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.

5 out of 5 stars based on 193 Extraction reviews.

Patient Review

Having MAJOR anxiety about any sort of dental procedure, I was completely put at ease by Dr Kiely and his staff. Thank you for taking the time to explain my options and answer all my questions! I would without a doubt refer your practice!! Thank you!

- Maddalena W

5 out of 5 stars on

Patient Review

I will recommend to my family and friends too y'all

- Cheryl B

5 out of 5 stars on

Patient Review

I will recommend my family and friends to y'all

- Cheryl B

5 out of 5 stars on

Patient Review

As a first-time patient, I was encouraged by the decision to go with your office and have a very low degree of anxiety about the next visit.

- Douglas C

5 out of 5 stars on

Patient Review

Excellent experience!! Staff members were professional and friendly. Very nice environment and clinical and administrative services provided by exceptional individuals!

- Audrey M

5 out of 5 stars on

Patient Review

Overall I found the staff very pleasant and professional. The conversation with Dr. Kiely was very thorough and informative. He made me feel comfortable about a procedure that I was very nervous about. My only criticism is that no one told me that this visit was going to be a preliminary consultation only. I had another very pressing matter that I postponed, thinking my damaged tooth would be taken care of today. Had I known the extraction was not going to occur today, I would have changed the appointment to a more convenient time for me. I would suggest that when the office calls to confirm an appointment that is made via a referral, they carefully explain what will take place during the appointment. Thank you.

- Teri T

4 out of 5 stars on

Patient Review

No additional comments

- Ashley R

5 out of 5 stars on

Patient Review

very comfortable setting and all staff were professional and friendly. all my questions were given a view with sincerity and friendliness.

- Michale R

4 out of 5 stars on

Patient Review

Last minute schedule. Everyone was beyond professional and courtesy.

- Robert B

5 out of 5 stars on

Patient Review

Very caring and warm staff. Dr Green was great! Hope I don't need them again, but if I do, this is the office I'll come to!

- Sara M

5 out of 5 stars on

Patient Review

I asked to be seen due to an abscessed tooth. The secretary (Autumn) squeezed me in for a consult to have the tooth extracted (later date). Dr. Green was able to do the extraction that day. Very pleased with all the staff!!

- Nancy J

5 out of 5 stars on

Patient Review

Best decision I made was picking Coastal for my oral surgery. Wish all practices were this considerate and caring of patients concerns.

- John L

5 out of 5 stars on

Patient Review

Dr.K was outstanding. He was caring, addressed all patient & family concerns, & explained everything every step of the way. He's my Oral Surgeon for life.

- John M

5 out of 5 stars on

Patient Review

My mind was put at ease for any future appointments

- Shirley J

5 out of 5 stars on

Patient Review

I was referred here by my dentist to have a problem tooth extracted. I was thrilled that I was given an appointment within hours of my initial call, called back immediately after I arrived, and then left minus a great deal of pain. Since I had never been in before, I did not know what to expect. My experience was excellent. Thank you for handling the whole scenario in this manner!

- Susan M

5 out of 5 stars on

Patient Review

Dr. Kiely explained everything clearly at the time of our visit . When I called him after my son's extractions he called me back and took his time to explain what I should do and reassure me not to worry and that what my son was experiencing was normal.

- Easha J

5 out of 5 stars on

Patient Review

Very informative concerning the procedure. Also very friendly and supportive. Excellent staff.

- Milton B

5 out of 5 stars on

Patient Review

I was very anxious due to my many health issues. Dr. Green and his nurse helped to relieve my anxiety and put me at ease. They also let me know where we were with the procedure and offered encouragement along the way. On check-out, i needed info on when to start back on my coumadin and the receptionist called my clinic to get that info for me. I am very grateful and appreciative of the entire Doctor, nursing and office staff. Thank you!

- Sandra O

5 out of 5 stars on

Patient Review

I will be happy to recommend the office, staff, and doctor.

- Kenneth W

5 out of 5 stars on

Patient Review

Awesome practice

- Miriam N

5 out of 5 stars on

Patient Review

Absolutely Great!

- Jon B

5 out of 5 stars on

Patient Review

A few emergencis got appts behind schedule

- Anonymous

4 out of 5 stars on

Patient Review

Although having to visit a dentist for a tooth extraction is a somewhat fearful experience, Dr. Kiely and his staff went over and above to make the procedure quick and totally painless. I am a total coward when it comes to dental work, but Dr. Kiely was patient and explained the options based on my comfort level. He has a wonderful personality and it is reflected in his staff who were so very friendly. Thank You, Dr. Kiely and staff!

- Cathy H

5 out of 5 stars on

Patient Review

Great experience all around. Given last minute appointment and was still seen quickly.

- Sadie C

5 out of 5 stars on

Patient Review

Maci was very comfortable with the whole process! She had 5 teeth extracted today and she's doing great. We're very pleased with Dr. Wendell referring us to Dr. Kiely. He was great, as was the dental specialist.

- Maci E

5 out of 5 stars on

Patient Review

did great for my wife with her medical problems thank you

- linda g

5 out of 5 stars on

Patient Review

I was put at ease by everyone. The Doctor explained exactly what he was going to do. I was informed about insurance, and my out of pocket expense. Very good experience overall.

- Gloria H

5 out of 5 stars on

Patient Review

Everyone was so kind. I saw Dr. Green and he was very good. Very nice I would definitely come back if I had to

- Ashley M

5 out of 5 stars on

Patient Review

The whole staff was very friendly and professional! I was very anxious at first because I had just had a painful experience prior to coming to the office but they made me feel a lot more comfortable. Thanks for the great service!

- Aiyanna K

5 out of 5 stars on

Patient Review

I had a painful wisdom tooth and went in for a consultation, and they were able to extract not only that one, but all four in the same day. Great service, fast acting, and friendly staff.

- Vanessa G

5 out of 5 stars on