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 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
This was my first time having a tooth pulled, I was very nervous going to this appointment because I had never had something done like that before, but once in the chair and talking with the doctor and his assistant I was a lot calmer and relaxed, I chose to use nitrous and numbed. Probably best route to go because I did not feel a thing at all, so I defiantly recommend this office!
- Robert A
Everything was 'first class'. The extraction seems to be healing well with absolutely no pain. Will not fill the pain med prescription.
- Lloyd L
Calmed my anxiety. Treated with respect and friendliness.
- Joyce S
Great experience. So pleased with Dr.. Kiehly.
- Peter S
Great staff and doctor did a good job
- Michael M
Everyone was so nice and Dr Kiely was excellent!
- Jean C
The simple extraction was as easy & pleasant as can be expected. Procedure was painless & skillfully done.
- Art P
- Ed K
The whole office is great dr. Kiely is the best ever. His assistance are great and very informative
- Semi D
I was impressed by and pleased with my first visit. I found the dentist and his staff friendly, informative and professional. All my questions were answered and my fears about the surgery addressed.
- Renae K
I have been to a lot of Dentist in my life and have always dreaded those appointments. Not with this Group, there is those places where you can walk in and know your in good hands. This is that Place
- Andrew C
First wisdom tooth that I have removed. Dr.Green and his staff was awesome. Thanks
- Rolisa E
extremely professional/very friendly 5 stars
- Don S
This procedure was totally unexpected but the Doctor and dental assistant explained everything. They were extremely kind and took time to make sure l was okay.
- Delores T
I know procedure was a difficult one but felt the severe pain of the procedure could have been better mediated and handled. The whole side of my face is still numb from the trauma of the procedure. I have never experienced this much pain and discomfort at a dentist/oral surgical procedure before.
- jeff canon G
Very nice place friendly and great Doctor
- Charlene b
Doctor Kiely and his assistant (I can't remember her name) were absolutely fantastic. I had a terrible experience with a dentist when I was younger, so I always get a little anxious when I go in. Dr. Kiely made sure to thoroughly explain the procedure I was going through (it was an emergency extraction) and talked me through the pain management. I didn't feel an ounce of pain throughout the actual procedure itself. I was so impressed with the care of his staff, and blown away by his overall empathy and caring attitude towards me throughout the whole experience. I would recommend this office to ANYONE, especially someone who maybe has a little fear/anxiety when it comes to the dentists office.
- Caroline L
I needed this appointment right away. I called and got everything I needed to know with that initial phone call. I needed to make this extraction so a bridge could be done as soon as possible working with my dentist, Dr. Dunnill. Dr. Dunnill had referred me to your office and I know where my family and friends will be told to go if they need your services in the future. Thank you so very much for your care and attention to detail.
- Joyce Ann Crane
I had a broken crown that had shattered In my gum. Dr. Kiely did an excellent job of extracting the crown and clearing the shattered pieces. I expected to be very uncomfortable after the pain medication wore off but the pain was minimal. I would definitely return to this practice for any other dental surgery I needed.
- Kay W
Enjoyed the visit. Service was wonderful. Much concern shown as me being the patient
- Addie W
Once again a happy customer. I am always nervous when having some type of dental procedure they completely reassured me i was in great hands. They are completely wonderful and great. I would recommend that any and everyone!!!
- Jessica F
Excellent care,caution and service.
- Sivathanu P
- Robert C
My experience here was past wonderful! The staff and the dr reassured me that i was in great hands. I personally am terrified to get work done to ny teeth. I was so nervouse that when i had a second to myself i actually started to cry, thats how terrified i was. The complete staff made the effort to comfort me and my nervousness. I was worried that i would feel the pain from pulling the tooth or that something would go terribly wrong. However, everything was fantastic. I didnt wait a long time at all to be seen. It was supposed to be a consultation anf he ending up pulling a tooth the same day by sqeezing me in between appointments. I could go on about the excellent service i received but i will write a book. I would definitely refer this office to EVERYONE. I also will be returning for more work and i will be setting my husband up here as well!! Thank you to the entire staff!! You all are so wonderful!!!!
- Jessica F
- Ed Oblazney J