Tooth Extractions, Williamsburg VA
You’re General Dentist and Dr.Dr. Kiely, Dr. Gurries 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. Gurries 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.
Everyone was SO NICE and KIND. I was very anxious about my extraction. They suggested additional Nitrous to calm me and actually held my hand through the entire procedure. Thank you Tori and Shannon. And Dr. Keily
- Andrea F
This visit was for my 98 yr old Mother and the staff treated her with kindness and concern.
- Kathleen C
Very competent staff
- Lynn W
Very pleasant experience. Very helpful and answered all my questions.
- Susan H
Five Star rating.
- Hope K
Very great service. Made everything very easy and relatively painless!
- Ray W
Very courteous and professional.
- Barbara N
Dr. Gurries and staff were professional, and kind explaining the procedure and my options. They made sure I felt comfortable and alleviated my fears. I would not hesitate to return to Dr Gurries for any problematic teeth. And I would highly recommend him and the office staff. Front desk staff and financial counselor were great, too.
- Paula B
As good an experience as possible
- Rebecca C
Never fun to have to go to a specialty dental appointment, but the atmosphere was relaxed and the staff was super friendly. Highly recommend!
- Alice A
If you were a "regular" dental office I would drive from my home in Franklin, Va., for my checkups and cleanings!! Thank you, so much!! Very impressed with the Dr., the staff, and the wonderful treatment that I received!!
- Margaret P
Truely a great experience and very Helpful . Doctor Kevin Kiely and nurses were kind helpful and made me feel at home . Thank u to the entire staff ....
- James C
I was extremely impressed with the office and the doctor who removed my tooth. I highly recommend coastal oral surgery
- Linda Q
Very friendly and professional. Patient remains at ease.
- William N
Excellent procedure. I felt no pain. It was over before I thought he had begun!
- JoAnn G
Straight forward and thorough
- S K
I have been to Dr. Kiely before and he is a wonderful Dentist. The only thing I was disappointed with this visit was that I went, thinking I was to have a tooth extracted. Instead, it was a consultation. and the extraction is about a month away.
- Lloyd L
They are professional,fast and caring.
- Sean B
Minor pain a little later that day. No pain today.
- FRANCIS A
Everyone in the office was friendly and professional. Dr. Kiely and his assistant helped me to feel comfortable and relaxed during the procedure.
- Sandy W
Excellent experience. Totally professional staff
- James G
My 11-year-old son had to have a tooth pulled. He was absolutely terrified. The staff was phenomenal and made him feel so much at ease. It was a wonderful experience for something that was so scary to a child. I highly recommend Dr. Kiely and his staff.
- Christine P
This is a very competent group of people would not hesitate to recommend
- Anthony A
The Doctor was thorough and careful in his review of the situation and options available to me, including the follow-up requirements of each. The staff was super kind, even after having been closed due to quarantine for previous 2 months. While not technically an "emergency visit", I was in substantial pain and they and the Doctor made the effort to fit me in on a Friday. One of my favorite dentists of the last 20 years, even though I see him for the worst kind of dental issues.
- Robert W
Definitly, an outsanding doctor and staff.
- Russell H
The whole staff was courteous, listened and responded to interactions. Staff were flexible in making arrangements. The information gathering was collaborative and informed
- Charlotte L
I am so very happy with this practice on all levels. They are state of the art in everything; equipment, technology, training. They are just great. I would not think of going anywhere else now!
- Judy C
Everyone was great. The Dr. put me right at ease. My procdure was done & over with quickly.
- Colleen M
Excellent! Client oriented. Very professional.
- Ani K
- Pete B