You and Dr. Witkowski may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Witkowski will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Extraction Process
At the time of extraction your oral surgeon will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
Sectioning a tooth
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. Your oral surgeon simply cuts the tooth into sections then removes each section one at a time.
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, or drink alcohol. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately at Johnson City Office Phone Number 423-283-4555.
The Regional Center for Oral & Maxillofacial Surgery, P.C.
Patient Review By Lori M
This has been my first experience with this practice, and it has been great. If I ever need an oral surgeon again, I will definitely seek care here. The physician was super-kind as well as all of the staff, and their extraordinary care and expertise was very evident in the services I received. I've had a couple of not-so-great experiences in the past at another practice, but Dr. Witkowski's office has truly earned my customer loyalty for any future needs. God bless you, Doc, and all of your staff, and thanks again for being there to help me when I was in so much pain.
- Lori M
Patient Review By Charles R
I appreciate the friendliness of the entire staff responsible for my surgery. Staff was excellent and doctor was great. Cristy and Jessica and Penny especially! and doctor was professional kind and really helped my recover process with there're professional work etiquette and dedication. First time in 12 years I have had no pain an experience that is priceless, thank you.
- Charles R
Patient Review By Sandra P
Dr Witkowski was very friendly and all staff was courteous.
- Sandra P
Patient Review By Johnny B
Everything went very well. Would recommend to anyone. Really liked Dr. Witkowski!
- Johnny B
Patient Review By Dew M
Everyone was fantastic.
- Dew M
Patient Review By Joseph C
The staff was all very nice and went above to make me comfortable and the dr. Was very good also
- Joseph C
Patient Review By Barbara B
Visit was wonderful! Had multiple teeth extracted and they took such good care of me!!!
- Barbara B
Patient Review By Betty M
Dr. Witkowski was just wonderful. Staff are very caring.
- Betty M
Patient Review By Eric B
The whole staff is wonderful
- Eric B
Patient Review By John M
Easy to schedule and staff excellent.
- John M
Patient Review By Amber C
I wouldn't go anywhere else the entire staff are amazing.
- Amber C
Patient Review By Don J
I had to wait almost half an hour for the office to open when I arrived on time for my scheduled appt.
- Don J
Patient Review By Jennifer T
The dentist was very nice man. This was the best dentist office I have ever been to.
- Jennifer T
Patient Review By Rene S
The overall was GREAT everyone was Amazing to be around!!!!
- Rene S
Patient Review By Christopher R
Very good experience, Staff was very nice and explained everything well. Dr. Witkowski was amazing, funny, and made me feel relaxed during the procedure. I will definitely be back for future work
- Christopher R
Patient Review By Michael H
Great nurse. Penny was cool!!
- Michael H
Patient Review By Andrew V
- Andrew V
Patient Review By Briana C
Excellent service and friendly
- Briana C
Patient Review By Marcia H
Everyone was extremely caring and understanding. The whole staff was amazing and made me feel at ease during the whole procedure.
- Marcia H
Patient Review By Lisa T
Staff was wonderful. Everything went great
- Lisa T