Extractions

Dental extractions involve the removal of one or more teeth from the mouth. While preserving natural teeth is always the goal, there are circumstances where extraction becomes necessary for overall oral health and function.

At our practice, we perform both simple extractions and surgical extractions based on the condition of the tooth and surrounding structures.

Reasons for Dental Extractions in Hattiesburg, MS, and Laurel, MS

There are various reasons a tooth may need to be removed.

Severe Tooth Decay

When a tooth becomes extensively decayed and cannot be restored with a filling, crown, or root canal, extraction may be the only option to prevent further infection. 

Impacted Teeth

Impacted teeth, particularly wisdom teeth, fail to erupt fully due to insufficient space. This can cause pain, infections, and damage to adjacent teeth, necessitating surgical extraction.

Dental Trauma

Accidents or injuries may cause teeth to become fractured beyond repair. In such cases, extraction may be required to prevent infection and facilitate future restorative treatment.

Overcrowding

Some orthodontic treatments require tooth removal to create space and align the teeth properly.

Periodontal Disease

Advanced gum disease can weaken the support structure of a tooth, leading to mobility. Extraction may be necessary to maintain oral health.

Types of Dental Extractions in Hattiesburg, MS, and Laurel, MS

At The Oral and Maxillofacial Surgery Center, P.A., we perform two main types of dental extractions based on the condition of the tooth: 

Simple Extractions

• A simple extraction is performed on teeth that are visible and fully erupted.
• Using local anesthesia, the oral surgeon loosens the tooth with specialized instruments and gently removes it.

Surgical Extractions

• Surgical extractions are required for teeth that are impacted, broken, or difficult to access.
• This procedure involves making an incision in the gum tissue to access and remove the tooth. It is commonly used for wisdom teeth and severely damaged teeth.
• Sedation options are often provided to ensure patient comfort during surgical extractions. Contact us to learn more.

Wisdom Teeth Extractions

Wisdom teeth, or third molars, are the most commonly extracted teeth.

Why Remove Wisdom Teeth?

Wisdom teeth typically emerge between the ages of 17 and 25 but often cause problems, including:

• Impaction: The tooth becomes trapped beneath the gumline.
• Crowding: Lack of space causes the misalignment of other teeth.
• Infection: Partially erupted teeth can trap food and bacteria, leading to infections.
• Pain and Swelling: Misalignment or impaction can cause significant discomfort.

The Wisdom Teeth Removal Process

• Consultation: Advanced imaging (like 3D scans) is used to evaluate the position of the wisdom teeth.
• Procedure: Surgical extraction is performed under local anesthesia or sedation to ensure comfort.
• Recovery: Healing typically occurs within 7-10 days, with post-operative care instructions provided.

The Tooth Extraction Process

At The Oral and Maxillofacial Surgery Center, P.A., our oral surgeons in Hattiesburg, MS, and Laurel, MS, ensure tooth extractions are performed with precision and patient comfort in mind. Here is a step-by-step breakdown of the process:

Initial Consultation and Examination

Before the extraction, the oral surgeon performs a comprehensive evaluation of the tooth using X-rays or advanced 3D imaging. This helps determine if the tooth can be removed with a simple extraction or if a surgical extraction is required. The surgeon also reviews your medical history and discusses sedation options.

Administering Anesthesia

Local anesthesia is administered to numb the area around the tooth to ensure a pain-free procedure. For patients with dental anxiety or complex extractions, sedation options like nitrous oxide (laughing gas) or IV sedation are provided for comfort.

Loosening and Removing the Tooth

• Simple Extraction: The surgeon uses a dental instrument called an elevator to loosen the tooth and forceps to gently remove it.
• Surgical Extraction: If the tooth is impacted or broken, the surgeon makes a small incision in the gum to access it. Sometimes, the tooth is sectioned into smaller pieces for easier removal.

Cleaning and Closing the Site

Once the tooth is removed, the site is thoroughly cleaned to prevent infection. If necessary, stitches may be placed to close the gum tissue, especially for surgical extractions.

Post-Extraction Care

A piece of sterile gauze is applied to the extraction site to stop bleeding and encourage clot formation. Patients receive detailed aftercare instructions to promote healing, such as avoiding strenuous activity, managing pain with medications, and maintaining oral hygiene while avoiding the extraction site.

By following this structured process, Dr. Clay Thames and Dr. Darren Alexander ensure a smooth and stress-free tooth extraction experience, allowing for a faster recovery.

Post-Extraction Care and Recovery

Proper care following a tooth extraction is essential to ensure smooth healing and prevent complications.

Immediate Post-Operative Care

• Bite on Gauze: Maintain gentle pressure on the gauze for 30-45 minutes to control bleeding.
• Apply Ice Packs: Use ice packs on the cheek for 10-15 minutes to reduce swelling.
• Rest: Avoid strenuous activities for at least 24 hours.

Dietary Recommendations

• Stick to soft foods such as yogurt, mashed potatoes, and smoothies for the first few days.
• Avoid hot, spicy, or crunchy foods that may irritate the extraction site.

Oral Hygiene Tips

• Avoid brushing near the extraction site for the first 24 hours.
• Rinse gently with warm salt water starting the day after surgery.
• Avoid using straws, as the suction can dislodge the blood clot and lead to a dry socket.

Managing Pain and Swelling

• Take prescribed pain medications or over-the-counter pain relievers as directed.
• Swelling usually peaks within 48 hours and gradually subsides over the next few days.

Follow-Up Appointments

Attend any scheduled follow-up visits to ensure proper healing.

Conclusion

Dental extractions are sometimes necessary to maintain oral health, alleviate pain, and prepare for future restorative treatments. At The Oral and Maxillofacial Surgery Center, P.A., Dr. Clay Thames and Dr. Darren Alexander offer expert tooth removal services with a focus on patient comfort, safety, and long-term oral health. 

If you are experiencing tooth pain, impacted wisdom teeth, or require extractions for orthodontic treatment, our team is here to help. Contact us today to schedule a dental extraction consultation at our Hattiesburg, MS, or Laurel, MS, locations and take the first step toward restoring your smile.

Experience exceptional oral surgery care at The Oral and Maxillofacial Surgery Center, P.A. Visit us at our Hattiesburg office, located at 6284 US Highway 98, Hattiesburg, MS 39402, or our Laurel office at 325 South 13th Avenue, Laurel, MS 39440. You can also call our Hattiesburg office at (601) 271-2356 or our Laurel office at (601) 425-2356. From dental implants to wisdom teeth removal, our experienced team is ready to restore your smile — schedule your appointment today!