About Tooth Extractions
At some point in our lives, most of us have to have a tooth or teeth removed from our mouths. At Millennium Surgical in Chicago, IL, our board-certified oral and maxillofacial surgeon, Dr. Bart Nierzwicki, can surgically remove impacted, diseased, or multiple teeth at one time. The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important since infection and swelling can be minimized if the instructions are followed carefully, which will prevent unnecessary pain and complications. When your primary dentist refers you to our office for surgical teeth extraction, you can rest assured you will receive quality care. Call for a consultation today.
"Great surgeon and the staff amazing, made me feel very comfortable and answer all my questions, I'll definitely recommend family and friends"- J.M. / Facebook / Sep 17, 2017
"The staff is extremely respectful and knowledgeable. Both the doctor and assistants provided me with information that was easy to understand regarding the procedure. I can not express just how satisfied I am with my experience."- A.R. / Facebook / Sep 12, 2017
"I came to Millenium Surgical to get my wisdom teeth removed. Dr. Nierzwicki was great and made me feel very comfortable being put to sleep with anesthesia. Not only did that, but he took the time to explain all my options and then the entire procedure and answer ALL of my questions before hand. After the procedure, Dr. Nierzwicki called to check up and see how I was feeling. I felt so at ease from start to finish during the entire processes. The entire staff was very kind and helpful, from Kenya to Maggie. Highly recommend!!"- S.S. / Facebook / Sep 07, 2017
"I was referred by a friend to Dr. Cienawa who then referred me to Dr. Bart - the same day - to have my two bottom wisdom teeth removed. As I have never had even a stitch before in my life, I was nervous about being put to sleep, etc. (especially after the horror stories everyone tell you about getting their wisdom teeth removed!). Dr. Bart led the consultation along with Kenia and went over other options where I could stay awake. Honestly, I think that took more time than the... actual extraction itself! The consultation was thorough and helpful, so when I made the decision it was all green lights. I was truly taken care of - and last minute, which I so appreciate, and was able to not be put to sleep, and still be pain free. I appreciate also the woman who walked me through the billing process and (this is on my insurance more than the practice) while it was a hefty upfront cost, I am pleased with the decision I made (they even gave me a shirt!) because I was able to still enjoy my Labor Day weekend up in Michigan! I would highly recommend this place due to the professional demeanor of the office, the staff, and the doctor. Thank you!"- J.W. / Facebook / Sep 05, 2017
"Very professional place and friendly. I recommend many friends to go there!"- M.R. / Facebook / Sep 02, 2017
During the Procedure
Wisdom teeth or any teeth not visible above the gum line, such as severely broken teeth or teeth with long, curved roots, may require a more complex surgical extraction. IV sedation or anesthesia is often implemented to keep the patient calm and comfortable. To obtain access to the impacted tooth, the surgeon may need to cut through bone, gums, and tissue. Sometimes, the surgeon will need to cut the tooth in pieces in order to fully remove it. The area will then be sutured closed following extraction.
Here are some important reminders for the treatment site after tooth extraction:
- We will ask you to bite on a gauze pad for 30 – 45 minutes after the removal to help with the formation of a blood clot that will begin the healing process.
- Patients may have to bite on several gauze pads for another 30 minutes if the bleeding persists.
- Once you have an established blood clot, do not disturb or dislodge the clot by rinsing vigorously, sucking on straws, smoking, drinking alcohol, or brushing the teeth next to the extraction site for 72 hours post-surgery.
- Do not participate in vigorous exercise for 24 hours because it may dislodge or dissolve the clot and cause more bleeding.
- Within 48 hours, the pain and swelling of the area should subside. An ice pack or a bag of unopened frozen peas can be applied to the area to minimize swelling. You can also take pain medications as prescribed by the surgeon.
- Call our office if the pain medication is not working.
- If you are prescribed antibiotics, please continue to take every pill until the medication is complete (even if you feel better).
- Drink plenty of water and eat a healthy diet of soft foods on the day of surgery. When your mouth is ready, you can resume eating normal food.
- Resume your normal dental cleaning routine after 24 hours. Brush and floss your teeth at least once a day to speed healing, and keep your mouth feeling fresh and clean.
- If you have heavy bleeding, severe pain, continued inflammation for 2 – 3 days after the extraction, or have an allergic reaction to the medication, please call our office immediately.
There are a few things to keep in mind if you or a loved one is having multiple teeth extracted. You can follow the same instructions as a single extraction, but there are some additional directives.
- A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and bite down to apply pressure for 30 minutes.
- Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt water rinse (½ teaspoon of salt in a glass of lukewarm water) every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. After you have seen your dentist for denture adjustments, take out dentures and rinse 3 – 4 times a day.
- If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately.
- Do not remove dentures unless the bleeding is severe. Expect some oozing around the side of the dentures.
- Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.
- For mild discomfort, use aspirin, Tylenol®, or any similar medication; take two tablets every 3 – 4 hours. With ibuprofen (Advil®, Motrin®) 200 mg, take 2 – 3 tablets every 3 – 4 hours. For severe pain, use the prescription given to you. If the pain does not begin to subside within 2 days, or increases after 2 days, please call our office.
- If an antibiotic has been prescribed, finish all of your prescription regardless of your symptoms.
- Drink plenty of fluids. If several teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.
The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur, all of which are considered normal:
- The area operated on will swell, and discoloration around the eye may occur. The application of a moist, warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 hours only).
- A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2 – 3 days.
- If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline.
- There may be a slight elevation of temperature for 24 – 48 hours. If temperature continues, notify our office.
- If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24 – 48 hours after surgery, and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.
Plan Your Procedure
- Recovery Time
- 1 – 2 Days
- Post-op Follow-up
- As Needed
- Procedure Recovery Location
Extract With Confidence
Whether you need one, several, or all your teeth surgically removed, our oral and maxillofacial surgeon will provide you with in-office services that are safe and effective. Our staff will monitor your well-being until you are ready to be discharged. Call today to schedule your first consultation, and learn more about extractions with us.