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 Mark P
Very professional and comfortable atmosphere
- Mark P
Patient Review By Grayson K
Procedure was done quickly and there were no problems with the healing process
- Grayson K
Patient Review By Blanche K
All are very friendly. Doctor Witkowski made sure I understood the procedure and what would follow. I was happy with their service, cleanliness and detail
- Blanche K
Patient Review By Paul G
Very friendly staff. Procedure was explained in detail before starting. Doctor was very friendly.
- Paul G
Patient Review By Heather H
- Heather H
Patient Review By Angela C
Doctor and staff were all very friendly and very courteous on every visit. They even called to check on me in the evening after the procedure. I would highly recommend them and would use them again if I would need any other procedures performed.
- Angela C
Patient Review By Amanda B
Not a long wait and very sympathetic to my dental pain and needs
- Amanda B
Patient Review By Kathy M
I am pleased with the overall experience.
- Kathy M
Patient Review By Thomas R
I would definitely come back the surgery was quick and I had much larger roots than first anticipated. I was in and out of surgery in no time, and they even got me in ahead of schedule to check and see how I was progressing.
- Thomas R
Patient Review By Gloria E
I highly recommend DR. Witkowski . I experienced no pain.
- Gloria E
Patient Review By Tristan R
- Tristan R
Patient Review By Shane C
Great place with wonderful people.
- Shane C
Patient Review By Robin C
Everyone was friendly and knowledgable. They called to check on me several times. Excellent aftercare
- Robin C
Patient Review By Monica J
Very happy with my whole experience. I am a big chicken and Dr Witkowski was great at putting me at ease.
- Monica J
Patient Review By Amy B
I have never been comfortable having dental work done but the staff and Doctor are so nice and helps you relax. This is the ONLY Doctor I will let do any dental work on me or my family.
- Amy B
Patient Review By Sheramy C
Wonderful doctor and staff.
- Sheramy C
Patient Review By Richard H
The staff was excellent and the dentist was very theral and for having21 teeth pulled at onetime the discomfort wasn't as bad as I thought and the follow up was plesent
- Richard H
Patient Review By Shannon A
Best experience I have had in a dental setting. Everyone should be commended for their professionalism and good old fashioned southern courtesy. Thanks to everyone who Had a part in making what normally is not a pleasant experience as good or great as can be expected. Again, my thanks to everyone. Your caring staff get a big hats off from me. I'm very happy to highly recommend you to anyone who is in need of dental procedures performed in this facility.
- Shannon A
Patient Review By John G
Great doctor and great staff would recommend to anyone!
- John G
Patient Review By Tonya T
- Tonya T