Tooth Extractions, Williamsburg VA
You’re General Dentist and Dr.Dr. Kiely, Dr. English or Dr. Gurries 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. English or Dr. Gurries 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.
Excellent staff, friendly, and all work well together. Dr. Kiely is a true expert in his field. I would return in a heartbeat.
- MICHAEL D
Best experience possible
- Cherry B
Dr. Kiley is friendly, kind and goes out of his way to help his patients a true gem.
- MICHELE RAE S
Everyone and everything was professional, efficient, and prepared. I couldn’t have asked for a better experience. Dr. Kiely and the procedure team were excellent.
- Cindy R
This was the 2nd tooth extraction I’ve had at Coastal. Everything went well with no pain. Very pleased with the whole service.
- William L
I definitely recommend everyone to call for an appointment ! I felt the warm and caring atmosphere as soon as I walked in the office and even when I left !
- Charlene R
Dr. Kiely and Cole were friendly and engaging. Other staff members were very nice, too. The whole appointment was actually very pleasant! Never thought I would enjoy an appointment for tooth extraction!
- Julie P
Very friendly and informative
- Kaylan H
They were able to get me in sooner than my scheduled appointment that was 1.5 months out for the consultation. However I was extremely grateful for them working me in.
- Paula R
Excellent staff. All questions answered. Doctor also provided information. Relatively easy and painless. Much better experience than I expected.
- Deanna S
I've been a patient for many years, you guys are great.
- George F
My son is Autistic. Things like a tooth extraction or Wisdom teeth removal are a lot harder to do. When you factor in his anxiety. Dr. Kiely and the staff at Costal oral-maxillofacial surgery and implants are great. They work so well with him. They always do everything in there power to make him feel safe and comfortable. I highly recommend them.
- Michelle S
Everyone in this office is very professional and always nice
- Sean B
2nd son down now for the grand kids. I wouldn’t take them anywhere else
- Malachi B
Dr. Kiely has a great bedside manner. A patient feels very comfortable (especially a dental coward as I) under his care. The staff are friendly and have a great attitude.
- Tammy L
Dr Kiely and his staff were wonderful. I felt I was in very good hands and if necessary I would have no hesitation in seeing him again.
- Betsy G
I have a severe phobia with dentists from a bad experience when I was younger. But after talking to the staff and doctor I was put at ease. The procedure was done in no time and I had no problems whatsoever. I highly recommend this facility.
- Christine T
Friendly and courteous service, overall great experience.
- Selma Parsons
Couldn't find a more personable doctor than Dr Kiley. Dr Kiley is never rushed during your appointment and has a great way of explaining the procedure and what to expect afterwards. This is my 4th child going in for wisdom tooth extraction and he makes them feel so at ease that they actually look forward to their visits with Dr Kiley.
- Patricia M
I have been to Coastal Oral on several occasions. At all times I have found them to be totally professional and extremely friendly. I go to them even though they are out of network for my insurance.
- Art N
Excellent care - I felt that they really listened to my concerns.
- katharine p
Everyone made my visit enjoyable.
- Paul L
Dr Kiely is such a fantastic surgeon and his personality is unmatched!! His touch is gentle and yet the ease with which he was able to extract two molars surprised me! I always have confidence that I will heal properly and am thankful for him and the team!!! ️
- Annie L
All were great
- Gloria S
The staff went out of their way to make me feel comfortable. Highly recommend Dr. Keily and his amazing staff!!!
- Kim H
I was very impressed by the courtesy and professionalism exhibited by the staff. Dr. Kiely is the best thing since sliced bread. He is amazing.
- Sharon S
Best experience ever, I never went to a dentist that was so good that you don’t even feel the needles. My extraction was done with such precision that I felt no pain. I felt so at ease. Dr Kiel’s was awesome. I highly recommend him. He also removed both of my children’s wisdom teeth. He was awesome with them also. You need a tooth extraction or wisdom teeth taken out, He is the one to get it done. I was in and out in no time.
- Lisa W
Exceptional dental service provided by a professional and personable team with an appropriate level of humor. Please read and edit the minor surgery post-operative instructions. After an excellent in person experience I was disappointed with written instructions that did not match the dental service.
- Pat P
Very proficient, friendly staff.
- Stephanie S
- Patrick M