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.
To Schedule Your Dental Extraction Consultation, Call Us at Johnson City Office Phone Number 423-283-4555 or use our Appointment Request Form.
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 Michael H
Great nurse. Penny was cool!!
- Michael H
Patient Review By Andrew V
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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
Patient Review By Jonathan W
I was very impressed with the treatment by your staff.
- Jonathan W
Patient Review By Tracy B
Did very good job at all stages of workings
- Tracy B
Patient Review By Bellah K
I really enjoyed getting my tooth pulled especially the gas which made you feel tingly. Overall all the staff has been very kind during the procedure.
- Bellah K
Patient Review By Sarah B
I'd recommend this place to anyone
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Patient Review By Lori A
Great, amazing people!
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Patient Review By Kenneth P
Had a good experience through a bad time and I c ontribute this to a good staff and doctor
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Patient Review By Josh C
Very good doctor and staff
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Patient Review By Everett D
I think for me one of the best experience I ever had..very professional people yet make you feel at home.5 stars
- Everett D
Patient Review By Regina H
Penny is amazing! She made me feel like family right from the start.
- Regina H
Patient Review By D C
I highly recommend everyone in the office and especially Penny. Penny is like an angel. So sweet and caring and comforting. She made me feel reassured, comforted me, and helped me thru any anxiety I had. Penny is a very sweet, caring and nurturing person and made my whole dental experience so much better. She is the very best! Perfect and Wonderful. And Mr. Charles Witkowski is the very best dental surgeon in the area. He is very kind, friendly and very good at what he does. The best! This dental office is the place to go. A great experience and the only place I ever will go for my dental needs. I highly recommend!!!
- D C
Patient Review By Atina F
I just can't say enough about the care I received. Penny is so awesome. I live her kindness a and her caring heart. Everyone she cares for gets her full heart. I am so very thankful to her going above and beyond!!
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Patient Review By Rebecca B
Everyone was wonderful! Very friendly and helpful. Will definitely recommend to friends and family and to anyone I can in the future.
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