several hours post-surgery, the office called to check on my son. I give this practice my highest recommendation!!!
- Laura T
Everyone seemed very pleasant and helpful.
I have had several procedures done by Dr Kiley and am 120% happy
- Diane L
The Dr., staff, and the atmosphere make you feel good.
- Judy T
Great place and great staff! I highly recommend them.
- Amanda J
Very professional staff.
- Elma D
Very professional and almost pain free. I was able to eat right after the procedure that night.
- Sofia C
Kind, patient and quick work. Thank you for outstanding care.
- Beth B
This office never does anything else. It great!! They have always figured out a way to squeeze me in for extractions. Everyone is always so friendly which helps to calm me down before getting a tooth extracted. You all rock seriously!!
- Daniel S
Thanks - maybe!
- Dennis s
Great service and result. Can't ask for more than that.
- Arthur J
- Susan F
Dr. Green and the staff was very welcoming and made you feel relaxed.
- Paula G
We are actually happy the recommended oral surgeon couldn't accommodate us within 3 months and you arranged us in 3 weeks! Friendly, nice staff and dr took time explaining everything
- Michelle B
All the ladies are awesome and friendly and Dr Kiley is very thorough and nice as well.
- Harry R
Everyone is very nice and understanding especially for over anxious patients. Dr. Green is easy on the eyes and easy on the mouth he took good care of me and I didn't feel anything!
- Cassidy M
- Geneva S
The compassion and care that was given to my son was awesome. Thank you for your compassion and understanding.
- Brandon M
Dr. Kiely is an outstanding doctor. He is professional, patient, and caring. His staff members are polite and extremely efficient. Thank you !
- Georgeta G
Very nice staff
- Mattie S
I was relieved to have the procedure over. It was not what I expected in terms of pain. I do wish I had been put to sleep or had laughing gas. I was grateful for his experience and skill when things got complicated.
- Kathleen B
Was dreading getting a tooth pulled, based on everybody's horror stories. Everyone was great and the tooth was out pronto! Do not want to do it again, but if the need arises, I'll go back.
- Donnie M
Very friendly staff and doctor. Felt very at ease and all my concerns were taken care of.
- James V
I was scared to death when I walked in. I walked out thinking piece of cake. My fears were dealt with and handled as normal. Thank you!
- Sheri P
Very detailed x-rays!
- Mark C
Great place to have work done.
- James R
I had to have an unexpected extraction brought on by breaking my tooth the previous day. My regular dentist referred me to Coastal Oral -- they were able to see me right away. The whole staff was friendly, professional and efficient. Dr. Green was very thorough in explaining what he was going to do and what to expect. The procedure was shockingly quick and surprisingly painless. Thank you very much to everyone for making my visit a positive experience! I HIGHLY recommend Dr Green and the team at Coastal Oral Surgery!
- Tommy T
Will definitely recommend.
- Alexandra H