Tooth Extractions

Removing Teeth in Naperville IL

Extraction of teeth is indicated for a number of different reasons. Some teeth are extracted because they have severe decay or bone loss 9 (periodontal disease) and would have a poor long-term prognosis if extensive treatment was rendered to try to save the tooth. Drs. Blecha and Jandali and your restorative dentist are interested in saving teeth and would advise to try different methods to save the tooth if that is the best treatment. If tooth extraction is the most appropriate treatment you are wise to proceed with the treatment before pain, infection, and bone loss occur. Other teeth may need removal because they are poorly positioned or crowded. Some teeth need removal for orthodontic purposes when there are too many teeth present to fit within the size of one jaw, or when extraction of a tooth will help the orthodontist correct the bite. Some teeth are extracted if they fail to erupt normally or if they are impacted in a position where they cannot erupt normally into the mouth (see impacted teeth or wisdom tooth section).

Call Naperville Oral, Maxillofacial and Implant Dentistry Phone Number 630-961-5151 to schedule your Tooth Extraction consultation with Drs. Blecha and Jandali.

Should teeth need to be extracted, your restorative dentist will advise you as to whether these teeth should be replaced. If replacement is indicated, you can speak with your restorative dentist to see what options they recommend to replace the tooth/teeth. Should your restorative dentist suggest a dental implant you should mention this to Drs. Blecha and Jandali‘s receptionist when you call for an appointment. Drs. Blecha and Jandali may suggest a socket preservation graft at the time of the extraction to preserve the bone in the area. In some cases the implant can be placed the same day the tooth is removed. However if you are in severe pain or have significant infection we may have to remove the tooth and get the infection resolved before an implant is placed. Please see the socket preservation section under bone grafts for more information on the socket graft. You may also want to look at the section on dental implants on this website.

The Extraction Process

Extractions of erupted teeth can be performed with local or intravenous anesthesia. If local anesthesia is utilized, local anesthesia is carefully administered in the area. Prior to extraction of the tooth, Drs. Blecha and Jandali will confirm that adequate local anesthesia is present to accomplish the tooth extraction.

Once we are able to establish good local anesthesia, the patient should not feel pain during the extraction but will feel pressure during the extraction. If the tooth has been infected (tender or swollen), it may be harder to numb the area. Intravenous anesthesia is useful to patients who cannot tolerate the administration of local anesthesia, or those who cannot tolerate the pressure or awareness of a tooth being removed. Intravenous anesthesia is helpful if significant infection is also present.

Drs. Blecha and Jandali may or may not suggest a socket preservation graft if the placement of an implant is of value. In some cases, the implant can be placed at the time of the extraction (see the implant section and minor bone grafting section for further details).

Recovery After Tooth Extraction

Recovery from extraction of erupted teeth is usually quick, but can be quite variable. Drs. Blecha and Jandali tries to use extraction techniques that minimize postoperative pain. However, pain can occur depending on the extraction difficulty, presence of pre-extraction pain and infection, and the individual’s level of pain tolerance. Most patients return to work or school the next day, although use of Ibuprofin or Tylenol may be needed for several days.

While the pain can go up or down in a given day, the overall pattern is that the pain should taper 5-6 days after the extraction. Why should some patients experience more pain after extraction of one tooth than with other previous extractions? Through experience, Drs. Blecha and Jandali has clearly seen that a patient’s extent and duration of pain is higher the longer the patient has had pain or swelling in the tooth prior to the extraction. In these cases the cause of the pain and swelling (the tooth) has been removed but the pain that remains is coming from the adjacent bone about the tooth which was adversely affected by the disease from the symptomatic tooth. Lower jaw posterior teeth also tend to have greater pain postoperatively than with extraction of other teeth. If the pattern to the pain is not tapering after 5-6 days, you should see Drs. Blecha and Jandali for assistance.

Good oral hygiene in the first two weeks after surgery helps to resolve the pain. It is wise to avoid eating on an extraction site for several weeks. Exercise will amplify post-extraction pain. Drs. Blecha and Jandali does not advocate exercise or excessive activity after an extraction until the pain has tapered. If your level of activity seems to be associated with an increase in pain, please curtail that activity.

Specific postoperative instructions are given to the patient at our office. See the postoperative written instructions sheets you will be given in the office for these specific instructions.