Tooth Extractions

 

When a Tooth Extraction May Be Necessary

Tooth extraction may be recommended by Drs. Zerquis Molina or Carrillo for a variety of clinical reasons. These may include:

  • Severe tooth decay that cannot be restored
  • Advanced periodontal (gum) disease with significant bone loss
  • Fractured teeth that are not repairable
  • Improper tooth positioning or impaction
  • Preparation for orthodontic treatment

While preserving natural teeth is always the primary goal, extraction may be the most appropriate option when a tooth cannot be predictably restored. Because the removal of a tooth can impact chewing function, bite alignment, and surrounding teeth, alternative treatment options and long-term replacement solutions are always carefully discussed prior to treatment whenever possible.

Wisdom Teeth Extraction

Wisdom teeth (third molars) are the last teeth to develop and often do not have sufficient space to erupt properly. As a result, they may become impacted, partially erupted, or positioned in a way that can lead to complications.

Wisdom teeth removal may be recommended to prevent or address:

  • Pain or pressure in the back of the jaw
  • Infection or gum inflammation around partially erupted teeth
  • Crowding or shifting of adjacent teeth
  • Cyst formation or damage to surrounding bone or teeth
  • Difficulty maintaining proper oral hygiene in hard-to-reach areas

In many cases, early evaluation and removal of wisdom teeth can help prevent future complications and protect long-term oral health.

The Extraction Process

Prior to extraction, the area surrounding the tooth is thoroughly numbed using local anesthesia to ensure patient comfort.

During the procedure, it is normal to feel pressure as the tooth is gently loosened and removed from its socket. This sensation occurs because pressure nerves remain active even when pain nerves are fully anesthetized. Patients should not feel pain during the procedure; however, if any discomfort is experienced, it should be communicated immediately so adjustments can be made.

Tooth Sectioning (When Necessary)

In certain cases, a tooth may be firmly anchored or have curved roots that make removal more complex. When this occurs, the tooth may be carefully divided into smaller sections and removed in pieces. This technique allows for a more controlled and gentle extraction while minimizing stress to surrounding tissues.

After Tooth Extraction: Post-Operative Care

Proper aftercare is essential to promote healing and prevent complications.

Immediately following the procedure:

  • Bite firmly on gauze for 30–45 minutes to control bleeding
  • Replace gauze as needed until bleeding subsides

Important precautions for the first 72 hours:

  • Avoid vigorous rinsing or spitting
  • Do not use straws
  • Avoid smoking and alcohol consumption
  • Do not disturb the extraction site
  • Avoid brushing directly on the area
  • Limit strenuous physical activity for 24 hours

These precautions help protect the blood clot, which is essential for proper healing.

Managing Discomfort and Swelling

Some discomfort, swelling, and mild bruising are normal after extraction.

To help manage symptoms:

  • Apply an ice pack intermittently during the first 24–48 hours
  • Take prescribed or recommended pain medication as directed
  • Use antibiotics exactly as prescribed and complete the full course, if given
  • Consume soft, nutritious foods and stay well hydrated

Swelling typically peaks within 48 hours and gradually resolves.

Resuming Normal Oral Hygiene

After 24 hours, it is important to resume gentle brushing and flossing of all remaining teeth, avoiding the surgical site initially. Maintaining oral hygiene supports healing and reduces the risk of infection.

When to Contact Our Office

Most patients recover uneventfully within a few days. However, you should contact our office immediately if you experience:

  • Persistent or heavy bleeding
  • Severe or worsening pain
  • Swelling that continues beyond 2–3 days
  • Signs of medication reaction or infection

Tooth extractions, including wisdom teeth removal, are performed with careful attention to patient comfort and long-term oral health, with a focus on safe healing and prevention of future complications.