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As we know, getting a tooth pulled can be a scary process. We hope to make the process less stressful and easier for you by giving you a step by step explaination of how your appointment will go. During this appointment you will experience many loud sounds and noises coming from your teeth, but they should not be painful. If at all possible, the procedure goes smoother and quicker the less the patient jumps or flinches.  

The first step the dentist will take is numbing your tooth, bone, and the gum tissue surrounding it. After you are checked to see if you are numb enough, the doctor will start extracting your tooth. During this process, they will work to expand the socket (widen and enlarge it) and separate the tooth from its attatched ligament. To enlarge this, your dentist will start rocking the tooth back and forth. Since the bone around the root is relatively spongy, after pressure (rocking back and forth) is applied from many different angles, the bone compresses and the socket gradually becomes enlarged. After this process is achieved the tooth has been worked loose and will easily come out.

During this procedure, sometimes the scariest part is the tools that your dentist will be using on you. One instrument that will be used is dental elevators. This tool is easily wedged into the ligament space between the tooth and surrounding bone. As this tool is wedged into that space, and pressure is applied, the tooth is pressed and rocked against the bone and helps to expand the socket and release the tooth from the ligament. In some cases, this may be the only tool the dentist needs to remove the tooth.

If the tooth does not come out after this step, the next thing your dentist will do is use their extraction forceps. Exrtaction forceps are plier-like objects that are all different depending on which one of your teeth are being pulled. When these tools are used they will grasp the tooth and firmly rock back and forth as much as it will allow and again use that same pressure against the bone. By repeating these two steps the socket will expand for the tooth to come out.

Although you have been numbed, this is only to stop the nerve fibers from transmitting pain, you will feel a large sensation of pressure during this procedure. You should not feel any pain during your extractions. Everyone is different, so some people may need more anesthetic than others. If you are experiencing pain or discomfort during this appointment, please let your doctor know right away, and you may need to be given more anesthetic.

After your tooth has been extracted, depending on the size of the opening, you may need some stitches, but most often guaze is placed over the wound and pressure is applied to stop the bleeding.

Please click here for the treatment link to Dr. Bowser's follow up instructions on routine extractions.
Please click here for  the treatment link to Dr. Bowser's follow up instructions on denture or partial placement immediately following extractions.