Our Kitchener Dentist, Dr. Kyle Hornby has taken advanced training in Complex Dental Extractions and Wisdom Teeth Removal. We also provide dental sedation options to increase patient comfort and eliminate anxiety. Below, your will find helpful information and answers to commonly asked questions related to tooth extraction and wisdom tooth removal in Kitchener!
Dental extractions are typically comfortable procedures. Patients may request and receive sedation during an extraction appointment to heighten anesthesia and to minimize anxiety. Options include mild conscious sedation such as nitrous oxide (“laughing gas”) or moderate conscious sedation via oral sedatives. If you are interested in learning more about sedation options available at our office please consult our Sedation & Anxiety Management section. Prior to your dental extraction(s), you will be anesthetized using a surgical-grade local anesthetic. This anesthetic is typically twice the concentration of the typical anesthetic used during dental filling appointments.
Extractions may be simple (non-surgical) or complicated (surgical). To remove a tooth that is heavily decayed and therefore brittle or a fractured tooth that has limited remaining structure to engage, adjustment of the surrounding gum and bone tissue may be necessary. Following these extractions, you will typically be prescribed an antibiotic to aid in healing. You may also need bone grafting to preserve the height and volume of bone for future restorative procedures like dental implants or dental bridges. I will discuss all aspects of the extraction procedure in advance with you including: need for sedation, need for bone grafting, and typical healing periods. Restorative options for replacing a tooth or teeth will be discussed with you in depth.
Tooth extraction is not painful. We use surgical strength local anesthetics when providing tooth extraction services. We ensure you are completely numb prior to and during the procedure. Your comfort is our top priority.
Patient’s will perceive pressure during extraction but not pain. Unfortunately, local anesthetics cannot prevent the sensation of pressure. The majority of patients have no problem tolerating the mild to moderate pressure they feel during tooth extraction. If the thought of a tooth extraction procedure causes you anxiety, ask your Kitchener-Waterloo Dentist about sedation options or “sleep dentistry” to make things easier for you.
In some cases (i.e. surgical extraction of fractured teeth or impacted wisdom tooth removal), post-operative soreness is inevitable. In these cases, we commonly prescribe post-operative pain control medication to ensure patient comfort.
I commonly follow up with extraction patients post-operatively by phone or e-mail to check in and ensure that they are comfortable.
The cost of a dental extraction varies according to the Ontario Dental Association Fee Guide. Non-wisdom-tooth extractions are defined as either simple/routine or complicated. A simple extraction involves no adjustment of gum tissue or surrounding bone (usually the tooth is strong enough to tolerate removal without breaking or fracturing). These extractions typically cost about $150. A complex extraction involves a brittle or broken tooth. In this situation, your Kitchener Dentist will make minor adjustments to surrounding bone and gum tissue to make removal easier. These complicated extractions cost approximately $250. At your consult appointment prior to extraction, we will assess your tooth/teeth and provide an estimate of costs.
“Wisdom Teeth” or 3rd molars begin to grow and develop in the jaw directly behind the 2nd molars. When they erupt, they move forward and upward, putting pressure on the 2 molars in front of them.
You might think that we all have 4 wisdom teeth, or 1 in each corner of the mouth. However, it's not uncommon for people to have 1 or more wisdom teeth fail to develop. In fact, approximately 20% of individuals will be missing at least 1 wisdom tooth.
A much smaller percentage of individuals will have extra wisdom teeth. In many of these patients, the extra wisdom tooth/teeth will be much smaller than a typical wisdom tooth.
Your Dentist can typically assess how many wisdom teeth you have by taking a panoramic x-ray around 12-13 years of age.
Wisdom teeth typically begin to erupt between 16-24 years of age. Commonly, their eruption is obstructed and these teeth become impacted by the 2nd molars located anteriorly. Extraction of 3rd molars or “wisdom teeth” can prevent complications and health problems such as:
If you are experiencing pain and other symptoms, call to arrange a consult with Dr. Hornby so you can discuss Wisdom Tooth Removal in Kitchener.
As mentioned above, infection of one or more impacted wisdom teeth often include:
Relief of pain from an impacted wisdom tooth can be achieved definitively by removal of the offending tooth. Interim solutions for pain relief can be provided by your Kitchener Family Dentist and often include:
Dr. Hornby has special surgical training and provides Wisdom Teeth Removal in Kitchener-Waterloo. As with other surgical procedures, you have the option to receive treatment under dental sedation.
At your appointment, we will numb the area around your wisdom teeth using a surgical grade local anesthetic. In the case of most impactions, we will adjust the gums tissue covering your wisdom teeth to make access easier. Once your Kitchener Dentist removes the wisdom teeth, they will suture/stitch the extraction site to improve healing outcomes. You will be prescribed a post-operative prophylactic course of antibiotics to minimize risk of post-operative infection. You may also receive a prescription for pain medication. Dr. Hornby will review post-operative instructions with you. We will also provide you with a supply of surgical gauze to manage minimal post-operative bleeding where it occurs.
Dr. Hornby will typically contact you 24-48 hours following wisdom tooth extraction to ensure that you are healing predictably.
Ask your Kitchener-Waterloo Dentist about what to expect during recovery from wisdom tooth removal. Generally, recovery time and the amount of post-operative discomfort is related to the degree of impaction and the size of the roots. This is one reason why Family Dentists sometimes recommend early removal between the ages of 14 – 16. If your Kitchener Dentist or Oral Surgeon removes your wisdom teeth early on, there are fewer complications and healing does not take as long.
So, what can you expect to feel? Below is a list of symptoms that you may experience following removal of your wisdom teeth:
The degree to which you experience these symptoms depends on the complexity of removal. That is, removal of erupted wisdom teeth is easier and followed by fewer, less severe symptoms compared to removal of impacted wisdom teeth.
The range of foods you can eat after a dental extraction really depends on the procedure and how your Dentist performed the extraction. The removal of impacted wisdom teeth is a surgical procedure and so the healing takes longer and includes more soreness and jaw stiffness.
Patients may want to start with soft foods or a liquid diet for 2-3 days following wisdom tooth surgery. Gradually, you can work up to more firm and chewy foods while avoiding hard, sharp and brittle foods at all costs. These foods can damage healing tissue on contact causing serious discomfort.
For more routine (non-surgical) extractions, your initial diet can include firm and chewy foods. You will probably have good range of motion when chewing with little to no limitation. Your extraction socket may be moderately sore so avoid eating hard, brittle foods (think taco shells, granola, hard candy) for at least 2-3 days.
Dry socket occurs when there is improper clotting after tooth extraction. As a result, nerve endings in the bony socket walls will be exposed. This is very painful for the patient. The profound burning and aching sensation is a hallmark of dry socket. If you experience this, call your Kitchener Dentist or Kitchener Oral Surgeon so they can provide remedial care to re-establish a proper clot and eliminate pain.
Dry socket is rare among most patients but occurs very commonly in patients who smoke during the first 5-7 days or recovery.
If you have a post-operative infection, you'll notice a strange taste or smell coming from your extraction socket. You'll also likely notice very puffy swelling and possibly drainage of whitish-yellow pus.
Post-extraction infections often come with a fever. They can be extremely painful.
If you think you might have a post-operative infection, please call your Kitchener Dentist immediately.
If you are experiencing pain, pressure or other symptoms related to your wisdom teeth please contact us to arrange a consult with Kitchener Dentist, Dr. Kyle Hornby. We provide expert services for wisdom tooth removal in Kitchener & Waterloo.