Wisdom Teeth


Tooth extractions are common, and are needed for a number of reasons such as;

  • Severe Tooth Decay
  • Advanced Periodontal Disease
  • Cracked or Broken
  • Impaction
  • Orthodontic Reasons

The Extraction Process

Local Anesthetic will be used to numb your tooth, jawbone and gums that surround the area.
Pressure, but no pain, is felt during the extraction, which is caused by firmly rocking the tooth in order to widen the socket for removal.

Sometimes it is necessary for the tooth to come out in a few pieces. The dentist will use a dental handpiece to section the tooth.

After Care

  • Some bleeding is normal and expected. This will help a blood clot to form in the tooth socket, and it is important that this clot is not dislodged.
  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking or hot liquids.


If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medication

If you experience pain you might use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site.Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.
Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Dr. Herro or Dr. Santoro will apply a medicated dressing to the dry socket to soothe the pain.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.