Frequently Asked Questions

Common questions and answers about Crown Lengthening2019-06-30T22:58:33-04:00

crown lengthening serves two purposes: to improve the appearance of the teeth or to prepare teeth for further dental or periodontal work.

On the cosmetic side, crown lengthening can help correct a “gummy smile.” This occurs when the teeth are the correct length, but they’re covered by too much gum tissue, making them appear too short.

The lengthening of the crown removes extra tissue from the gum to expose more of the tooth and create a more proportionate gum line.

The lengthening of the crown can also be the first step in another restorative or cosmetic procedure. At least two millimeters of healthy tooth surface is required above the gumline to be joined with a crown or filler, thus preventing food or debris from being trapped.

However, a tooth may not protrude enough to hold a crown or fill if it has broken or broken below the gum line. If this is the case, the dentist will remove part of the tissue from the gums (and if necessary, the bone) to expose enough of the tooth to hold the crown or filling.

As with any surgery, there is a risk of bleeding and infection after the procedure.

Some people also discover that their teeth are more sensitive to heat and cold after surgery, since the roots are now exposed. However, this sensitivity should disappear as the gums heal.

The recovery process can be very uncomfortable because you are removing bones and gums that will heal and you are also revealing parts of the tooth that have not been isolated.

Ideally, when we wash our teeth, the fluoride in the toothpaste insulates the tooth so that it is not sensitive to fluids and daily meals. The tooth discovered by this method has not been isolated and can be extremely sensitive to cold until an insulating layer is formed.

Another result is that due to tissue removal, the affected tooth may appear longer than the surrounding teeth. Although this lengthening was precisely the intention of this surgery, this new aspect may surprise some patients.

Additionally, if any bone is removed, the tooth may feel loose. If you eventually lose it, it may be more difficult to put in a replacement dental implant.

Most side effects are minor and go away shortly after surgery. However, you should call your periodontist if you experience any of the following complications:

  • The pain reliever doesn’t help
  • Bleeding continues more than 24 hours after the surgery
  • You notice signs of infection such as swelling and discharge at the surgical site
  • Your bandage becomes detached from the surgical site
  • You notice swollen lymph nodes, which usually manifest as tender lumps around your lower jaw and neck

You should visit your dentist within seven to 10 days following the treatment to remove the stitches and then you should visit again four to six weeks later for a follow-up appointment.

The cost of a crown lengthening procedure varies widely based on a number of factors, such as whether or not bone needs to be removed and how many teeth need to be treated.

As with any procedure, the cost differs from one geographic area to another, and from one periodontist to another. It may cost several hundred dollars for one tooth or more than $3,000 for the entire mouth.

In general, insurance does not cover crown lengthening if you are having the procedure solely for cosmetic reasons.

However, if the crown lengthening is one step in a process that has an established medical benefit — such as preparing the tooth for a filling or crown — insurance may partially or completely cover the cost.

Dental crown lengthening is a type of oral surgery. It is performed by a periodontist, a dentist who specializes in treating diseases of the gums and bone tissue that support the teeth. Crown lengthening surgery can be performed on one or several teeth or your entire gum line, depending on your specific needs.

Common questions and answers about Teeth Whitening2019-06-30T22:57:39-04:00

The conclusive answer is no, teeth whitening gel will NOT damage or harm your tooth enamel. … In order to achieve successful whitening, the product flows through the enamel tubules and begins to lighten the underlying stained tissue. Whitening products can cause temporary tooth sensitivity.

From restorations of dental implants to partial or bridges, we offer a wide variety of options to replace your teeth with the greatest possible functionality and comfort. If you think you need a dental extraction, please contact our office to schedule a consultation!

The effects of whitening are thought to last up to three years. However, this will vary from person to person. The effect is less likely to last as long if you smoke, or eat or drink products that can stain your teeth. Ask your dental team for their opinion before you start the treatment.

No, teeth whitening isn’t permanent. It can last from a few months to up to 3 years, but this varies from person to person. Generally, the whitening effect won’t last as long if you smoke or drink red wine, tea or coffee, which can all stain your teeth.

As of 2018, In-office teeth whitening cost $450-850 for two-three hour visit (on average) nationwide. In one short and convenient appointment, you can have white teeth that will make you feel and look great. Professional teeth whitening service in our lauderhill dental office is done by using a potent bleaching agent.

The most commonly observed side effects with these peroxide-based bleaching agents are tooth sensitivity and occasional irritation of soft tissues in the mouth(oral mucosa), particularly the gumsTooth sensitivity often occurs during early stages of bleaching treatment.

Yes, it is. You will not damage any other restorations you have had done to your mouth. That means existing fillings, bindings, bridges, veneers, and crowns will be unharmed by any whitening you have done. However, keep in mind that whitening your teeth may make them different colors than these other restorations.

The heat can potentially harm the gums and cause tooth sensitivity if certain precautions are not taken. … Other products that do not contain a hydrogen peroxide bleaching agent (like many whitening toothpastes) will only treat surface stains, but there is little to no risk for tooth sensitivity or pain.

Common questions and answers about Direct Bonding2019-06-30T22:56:59-04:00

Bonding associated with composite direct veneers averages between $350 and $600 per tooth, whereas bonding associated with indirect porcelain veneers averages between $700 and $1,500 per tooth.

Since the dental union does not have to be manufactured before placement, your smile makeover can be completed in one visit. The process includes the color and coloration of the composite resin, placing the liquid on top of the tooth and giving it shape to satisfy your smile wishes. Once Dr. Wilde shapes the composite resin, he will use a curing light to harden the material.

We typically suggest this cosmetic treatment for patients suffering from small chips, minor cracks, a tooth that appears shorter than surrounding teeth, or gaps between teeth.

Yes, we use a material called composite. This substance is a synthetic acrylic resin. Fortunately, it is quite easy to work with and color-customization. This means we can match the shade of the bonding to your tooth and that we may mold it to your specifications.

In general, dental bonding requires only one visit. We will mold the composite during treatment, so there is no need for wait time or follow-up visits.

Common questions and answers about Dental Restorations2019-06-30T22:56:15-04:00

Restorative dentistry is the treatment of teeth and their supporting structures to restore your mouth back to full functionality using dental implants, crowns and bridges, root canal therapy, dentures and/or fillings.

A root canal may be necessary when the pulp of your tooth becomes infected. If a cavity is left untreated it can eat through the entire tooth, infecting the pulp. Trauma or damage to a tooth can also cause the pulp to become infected.

Dental implants are artificial teeth set into your alveolar bone using titanium screws. They are used to replace missing teeth. The titanium screws act as the new root. An abutment is added to the top of the titanium to attach to a traditional crown. A dental implant is an innovative, effective solution to replacing one or multiple lost teeth. Dental implants are designed to last. They look, feel and function like your natural teeth. Contact our experienced dental staff today to learn more about dental implants.

It depends on your insurance plan; many dental insurance plans do cover at least a portion of the cost. We would be happy to review your insurance coverage with you during a free consultation. Our dental clinic works to make dentistry affordable to all our patients. We offer a pre-payment discount to patients without insurance. We can also help sign you up for CareCredit, which offers monthly payment plans. Contact us for more information about financing.

Yes! Typically younger children are prone to cavities, which require fillings. Our clinic is very kid-friendly, they can even wait for their appointment in our Kid’s Zone.

If you lose an adult or permanent tooth, the gums and jaw bone around that tooth will begin to decay. Over time, other teeth may shift or fall out as a result. By replacing the tooth with an implant, this decay can be prevented.

There are many reasons adults may lose their teeth and need implant replacements. Accidents might knock a tooth out completely or gum disease might slowly cause a tooth to come out. Whatever the reason your tooth is missing, TCD will offer the best solutions for replacement.

NEW FILLING SYNDROME can be caused by two things:
(1) The stress put on the nerve by new decay, an existing/old filling, or a fracture. This initially does not
always cause pain, but does lessen the nerve’s ability to cope with further stress.
(2) The stress put on the nerve by removing the decay or old restoration and placing a new one.
The combination of (1) and (2) can cause sensitivity which usually resolves on its own within 2 to 4 weeks. If
the sensitivity persists, a root canal (removal of the hypersensitive nerve) should be considered.

No. Your natural tooth is made of a material far superior to anything dentistry has come up with. If your
natural teeth can decay and break down, so can anything placed by a dentist.

Common questions and answers about PORCELAIN VENEERS2019-06-30T22:55:38-04:00

The cost of traditional veneers can run between $500 and $1,500 per tooth

The placement of porcelain veneers is typically a pain-free procedure. Dentists usually numb the tooth and the surrounding area before removing the dental enamel. In many cases, this amount of enamel is so small that patients do not even require anesthesia.

Many plans do. We have dental insurance that cover veneers, along with other cosmetic benefits like teeth whitening and dental implants. Information about whether a plan covers veneers will be found in the Plan Details of every plan.

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.

Avoid biting and chewing with excessive force. In case you have to eat hard food, we recommend you to chew with your back teeth. Porcelain veneers are note indestructible and if not properly cared they can break and chip. If you are careful, your porcelain veneers can last for many years.

No prep veneers and porcelain veneers can improve the color, shape, and size of one’s teeth. … But how safe are veneers and what dangers, if any, do they pose?Veneers are very safe, but patients who are getting them must not have tooth decay, gum disease, or complications stemming from root canals.

This porcelain is bonded to the tooth structure, as we discussed, permanently. So, the only way to “break” the veneer would be via an accident like a fall, or biting on a fork. Anything that would break your natural teeth will break the veneer. … Porcelain veneers have the same limitations as real teeth.

Removing dental enamel is the best way to ensure great cosmetic results that enhance and protect your teeth. … If porcelain veneers were used to straighten teeth, it may be necessary to remove more enamel. In this case, removing veneers will reveal a reshaped and potentially unattractive tooth.

Veneers can also be used to reduce the protrusion of these teeth. … Using porcelain veneers to correct overcrowding or straighten teeth without the need for braces is more popular now than ever before. Teeth straightening can be achieved in a matter of days.

Common questions and answers about Cosmetic Dentistry2019-06-30T22:54:22-04:00

Basically, cosmetic dentistry involves any procedure designed to address common aesthetic issues, including teeth stains, misalignment, gaps between teeth, and cracked or chipped teeth.

Yes. While mainly intended to improve the visual aspects of your smile, many cosmetic procedures offer restorative improvement and can boost the health of your smile. For example, correcting misalignment removes hiding places of harmful bacteria, reducing the risk of tooth decay and gum disease. Other treatments, such as Botox, can ease muscle tension and reduce the symptoms of bruxism and TMJ disorder.

Cosmetic dentists endeavor to make all the procedures they perform as pleasant and comfortable for the patient as possible. Some of the options they may choose for enhancing your comfort include creating a relaxing atmosphere in their office; offering sedation dentistry; and using lasers to reduce discomfort after certain procedures.

There are many things that can be solved by cosmetic dentistry, but some of the most common are:

● Broken or chipped teeth
● Stained or discolored teeth
● Uneven teeth
● Worn down teeth
● Excess gum issues
● Gaps between teeth

Common questions and answers about Root Canal2019-06-30T22:53:01-04:00

Root canal treatment when done right by the right hands, will relief the pain and not cause it. Most pain comes from damaged nerve tissue and root canal treatments involve removing the damaged tissue, disinfecting the canal and sealing it. Endodontists are experts in pain management, and most cases can be treated quickly and comfortably.

It really depends on the case but in general most root canal treatments are completed in one to two visits due to the advancement of endodontic science and technology.

An infected tooth remains infected until the tooth has a root canal or is removed. If it is not treated, the infection can spread and an abscess will form. The presence of an abscess is an indication that the infection has spread to the jawbone and surrounding tissues. Sometimes delaying treatment will mean that you also have to treat (or lose) the teeth on either side of the original infected tooth. Infection can also spread into your tissues like the face, the floor of the mouth and even the brain.

You will get instructions for what to expect after the root canal, but generally patients may experience some mild discomfort for a few days after the appointment. Additionally, patients should avoid chewing with the treated tooth until the crown has been placed.

This is the popular shorthand term for a procedure that removes diseased tissue from a decay-infected pulp, the innermost part of a tooth and the actual root canals themselves. Root canals are the narrow, hollow channels that run from the tip of the root to the pulp and are also involved in the procedure.

After deadening the tooth and surrounding gums with local anesthesia, we enter the pulp through an access hole we create. Using special instruments we remove the diseased tissue and shape the root canals to seal them with a filling material called gutta percha. Sealing the access hole is then necessary to prevent re-infection. Later we’ll cap the tooth with a porcelain crown to restore its appearance and add further protection against fracture or cracking of the tooth.

Common questions and answers about Dentures and Partials2019-06-30T22:52:19-04:00

It’s completely normal to experience gum pain or discomfort in the first few weeks of wearing new dentures. … This is likely the result of your dentures rubbing against your gums or not fitting properly. Here are a few things you can try to help relieve your denture pain and live more comfortably.

Whether you wear full or partial dentures, taking them out at night for sleeping gives the gums and other denture-bearing tissues a chance to rest, recover and receive beneficial exposure to the antibacterial agents naturally present in saliva. In short, removing your dentures at night is the healthiest thing to do.

Dentures may replace all or only some of the teeth. The dentures that replace all the teeth are known as complete dentures and they rest on the gums that cover the jawbones. The stability and retention of these dentures can be improved by attaching them to dental implants. Dentures that replace some but not all of the teeth are known as partial dentures. They attach to the teeth that are still present and also cover and rest on the gums and bone where the teeth are missing. Dental implants can also be used to restore and stabilize partial dentures as well.

Whitening: It is not possible to whiten dentures like natural teeth because dentures are made of plastic. To minimize staining, properly clean your dentures daily to remove food and plaque bacteria. Brushing with a denture brush or soft toothbrush will prevent dentures from becoming permanently stained and keep your mouth healthy. Moisten the brush and apply a non-abrasive soap or denture paste (regular toothpaste is too abrasive). Brush every surface, inside and out, scrubbing gently. A variety of over-the-counter denture cleanser products may be safely used (by following the manufacturer’s instructions) to remove most stains. Do not use bleach on your dentures unless your dentist or prosthodontist gives you special instructions on using bleach. Dilute household bleach can be used to clean and disinfect your dentures, but don’t use bleach until you see your prosthodontist for instructions. More stubborn stains may require removal by your prosthodontist.

Brushing: Do not brush your dentures with normal toothpaste. Toothpastes are designed to be used on teeth, and they often contain materials and chemicals that help whiten and strengthen teeth, but may harm dentures, which are made of a very durable plastic. Even though the plastic is strong, it is not as strong as the enamel of teeth and may be scratched by using toothpaste to clean your dentures. You should use a dish washing liquid and a special denture brush to clean your dentures by hand every day. After rinsing them thoroughly, soak your dentures in water-based cleaning solution overnight.

Repairing broken dentures: The best solution is to return to the prosthodontist who made your dentures and have the cracked denture repaired professionally. It may seem easy to fix, but it is important that the repair is done correctly to prevent problems with chewing and to avoid any sore spots. The prosthodontist also needs to check the denture and adjust it after it is repaired. The denture may be too old and may no longer fit closely to your gums, and you may need a new denture.

Yes, you can wear your dentures at night but it is preferred that they be removed. You should remove your dentures at night and this will give your gums and bone a chance to relax from the pressure of the denture during the day. If you need to wear your dentures for social reasons or to prevent your jaws from over closing, you should find time during the day to properly clean your mouth and your prostheses. You should never wear your dentures 24 hours a day without preforming proper oral hygiene. Dentures should be cleaned at night and stored in water during the night.

Most patients need to learn how to use dentures properly and as a result, it takes a little time to get used to them. After a while, you should be able to eat fairly normally, but it may take more time to get comfortable with harder foods or sticky foods. Using a small amount of denture adhesive (no more than three or four pea-sized dabs on each denture) may help stabilize the dentures and help hold them in place while you learn how to get comfortable with them and may make the learning process easier.

Chewing gum: Dentures and chewing gum do not usually work well together, no matter which brand of chewing gum you decide to try. The gum typically sticks to the acrylic plastic in the denture and may break a seal on the dentures, which will loosen them as a result. Gum may remain stuck to the denture and eventually harden and discolor. Ultimately, if you wear dentures, you should avoid chewing gum.

While it may take time to simply adjust to the new dentures, it is likely that if teeth were removed the same day that the dentures were given to you, then you will need follow up with your prosthodontist to assure that they continue to fit properly as you heal. If you did not have any teeth extracted and simply had new dentures made, there should be fewer adjustments. These adjustments should be more minor in nature. The heavy feeling may be because you have not previously worn dentures or partial dentures. If that is the case, it will take several weeks to completely adapt to the feel of them.

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Common questions and answers about Tooth Fillings2019-06-30T22:51:09-04:00

My fillings were relatively simple, and each was drilled and filled in about 15 minutes. Really, the longest part of getting a cavity filled is waiting for the anesthesia to kick in. That can take 5 minutes or more, depending on the individual.

Cavities are caused by this process. While a cavity won’t go away on its own, dentists can repair it with a filling. You can also prevent and even reverse tooth decay to keep cavities from forming. Here are some easy ways to keep your teeth healthy.

Composite resin dental fillings can usually be completed in one appointment, lasting up to an hour or so depending on the extent of the cavity. Getting a composite resin dental filling takes up to 20 minutes longer than for a silver, or amalgam, filling.

It found an average life span of 12.8 years for the amalgams and 7.8 years for the composites. 2) A study by Forss (2001) calculated an average life span of 12 years for amalgam fillings and about 5 years for composite ones.

Some people feel sensitivity after they receive a filling. The tooth may be sensitive to pressure, air, sweet foods or cold. Composite fillings often cause sensitivity, but other types of filling materials can, too. The most common reason for pain right after the anesthetic wears off is that the filling is too high.

  1. Watch for tooth sensitivity. If you have fillings that need replacement, you’ll likely feel it first. …
  2. Notice pressure when eating. In some cases, you may feel pressure when biting down on food. …
  3. Detect sharp or throbbing pain. …
  4. Acknowledge a constant toothache.

Fillings and crowns sometimes loosen and fall out. This is rarely an emergency, but it can be painful because the exposed tooth tissue is often sensitive to pressure, air or hot and cold temperatures. In some cases, a filling or crown may come loose because decay has developed underneath it.

Today, several dental filling materials are available. Teeth can be filled with gold; porcelain; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-colored, plastic, and materials called composite resin fillings.

Preliminary evidence suggests that porcelain fillings can last for 15 to 30 years. However, many studies involving the durability of porcelain fillings were conducted on fillings placed prior to advancements in both material and bonding procedures. The typical lifespan of a metal amalgam filling is around 15 years.

There are some pros to getting silver fillings, but also some negatives. Silver fillings, also known as amalgam fillings, are strong, durable, and can withstand a lot of wear and tear. They typically last anywhere from 10 to 15 years, and are a great option to fill in any decayed areas of your teeth.

Common questions and answers about Dental Crowns2019-06-30T22:50:09-04:00

There are a variety of situations that may require a tooth to be restored with a dental crown. The following are the most common:
a. Large filling: When a tooth has a cavity or a fracture that involves half the width of the tooth or more, it may need to be covered with a crown. This is because the remaining tooth around the large filling is so weak that it is prone to fracture.
b. Root canal: Root canal treatment leaves the tooth hollowed out and predisposes the remaining tooth to cracking. So, a tooth that has had a root canal should be restored with a crown immediately to prevent it from fracturing. This is especially important when it is a back tooth.
c. Broken cusps: Sometimes a cusp (the pointy part) of a tooth will fracture due to trauma. These are the parts of the tooth that take on a lot of the chewing stress, and typically simple fillings are not strong enough to replace them for the long term.
d. Undesirable appearance of teeth: Teeth that have an unacceptable appearance due to color, shape, or spaces between teeth can be made to look very natural and beautiful with crowns. This is a different reason than the previous three since it is more based on aesthetics than function, but it can still be a very valid reason depending on the situation.

In some cases, while a crown is one option, there can be others. You might opt for a filling instead. Keep in mind, however, that a filling does not prevent you from needing a crown later on. Also, if a substantial portion of your tooth needs filling it may not give you the same kind of protection as crowns do. If the filling is extremely large, it can cause the tooth to break, making it irreparable.

Most teeth that have root canals should have crowns, but not all teeth that need crowns require root canals. The need for a root canal depends on whether the tooth is infected or inflamed and painful, or if a very significant portion of the tooth is missing.

The research on dental crowns indicate that most will last an average of 10 to 15 years. However, there are factors that influence this figure. A person who has a high risk of cavities (someone who has to have a couple of fillings each year for example), or grinds their teeth, or has poor oral hygiene habits may find that their crown lasts less than the average. On the other hand, we have some patients who have had the same crowns for 30+ years. The point is that the average lifespan is just that, an average. It should be taken as a guideline, but cannot be considered a guarantee. The mouth can be a very hard environment for the teeth, with chewing pressure and repetitive stresses from the muscles of the jaw. Add to that some of the negative factors listed above and you have the reasons why some crowns fail early. But with a well designed crown and some effort to improve oral care, we can maximize the lifespan of any restoration.

This term basically refers to the visible part of the tooth. There are two different types of crowns: the natural surface of your tooth or an artificial surface that a dentist can place, also known as a cap or dental crown. The latter come in a wide range of materials, including gold, stainless steel, porcelain, composites, and more. Beyond cosmetic dentistry, these devices can make eating, speaking and oral hygiene much easier.

Fitting and installing a cap is a routine procedure performed on-site in most family dentistry clinics. It typically requires only a local anaesthetic, such as lidocaine. People commonly experience minor pain, sensitivity or discomfort after the procedure, but this should gradually diminish over the following day or two. This type of irritation is often treated with over-the-counter medications, such as ibuprofen and toothpaste for sensitive teeth. If you’re concerned about possible pain, your dentist will be happy to discuss a management plan to suit your specific needs.

As mentioned, many people experience some type of discomfort immediately following the procedure. With proper installation, this should only be temporary. If crowned teeth continue to be sensitive to hot and cold, you may need to use desensitizing toothpaste on a regular basis. Sometimes the adhesive used to affix the device wears away, which can leave teeth prone to decay. Regular visits to your dentist for checkups and cleanings will help you prevent any potential problems caused by loss of adhesive. Overall, with proper routine care, this service has very few side effects.

Common questions and answers about Tooth Extractions2019-06-30T22:48:33-04:00

In many cases, when you need a tooth extraction, we can assist you directly in our office. The teeth sometimes need an extraction if they suffer serious damage, if they have a serious infection or if they are very decayed. Making an extraction is never our first choice when it comes to dental treatments. At Luxe Dental, we focus on the prevention and saving of teeth. However, certain circumstances require an extraction, especially if necessary to protect your health. When you visit our office for an evaluation of your problem tooth, we can analyze your options. In some cases, if your surgery is complex or surgical by nature, we may need to refer you to a specialist. However, if we can treat it in our office, we will do it. When you have an extraction, we will provide aftercare information so you can heal quickly and without complications. Once you have completely healed, we will offer you tooth replacement options. Replacing a missing tooth is important to maintain the integrity of the remaining teeth.

From restorations of dental implants to partial or bridges, we offer a wide variety of options to replace your teeth with the greatest possible functionality and comfort. If you think you need a dental extraction, please contact our office to schedule a consultation!

The best way to determine if you need a tooth extraction is to schedule an exam with Dr. Bridgette Ramos. That way, she knows the best way to approach her particular problem. If you have a tooth that hurts, that does not necessarily mean that you need an extraction. You may need a duct treatment, filler or night protection (if you grind your teeth).

If your tooth is already mobile, you may need a tooth extraction, but in some cases we can save your tooth.

In general, only a tooth extraction is recommended if you have a tooth that does not respond to any other type of dental treatment, such as root canals.

Some reasons for tooth extractions include:

Split or cracked tooth
Deep decay
Broken root
Severe infection or abscess
In many cases, we can perform the extraction here in our office, especially if your tooth is already mobile. If you require surgery or complex extraction, we can refer you to a specialist only for your comfort and well-being.

We know that continuity of care is important for our patients, so we will take care of you whenever possible and know that when we refer you to a specialist, it is someone we know and trust. Contact our office to schedule a consultation!

Dentists and oral surgeons (dentists with special training to perform surgeries) perform dental extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be extracted. If more than one tooth is removed or if a tooth hits you, your dentist may use a strong general anesthetic. This will prevent pain throughout the body and will cause you to sleep during the procedure.

If the tooth is affected, the dentist will cut the gum and bone tissue that covers the tooth and then, with tweezers, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that they keep it in place. Sometimes, a tooth that is difficult to extract must be removed in pieces.

Once the tooth has been removed, a blood clot usually forms in the alveolus. The dentist will pack a gauze pad in the socket and have it bite to help stop the bleeding. Sometimes, the dentist will place some points, usually self-destructive, to close the edges of the gums over the extraction site.

Occasionally, the blood clot in the alveolus is detached, exposing the bone in the alveolus. This is a painful condition called dry socket. If this happens, your dentist is likely to place a sedative dressing over the socket for a few days to protect it as a new clot forms.

If you need someone to take you home from our surgical center after your procedure depends on the type of sedation you choose. If you only use local anesthesia, you can drive home. If you have general anesthesia or sedation, you will need a friend, relative, or loved one to help you get home and get comfortable.

The follow-up procedures depend on the reason for which a tooth was extracted and on whether the extraction was successful. If you remove a wisdom tooth or remove a tooth due to overcrowding, you may not need other procedures. However, if your teeth are removed due to trauma, decay or infection, you may consider having a dental implant, partial dentures or a bridge. Talk to your surgeon about these options.

The type of anesthesia used during the extraction of your tooth will be discussed in your practice. You can receive local anesthesia, sedation or general anesthesia, depending on your procedure and your own comfort levels. No matter what type of anesthesia you choose, your operation will be painless. While patients often report pain, swelling and tenderness after extraction, our medical team will ensure that you feel minimal discomfort with over-the-counter or prescribed pain relievers.

There is a debate about the optimal time to remove wisdom teeth if you do not have any problems. Doing it while you are younger, before turning 18 or 20 years old, will result in a faster recovery but, more importantly, a safer and more predictable intervention. Also, early elimination often avoids problems that may arise in the future, allowing patients to never experience the possible consequences of problematic third molars.

Another advantage of eliminating wisdom teeth preventively is to allow patients the luxury of choosing the ideal time of year to do so with the least interruption in their busy schedules. Therefore, summer is usually the most popular time for this procedure in the student population. This allows patients to recover comfortably without the additional stress and strain of school responsibilities.

If we define recovery as the end of the symptoms of the procedure, this is approximately 7 to 10 days. The discomfort tends to disappear after the third day and the inflammation usually ends around the seventh day. Of course, the more the wound frosts in the first 48 hours, the faster the inflammation disappears!


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For those patients in need of more extensive treatment, we are happy to work with CareCredit  and Bright Smile to offer flexible financing options to help patients extend the cost of care over several months to offer even the most complex treatments within patients’ budgets. Click the link below to apply for CareCredit and Bright Smile.