You and Dr. Pezeshkian may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Pezeshkian will discuss alternatives to extractions as well as replacement of the extracted tooth.
THE EXTRACTION PROCESS
At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
SECTIONING A TOOTH
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.
AFTER TOOTH EXTRACTION
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Which could cause dry socket what is dry socket? it is usually unknown, but it could be caused by either a lost, or unformed blood clot. Which could usually be extremely painful. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.
This is my second visit. My first official visit fitting for my new smile. My first visit I had my consultation and a wonderful visit with the doctor. Dr. Pezeshkian explained everything to me about my procedure and how Invisalign will work for me. It was my best choice. I am in my 40's and did not want traditional braces. The office staff is welcoming and incredibly knowledgeable. The atmosphere is soothing and I felt at ease. I have had two friends come to the doctors office with great success. All with different dental procedures. Dr Pezeshkian is far more than a dentist, he is an artist with his skills. The Dr is gentle and I did not have any sensitivity. My care and comfort was the offices main concern. I would recommend Advanced Dentistry for my whole family.
Going to the dentist is definitely not something I look forward to, but Dr. Pezeshkian is so amazing and comforting, I never have a problem! The staff is amazing, in both locations..Arcadia and Glendale. I had my wisdom teeth pulled out this morning and everyone knows the fear behind that. Dr. Pezeshkian took two of my top wisdom teeth out and it took 15 seconds each with no pain or discomfort. Dr. Pezeshkian makes your dentist visit fun and entertaining with his upbeat personality and optimistic view on everything. By far my favorite dentist!! Thank you so much Dr. Pezeshkian!
Just like any other kid, I've always hated the dentist. I've probably switched dentists like 4 times...never felt comfortable to get up and get my teeth drilled. Who would ever look forward to that? After I started coming by Dr. Pezeshkian, I've never been a nervous wreck before going into his office.. It's always a fun experience for me. The staff makes you feel very comfortable and the receptionist is also super nice. Appointments are ALWAYS on time and the office is always clean and organized. I'm very happy to have switched to Dr. Pezeshkian. I haven't had a problem with going to the dentist ever since!! Thank you Dr., you're the best at what you do !!!
Dr. Pezeshkian and his staff are truly incredible. I've been coming to him since I was a kid and he never disappoints. You never have to wait when they give you your set appointment and the staff truly do everything to make you comfortable through the entire process. Thank you Dr. Pezeshkian and staff, you guys are the best!
I've been a patient since I first moved to California in 2012, and I don't think I'll leave anytime soon! The staff really ensures you're well taken care of and provides the best dental care possible.
I feel blessed to have found Dr. Pezeshkian's practice. Every single visit to his office has been accompanied by calmness, optimism, and contentment. That is partly because every single member at Advanced Dentistry is gregarious, treating patients like family. Most importantly, they always provide me with thorough examinations and advanced treatments. I always walk out of the clinic fully informed of my dental health. Thank you for all your help.
I've been seeing Dr. Pezeshkian since I moved to LA over 4 yrs ago. I originally went specifically to transfer my Invisalign case because I saw they were having a Groupon special. And although the special was explicitly for new cases, they were so kind and flexible enough to work out a deal for my unique situation and I've never looked back. Since then he and his staff have gracefully ushered me through two gum surgeries, whitening treatments, night guards, retainers, countless cleanings, fillings and, most recently, Botox to treat my TMJ symptoms. Needless to say, I've spent a LOT of time there and my smile can fully attest to their knowledge, talent, professionalism, and bedside manner. The office has a very private family practice kind of vibe, where you get friendly, personal attention and know that they really care. Dr. Pezeshkian takes the time to explain his proposed treatment without pushing the up-sell (though his on-point bow tie game doesn't hurt). All-in-all, I'd like to say my smile speaks for itself (but since it's the internet you'll just have to take my word for it)
It was my first time visiting this office a couple days ago, but from the moment I walked through the door, I was greeted so kindly and sincerely that I felt as if I had been a patient with them for years and years. Admittedly, I hadn't been to a dentist's office for quite a while before this visit, but instead of giving me the lecture that I expected (and rightly deserved), Dr. Pezeshkian chose to focus on the positives and gave me a thorough, straightforward exam while also making me laugh. I could tell that he knew his stuff, but his warm, cheerful demeanor was definitely a plus! Thank you to all the staff for such a pleasant visit and for making me feel at home. I'll definitely be back for any future dental needs. :)