When a tooth has to go.
We save teeth whenever we can. When one is too damaged, infected or crowded to keep, we remove it gently, with numbing, and send you home knowing exactly what to do next.
Four reasons a tooth cannot be saved.
We look for every way to keep a tooth first. These are the situations where removing it is the healthier choice.
- Too broken or decayedNot enough healthy tooth left to hold a filling or crown.
- Advanced gum diseaseThe bone around the tooth is gone and it has become loose.
- A crack below the gumlineSome cracks cannot be sealed, and the tooth keeps getting infected.
- Impacted wisdom teethA wisdom tooth stuck under the gum or growing sideways into its neighbor, causing pain, infection or damage.
Numb, gentle, and over before you expect.
- 1Numb completelyTopical gel, then a slow injection. We check you are fully numb before anything else.
- 2Loosen and removeThe tooth is gently loosened and lifted out. Numb throughout.
- 3Protect the socketGauze, sometimes a small stitch, and a bone graft if you are planning an implant.
- 4Aftercare, written downWhat to eat, what to avoid, and a number to call if anything feels off.
Healing is simpler than you think.
A few days of taking it easy is usually all it takes. We tell you what normal looks like.
- Rest the first day. No straws, smoking or vigorous rinsing while the clot forms.
- Soft foods for a few days. Soups, yogurt, eggs. Chew on the other side.
- Some soreness and swelling is normal. Ibuprofen and a cold compress cover it.
- We plan the replacement with you. An implant, bridge or nothing at all, depending on the tooth.
Gentle extractions
"Absolutely the best dental experience ever. Dr. Sison is smart, thorough, quick, and painless. Highly recommended."
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Related:Dental ImplantsWisdom Teeth RemovalGum Disease TreatmentDental Crowns


