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.
I was extremely nervous going in but the staff from front desk to “extractors” were awesome!!! Highly recommend!!!
- Kathy T
I was pleased that you could schedule an appointment for me so quickly. Dr. Kiely and each staff member I talked with were very professional and answered all of my questions. I was amazed that I was in and out of the office in just over 30 minutes!! Thank you.
- Marjorie P
It was the best ever appointment. I was a little anxious but the doctor and assistant were knowledgeable and kind. Beyond my expectations
- Rebecca B
Dr. Kiely did a great job as did his staff. No problems when we returned home and Charlie is doing well!
- Charles W
I'm an kind of scared having this procedure done but after Dr. Gurries thoroughly explained each step via graphics (total 4 procedures), my fears are somewhat lessen. I also had a good explaination of predetermination from insurance coordinator Michelle.
- Margaret Thompson T
Thank you for working me in and for helping me keep my extensive travel plans.
- Rita G
Very warm, professional and knowledgeable staff. My procedure also included bone graft. They handled me with much care and were attentive to my concerns and eased my apprehension. I highly recommend this practice. You will not be disappointed!
- Sabrina C
A great team and professional service as expected.
- Alan J
Best treatment there is.
- Rich P
- Mary Metcal M
They were very detailed about the care and fees. I appreciated that.
- Teresa S
My experience was wonderful from beginning to the end.
- Lloyd E
I can’t say enough good things about this office, doctor, his staff and everything they do for us! Just hands down amazing place to go. Especially for anything dental related cause who likes to go to the dentist??
- Valerie L
Excellent care and service
- Al Ermalinski E
I had all 4 wisdom teeth removed. Everyone did a such great job! It was a quick procedure (even though i was comfortably sedated). I was a nervouse mess but they reassured me I was going to be ok. Right now marks the end of the first 24 hours after surgery and I feel ok. A little discomfort but probably normal. They let me keep all 4 wisdom teeth.
- Allisa B
More of an "emergency" extraction for me due to increasing pain and infection. First contact person may not have understood and booked me out a few days. Second call , even though on Doctor's day out, got me meds and an earlier appointment. Procedure was quick and handled well. Excellent staff.
- Robert W
Everyone very professional and helpful.
- Michael M
Terrific experience. From start to finish (scheduling to the actual appointment) - a great experience. We will choose this practice for an extraction for our son's wisdom tooth because our experience with the staff and physician made us feel safe, comfortable, and confident about the care Coastal can provide. Thank you!
- Andrew L
Personable, affable, professional. The staff and doctor take the time to listen, explain, and recommend.
- Michael M
Dr Kiely and his staff are amazing!!! This was my first time visiting his office and I will definitely be returning. His staff was so nice and friendly. He was so great at explaining procedure, putting me at ease and an excellent oral surgeon. I definitely recommend this practice.
- Crystal N
Meeting a new dentist for an extraction is not on my list of favorites things. Dr Kiely and the staff made it painless.
- Stephen H
Needed to get instructions for nursing home but got it resolved the next day. Mrs. Payne said she had pain the next day but we will follow up if the pain persists.
- Thelma P
Dr. Kiely is at the top of his profession. His chair-side manner is pleasant and calming. I experienced no pain during my root extraction as patient comfort is paramount to Dr. Kiely. His surgical assistants worked well as a team. This is a top-notch practice that is well-managed in every aspect. Thank you to Dr. Kiely and his entire staff for their exceptional care.
- J P
I must say, the last root extraction I experienced, was not a smooth or easy task. (I was in the chair, for that one 5+ hours!) Thank you for helping me get on the clear road to my other impending treatments.
- Virginia A
Very friendly staff and doctor. Very quick process from check in to tooth extraction to completion. Staff is very informative and helpful!
- Cheryl V
Dr. Kieley is great.
- John M
I came back to start procedure to extract dead tooth and plan implant. Was given clear information about procedure, time and cost. Doctor and staff are willing to work with me on this.
- Bennie B
Very Kind and much Respect for patient. Would recommend to family and friends.
- Ralph G
My 93 year old mother had a broken tooth that was bothering her. She was very fearful, and, at the time, all she needed was to have the sharp part filed down. When it started causing her pain at a later date, the office got her in the next morning to have it extracted. Dr Kiely and Shannon were gentle and reassuring. Thank you so much for taking care of Mom!
- Jill S
In a nutshell, Dr. Kiely and his staff are the best at what they do. I can not envision being treated by anybody else
- james napoda n