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WYNNEWOOD FAMILY DENTAL - YOUR TRUSTED DENTAL CARE PROVIDER

🦷 What is a Dental Extraction?


A dental extraction is performed when a tooth is:

  • Severely decayed
     
  • Infected or abscessed
     
  • Broken beyond repair
     
  • Loosening due to periodontal disease
     
  • Impacted (in some cases, like wisdom teeth)
     

There are two main types:

  1. Simple Extraction – Performed on a visible, accessible tooth using elevators and forceps.
     
  2. Surgical Extraction – Required for teeth that are broken off at the gumline, impacted, or difficult to access. Involves flap creation and possibly sectioning the tooth.

⚠️ Some Patients May Be Referred To A Specialist


  • Deeply impacted teeth (especially 3rd molars with difficult access)
     
  • Patients with complex medical histories (bleeding risk, immune suppression)
     
  • Need for IV sedation
     
  • Suspected pathological lesions or cysts

Transform Your Smile with Wynnewood Family Dental Dental Practice

Dental Extraction Sample Informed Consent Information


The purpose of this document is to provide written information regarding the risks, benefits and alternatives of the procedures named above. This material serves as a supplement to the discussion you have with your dentist. It is important that you fully understand this information, so please read this document thoroughly. 


THE PROCEDURE

An Extraction is a procedure that involves the complete removal of a tooth from the mouth. Some extractions may require cutting into the gums and removing supporting bone and/or cutting the tooth into sections prior to removal. In some cases, a collagen plug (membrane) or allograft bone may be placed during the extraction to aid in healing, and to prepare for a restoration upon a later date. There may be additional charges should Dr Mary deem these procedures necessary. 

You will be given a local anesthetic before your procedure. With local anesthesia, an injection of drugs causes numbness in the exact location of this dental procedure.  Dr Mary will make an incision in the gum tissue to expose the root of the tooth to be extracted.  Dr Mary may use dental hand instruments or a dental bur to remove the roots of your tooth. Any sharp, or uneven exposed bone will be shaved, cut or smoothed with dental burs or a bone file. Water may be used in the area to remove debris. Your gum tissue will be closed with stitches. You may have a temporary denture placed. 


BENEFITS

This procedure may allow better fit, function and comfort of dental appliances. It may prevent bone loss in the jaw, and/or relieve discomfort from malformed bone fragments. 


RISKS

Known risks associated with implant placement include, but are not limited to:

  • Bleeding, Bruising and/or swelling at the treatment site.
  • Discomfort from incomplete numbing of the area.
  • Discomfort or pain from the injection site.
  • Incomplete relief of pain.
  • Bone infection (osteomyelitis). 
  • Problems with the bone healing properly.
  • Breakage of adjacent teeth or trauma to the gums.
  • Reaction to local anesthesia or other medicines given during or after the procedure.
  • Wound infection, poor healing or reopening of the incision(s). Blood or clear fluid can also collect at the wound site(s).
  • Damage to the facial nerve(s). This may change the appearance of your face or make your tongue weak or numb. It may cause partial or complete paralysis of your face. 
  • Damage to the jaw, jaw bone, or nearby structures. This may be discovered during the procedure, or at a later time once healing is complete and swelling has subsided.


ALTERNATIVES

You may choose not to have this procedure. 


OPTIONAL SEDATION

Additional fees and consents will apply should I elect to use one the following "elective" types of sedation for my procedure:

  • Nitrous Oxide Sedation


CONSENT

By signing below, I attest to the following: I have provided as accurate and complete a medical and personal history as possible, including antibiotics, drugs, or other medications I am currently taking, as well as those to which I am allergic. I will follow any and all treatment and post-treatment instructions as explained and directed to me. I realize that in spite of the possible complications and risks, my recommended extraction is necessary. I acknowledge that there can be no guarantees concerning the results of the procedure. I understand that if any unexpected difficulties occur during or after treatment that I may be referred to an oral surgeon for further care.  Dr Mary has explained this treatment/procedure and what it is for.  Dr Mary has explained how this procedure could help me, and also reviewed the associated risks and complications.  Dr Mary has explained to me the alternative treatments that might be done instead, and what would happen if I decline this procedure. 

Extraction Post-Op care instructions

EXTRACTION

Post-Operative Care Instructions


Local Anesthesia

  • The numbness from the anesthetic injection will wear off within a few hours. You may experience tenderness, mild swelling or bruising to the injection site. In rare cases, prolonged numbness can occur. Please contact our office if numbness does not wear off within 48 hours of surgery.
  • Diet:
  • Soft foods are recommended for the first 24 hours (such as soups, mash potatoes, mac & cheese, scrambled eggs, ice cream, Jello, pudding, malts).
  • After the initial 24 hour period maintain a soft diet (soups, scrambled eggs, mashed potatoes, soft chicken, soft fish) for 2 – 3 days and then gradually progress to solid foods as tolerated.
  • Avoid food like popcorn, nuts, sunflower seeds, or rice.
  • If you are a diabetic, maintain your normal diet as much as possible and follow your primary care doctor's instructions regarding your insulin schedule.
  • Nausea: If nauseated, avoid milk and other dairy products and try to drink clear liquids in small quantities, until symptoms resolve. Pain medications should not be taken on an empty stomach.


Use Caution

After an extraction it is crucial that a blood clot forms in the area that the tooth was extracted. Therefore, for the first 24 hours:


  • DO NOT: rinse, spit or suck through a straw (suction will cause the clot to be pulled out.) 
  • DO NOT: drink alcohol or use mouth rinses containing alcohol (these will dissolve the clot.)
  • DO NOT SMOKE FOR 5 DAYS AFTER EXTRACTION. Nicotine will keep tissue growth from occurring and will result in a painful condition known as dry socket.
  • AVOID: exercise or heavy lifting (this can cause your blood clot to be pushed out.)
  • Swelling may occur; ice packs can be used in 15 minute intervals for the first 6 hours to reduce swelling. 
  • To prevent or slow excessive bleeding, bite with light pressure on the gauze that has been placed over the extraction site, changing the gauze every 15 minutes or as needed for up to 90 minutes after leaving the office. You should wet the gauze and squeeze excess water out of it before placing it over the extraction site. Placing dry gauze over site will allow clot to dry to gauze resulting in clot removal when changing.
  • Place a folded towel over your pillow in case of any bleeding while sleeping.
  • If you have heavy bleeding, severe pain or continued swelling 3 to 4 days after extraction please contact our office for a short appointment to check the extraction site. 
  • If sutures (stitches) were placed, they will dissolve on their own after a couple days. If they partially dissolve and are moving around excessively because they are not tied down anymore feel free to gently grab a loose end and remove them.

Diet

  • For 2 days after surgery, drink liquids and eat soft foods only. Such as milkshakes, eggnog, yogurt, cooked cereals, cottage cheese, smooth soups, mashed potatoes, refried beans, ice cream, pudding, fruit smoothies and protein shakes.  
  • On day 3 after surgery, eat soft foods that do not require much chewing, such as macaroni and cheese, cooked noodles, soft-boiled, scrambled or poached eggs and soft sandwiches. Avoid tough or crunchy foods, such as pizza, rice, popcorn, and hamburger. Avoid spicy and acidic foods. 
  • Most patients may resume their normal diet 7 days after surgery


Pain Management

  • Medicines to control pain and prevent infection will be prescribed for you. It is very important that you take all medicines as recommended by  {{practice_doctor}} .  
  • Start taking your pain medicine before the numbness wears off. Continue to take it as prescribed. 
  • The dose for pain medicine is usually 400 mg to 800 mg ibuprofen (Advil, Motrin, or generic) every 6 hours. If you have an allergy or sensitivity to ibuprofen, or have been told not to use it, you may take up to 1,000 mg acetaminophen (Tylenol or generic) every 6 hours.  
  • Follow the pain medicine instructions  {{practice_doctor}}  gave you. If we believe you may have more severe pain, we will prescribe a stronger pain medicine which you will need to buy at a pharmacy. 


Oral Hygiene

Begin your normal hygiene routine the day after surgery. 

  • Soreness and swelling may not permit vigorous brushing of all areas, but please make every effort to clean your teeth within the bounds of comfort. 
  • If you use an electric toothbrush, feel free to use it just as you would a manual toothbrush. 
  • Brush very gently around the extraction site being careful not to loosen or remove the clot.
  • If you were given an irrigating syringe, start using it the fifth day after surgery to keep sockets clean. 
  • Mix one teaspoon of salt dissolved in a tall glass of warm water. 
  • Fill the syringe with the warm salt water and irrigate any open sockets gently, especially after eating.


Dry Sockets

Normal healing after tooth extraction should be as follows: 

  • The first three days of surgery are usually the most uncomfortable and there is some degree of swelling and stiffness. 
  • From the third day on, gradual, steady movements should mark the remainder of your recovery course. 
  • If there is a noticeable, distinct, persistent throbbing pain in the jaw that arises after the 4th day, please call our office. We would like the opportunity to help alleviate any discomfort.


Sharp Edges

You may feel sharp edges near your surgical site, occasionally small slivers of bone may work themselves out during the first week or two after surgery. They are not pieces of tooth, but if they are bothersome we will remove them. Please call the office if you are concerned.


Denture Wear

  • If you usually wear a removable dental device that replaces missing teeth and rests on the surgery area, check with Dr Mary before starting to wear it again after surgery. 
  • It is important not to put any pressure on the surgery site.  
  • If your bite feels different when you start wearing the device again, or if you had a dental implant and it feels like the device is hitting the implant, call our office. 


Please call our office 405-665-2220 / Text: 1-833-260-1494 if you have any questions or difficulties. If it is after hours, follow the prompts to be connected to our answering service. If you feel that your symptoms warrant a physician, and you are unable to reach Dr Mary , please go to the closest hospital emergency room immediately.


Thank you for allowing us to be part of your dental care. If you have any questions, please do not hesitate to contact us. 

Copyright © 2025 Wynnewood Family Dental - All Rights Reserved.

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