Dear Valued Patients, We’ve been serving our community since 1975 and have continued to serve our community by attending dental emergencies throughout the COVID-19 crisis. With that in mind, Oral Facial Reconstruction and Implant Center HAS REOPENED four of its five offices located in Plantation, Aventura, Pembroke Pines, and Coral Springs. The openings are effective as of July 7th, 2020 and the offices will be open 8:30 a.m. to 4:30 p.m. Monday through Friday. For our Plantation location, we will be open from 9 a.m to 1 p.m Monday, through Friday. Our Coral Springs location will be closed Tuesdays and Thursdays, and our Aventura location will be closed Mondays, Wednesdays, and Fridays, until further notice. Our Miami Beach location is closed temporarily, please give us a call if you have any questions. As you know, your health and safety is our main concern, we will continue to follow strict OSHA and CDC Guidelines. We boast state-of-the-art sterilization centers and we will be implementing the following guidelines to maintain patient safety: · Prior to your visit, we ask that you go to our website www.oralfacial.com. Click on the top right button, online forms, and fill out paperwork, print and bring to your visit so we may decrease wait-times. · All patients will be carefully screened prior to their visit. We ask that you inform our schedulers of any symptoms and advise us if you have recently traveled locally or internationally via plane, cruise ship, or other forms of mass transportation. · We ask that you bring a complete list of medications you are currently taking, as well as any allergies you may have. · If you bring family members to your visit, please ask them to remain in the car as we are limiting the office to patients only. · We will require all patients to wear facemasks, your temperature will be taken, and we will also require that patients sanitize their hands. Please remember that we are taking these necessary precautions so we can continue to bring you the quality surgical care you’ve come to expect from our name. Together we will get through this, and we look forward to seeing you in the near future. Sincerely, Dr.’s Friedman, Payton, Cardenas, and Lopez Oral Facial Reconstruction and Implant Center Last Update: May 7, 2020; Next update: 2023. Wisdom teeth are usually only removed if they cause problems, or are likely to in the future. There are no scientifically proven health benefits of pulling wisdom teeth that don't cause any problems. What's more, removing wisdom teeth is usually unpleasant and may cause side effects. In many people, wisdom teeth don't break through the gum and grow out – or only part of them does. Up to 80% of young adults in Europe have at least one wisdom tooth that hasn't broken through. This is more common in the lower jaw than it is in the upper jaw. The reason is usually that there isn't enough room in the jaw. Other teeth may then get in the way of the wisdom tooth, or it might come in crooked. Wisdom teeth that don't break through (sometimes also called “impacted” wisdom teeth) often don't cause any problems. But they sometimes lead to pain, swelling, tooth decay or inflamed gums. Impacted wisdom teeth may also push other teeth out of the way. Wisdom teeth that break through the gums may or may not cause problems too. The decision about whether or not to have wisdom teeth pulled will mainly depend on whether they are already causing trouble or whether it is highly likely that they will in the future. It is important to get answers to the following questions before having any wisdom teeth removed:
People who have crooked incisors (front teeth) or small jawbones sometimes worry that their teeth may be pushed out of place even more if their wisdom teeth grow out of the gum. But that's not necessarily the case. The same is true for those people: Their wisdom teeth can be left in if the dentist doesn't expect them to affect other teeth. Most people have swelling in their mouth or cheeks after the operation and can't fully open their mouth for a few hours or even a few days. Many have pain right after the procedure, but it doesn't last long. But if the pain returns after four or five days, gets worse and is accompanied by swelling or bad breath, the wound could be infected. This can happen if the dried blood that closes the wound comes off too soon, leaving the wound unprotected. Antiseptic mouthwashes or gels can help to prevent these kinds of complications. There's usually no need to take antibiotics. Nerves and blood vessels can be damaged during the procedure. This can cause bleeding and usually temporary numbness in the tongue or face. In very rare cases serious infections may occur. Up to 1 out of 100 people may have permanent problems as a result of the procedure, such as numbness or damage to nearby teeth. The risk of this happening will depend on how extensive the procedure needs to be. Wisdom teeth are typically removed under local anesthesia. General anesthesia may be used for more complex procedures. A lot of people use painkillers after the operation. Sometimes they are already given painkillers beforehand. Both ibuprofen and acetaminophen (paracetamol) can help to relieve pain after the procedure. Acetylsalicylic acid (the drug in medications like “Aspirin”) isn't suitable before or afterwards because it increases the risk of bleeding. Research shows that a 400 mg dose of ibuprofen relieves pain better than a 1,000 mg dose of acetaminophen does. A combination of 1,000 mg acetaminophen and 400 mg ibuprofen relieves pain better than an equal dose of acetaminophen or ibuprofen on their own, and the effect lasts longer too. Adults should only take this combination every eight hours at the most to avoid going over the maximum dose for both drugs. The maximum dose of ibuprofen in adults is 800 to 1,200 mg in 24 hours. The maximum dose of acetaminophen is 4,000 mg in 24 hours. Sometimes people are given the enzyme bromelain instead, to reduce the inflammation and pain. But there's a lack of good research on the benefits of this drug. For a few days after the procedure, holding an ice pack against your cheek can help to reduce swelling. You should avoid smoking cigarettes or drinking fruit juices and hot drinks in the first few days because they can slow down the healing process. Drinks like still water or lukewarm chamomile tea are more suitable. Hard foods also sometimes cause problems. Not-too-hot soups and foods that can be crushed using your tongue are easier to eat, like potatoes, fish or pasta. It's better to avoid doing strenuous physical activities like sports or going to the sauna in the first few days after having teeth pulled because that could affect the healing process too. This is also true even if you're already feeling better. Sources
Having a tooth pulled in adulthood is sometimes necessary. Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed. A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired. Other reasons include: A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia. The goal of orthodontia is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not room in the mouth for it, your dentist may recommend pulling it. Infection. If tooth decay or damage extends to the pulp -- the center of the tooth containing nerves and blood vessels -- bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection. Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth. Periodontal (gum) disease. If periodontal disease -- an infection of the tissues and bones that surround and support the teeth -- have caused loosening of the teeth, it may be necessary to pull the tooth or teeth. Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed. In some instances, your dentist may use a strong general anesthetic. This will prevent pain throughout your body and make you sleep through the procedure. If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces. Once the tooth has been pulled, a blood clot usually forms in the socket. The dentist will pack a gauze pad into the socket and have you bite down on it to help stop the bleeding. Sometimes the dentist will place a few stitches -- usually self-dissolving -- to close the gum edges over the extraction site. Sometimes, the blood clot in the socket breaks loose, exposing the bone in the socket. This is a painful condition called dry socket. If this happens, your dentist will likely place a sedative dressing over the socket for a few days to protect it as a new clot forms. Although having a tooth pulled is usually very safe, the procedure can allow harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. If you have a condition that puts you at high risk for developing a severe infection, you may need to take antibiotics before and after the extraction. Before having a tooth pulled, let your dentist know your complete medical history, the medications and supplements you take, and if you have one of the following (note that this list is not complete): Following an extraction, your dentist will send you home to recover. Recovery typically takes a few days. The following can help minimize discomfort, reduce the risk of infection, and speed recovery.
It is normal to feel some pain after the anesthesia wears off. For 24 hours after having a tooth pulled, you should also expect some swelling and residual bleeding. However, if either bleeding or pain is still severe more than four hours after your tooth is pulled, you should call your dentist. You should also call your dentist if you experience any of the following: The initial healing period usually takes about one to two weeks. New bone and gum tissue will grow into the gap. Over time, however, having a tooth (or teeth) missing can cause the remaining teeth to shift, affecting your bite and making it difficult to chew. For that reason, your dentist may advise replacing the missing tooth or teeth with an implant, fixed bridge, or denture. |
What are the long term effects of having a tooth pulled?
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