Dental Extractions

There are times when extracting a tooth is the preferred treatment in order to protect surrounding teeth, soft tissue and the jaw bone itself. It can also be the most effective treatment to quickly stop the pain associated with a cracked, fractured or severely decayed tooth.  In younger patients; “Dental Crowding” can be corrected by extracting certain teeth followed by orthodontic treatment.

Teeth are encased in your jaw bone within a socket and held in place by the periodontal ligament. On extraction, the periodontal ligament often comes out with the tooth attributing to an additional bone loss. 

Bone grafting can preserve the socket by restoring the jaw bone to normal height and width; making it possible to replace the lost tooth with a dental implant. Placing a dental implant before the neighboring teeth begin to shift, and the newly formed bone atrophies (washes away); can preserve your dental health.

By using the latest diagnostic equipment; Dr. Pierri and your restorative dentist can help you make an informed decision that fits your needs.

Should I have any of these procedures done
with I.V. Sedation or General Anesthesia?

Certain extraction procedures can be performed with local anesthetic. More involved procedures such as impacted teeth, sedation may be recommended.  Dr. Pierri will discuss all of your options with you so you can make an informed decision. If sedation is used; our Board Certified M.D. Anesthesiologist will place you in a restful sleep while Dr. Lynn Pierri performs this procedure.

 

What happens after surgery?

After surgery our Post Anesthesia Care Unit (PACU) Certified Registered Nurses will care for you in our recovery room and prepare you for your post-operative period at home. The nurse will provide you and your driver with detailed printed instructions on:
  • how and when to take you medications
  • using the provided ice-packs
  • a suggested diet to follow during your recovery period
  • when you can resume exercising
  • after-care instructions and general precautions
  • when you can start brushing your teeth and rinsing
  • and, will answer any additional questions you may have

 

General Post-operative Instructions & warnings:

  • You may experience redness or flushing of the face and/or neck: This is a normal reaction of the Medrol Dose Pack or Prednisone. Diabetics may experience blood-sugar levels that are higher than usual.
  • If any cyst-like material was removed, it is routinely sent for biopsy.
  • Change gauze pads as needed (until bleeding stops)
  • No spitting, sucking or sipping through a straw for 1 week after surgery
  • Apply ice pack to affected side of face fifteen (15) minutes to thirty (30) minutes on and fifteen (15) minutes to thirty (30) minutes off for the first 24 – 72 hours.
 Bleeding:   
  • It is normal to have some bleeding after surgery.
  • Apply gauze pads to the affected site with firm pressure. If bleeding persists, you may moisten a tea-bag with warm water, wrap it in fresh gauze and apply it to the affected site with firm pressure.
 Eating and Drinking:
  • Do not eat or drink dairy products (milk & Cheese)for three (3) to four (4) days after surgery to prevent bacterial growth. This includes and is not limited to: yogurt, cottage cheese, ice cream, puddings.
  • A small amount of milk in your hot coffee or tea is permissible.
  • You may have applesauce, non-cream soups, Jello, soft breads, sherbet, Italian ices, pasta or eggs.
  • For Implant patients: for the next 3 days, after eating foods with milk or cheese, drink a glass of water. Eat only soft foods.
 Oral Rinsing Instructions:
  • Extraction Patients: Do not use the oral rinses (Chlorhexidine and/or Peroxyl) until after your post-operative visit with Dr. Pierri. When you brush your teeth, roll clean water around your mouth, and then, open your mouth over the sink and let the water gently fall out.
  • Implant Patients: You may start rinsing the morning after surgery.
 Resting Instructions:
  • Lay down with three (3) or four (4) pillows under your head today. You may lay flat tonight.
  • Avoid sports, vigorous exercise and heavy lifting for 1 week after surgery.
 Emergencies and Questions:
  • If you have any questions or concerns you may call the office during business hours at (631) 360-0266.
  • During off-hours and weekends you may contact Dr. Pierri’s cell phone at (631) 804-8048 or at home at (631) 667-2618.
 Precautions:
  • Do not drive or operate machinery/electrical tools or household appliances for 24 hours
  • Do not ride a bicycle or skateboard, etc for 24 hours
  • Do not drink alcoholic beverages for 24 hours
  • Do not make any important decisions for 24 hours
  • Your escort should remain with you for at least 12 hours

Visit our Before & After Photos