At Braeside Dental Centre we are pleased to provide teeth extractions. We offer a variety of sedation options and are proud to be able to provide this service with IV sedation. If you have questions about your wisdom teeth options. We will work with you to find the best option for you.
Do I need a tooth removed?
There are many different reasons a tooth may need to be extracted. The most common reasons are tooth decay, tooth abscess, fracture into the roots and bone loss around a tooth or teeth. If a tooth is causing pain and is there is not enough healthy tooth structure left to predictably fix a tooth it may be recommended that the tooth be extracted. If you would like to replace this tooth with a dental implant it may be recommended that a bone preservation procedure is done at the time of extraction.
If a tooth needs to be extracted here is some information:
- Teeth that need extraction typically are a source of infection. Once the tooth is removed, the body is usually able to heal on its own. In addition the infection from a tooth can be potentially life threatening if not taken care of.
- Once the tooth is removed, after the healing period, you will no longer be in pain.
- After a tooth is removed the bone that held the root of the tooth in starts to resorb or get smaller. If you would like to replace that tooth with a dental implant, it is best to have this done as soon as the bone has healed. The initial healing usually takes 3-4 months. There can be up to 60% of the volume of the bone lost in one year.
- Other tooth replacement options include bridges and dentures.
Is it painful to have the a tooth removed?
To manage the pain of this minor surgical procedure these are your options:
- Local anesthetic (numbing or freezing like you may have had for fillings)
- IV sedation – this provides relaxation and drowsiness and has a level of amnesia (not remembering the procedure). We can provide this for you at Braeside Dental Centre.
- General anesthetic – you would be fully asleep like a major surgery. This is only available at an Oral Surgeon’s office.
What can I expect afterwards?
- Swelling is normal for 2-3 days. To help minimize this ensure you place ice on the outside of your cheeks as much as you can for the first 24 hours.
- Some bruising is normal afterwards. For the average person it is usually minimal.
- Pain: the worst discomfort is when the numbing or freezing comes out. You will be given instructions for pain control and want to make sure you have taken the pain medicine before the freezing comes out. It is usually painful for 3-5 days, getting better over time. You can expect a full recovery within a couple of weeks.
- Dry socket: this is the most common problem after wisdom teeth removal. This is a result of the blood clot dissolving. We will give you instructions on how to help avoid it, but it can still happen even if you have done everything right. It usually shows up after 3-5 days. The pain from dry socket is not well controlled with pain medication, however it is easy for us to help you with this problem. We can place a medicine in the area of the extraction site that very quickly helps with the pain. It will take a little longer to heal, but there are no other long term problems if you get a dry socket.
- Stitches may be used if the gums need to be cut to remove the wisdom teeth. They are typically the dissolvable kind and only need to be in place for a couple of days.
How much does it cost?
Like most things in life, it depends.
- Teeth with multiple roots or long roots are more difficult to remove and cost more.
- Sedation will also increase the cost.
Like you, we don’t like surprises, so we will give you an estimate for the extractions and sedation at the consultation appointment. We will also review the possible problems that may occur with you at this time. Please ask us as many questions as you have… we love questions!