Tooth Extraction

Before you make the decision to have a tooth extraction, we recommend meeting with an experienced periodontist. Dr. Scott Kissel uses a conservative approach to guide tooth extraction patients through a comprehensive diagnosis. Often, he can help you preserve teeth that have decay and or bone loss (periodontal disease). In cases that do require tooth extraction, he conducts procedures using gentle and accurate microsurgical techniques.

If you have any questions about tooth extractions or would like to schedule an appointment, call our New York periodontist at 212-702-9088. At NYC Periodontics & Implant Dentistry, Dr. Scott Kissel helps patients across Manhattan, Brooklyn, Staten Island, and New Jersey protect and restore their oral health.

Comparing Typical and Advanced Tooth Extraction Methods

Almost all teeth can be removed without cutting the gum tissue and with little pressure exerted on the surrounding bone, gum, or adjacent teeth. However, traditional simple tooth removal and surgical extraction often uses gum and/or bone surgery to pull out the tooth. These approaches are faster, but they can cause pain, more complex reconstruction, and a lengthier recovery.

Dr. Kissel supports tooth extraction patients with an advanced microsurgical approach. He employs increased magnification, illumination, smaller instruments, and Piezosurgery technology, which is atraumatic to hard tissue while leaving soft tissue untouched. Better vision also allows him to reshape the tooth root and remove it with less trauma. As a result, you can expect little-to-no pain and swelling.

Benefits of Microsurgical Tooth Extraction

By utilizing microsurgical instruments and techniques, Dr. Kissel offers patients:

An approach that doesn’t cause trauma to adjacent bone, gum, and teeth.
Greater comfort during and after surgery.
A faster recovery. You can expect to return to normal activities the same day.
Less need for sedation.

Dr. Kissel’s skill, precision, and experience help you avoid the most difficult part of extraction while still removing damaged or decaying teeth.

What Can Tooth Extraction Patients Expect?

If Dr. Kissel believes that your teeth can be preserved, he will use bone regeneration procedures to reconstruct the lost bone supporting the tooth.

If you require tooth extraction, Dr. Kissel will:

Numb the area completely with local anesthesia. He uses the Wand® anesthetic injection, which many of our patients describe as virtually pain-free.
Section or reshape the tooth if it cannot be removed in one piece, which is often the case. This results in an easier tooth removal.
Apply microsurgical and Piezosurgery techniques. These create a small space between the root and bone for conducting the extraction, and they offer greater precision and cause less trauma.

Because of the low-impact approach microsurgery offers, you can expect to be back to normal activities after your procedure, managing any discomfort with Advil, Tylenol, or another over-the-counter medication.

Tooth extraction patients don’t need to experience pain, trauma, or an extended recovery. Schedule an appointment with Dr. Scott Kissel by calling 212-702-9088 or contact us online and schedule your consultation today!

Understanding the Tooth Extraction Process

The tooth extraction process involves several key steps that ensure a safe and efficient removal of the problematic tooth. Initially, the periodontist will evaluate the tooth and surrounding tissues through a thorough examination and possibly imaging, such as X-rays, to determine the best approach for extraction.

Once the assessment is complete, the procedure typically begins with local anesthesia to numb the area, ensuring the patient feels minimal discomfort. Depending on the complexity of the extraction, additional sedation may be offered to help the patient relax. This structured approach helps to minimize anxiety and ensures a smoother experience for the patient.

Post-Extraction Care and Recovery Tips

After a tooth extraction, proper care is essential to promote healing and prevent complications. Patients are advised to follow specific aftercare instructions, which may include biting down on gauze to control bleeding, applying ice packs to reduce swelling, and avoiding certain foods and activities for a few days.

Additionally, it's important for patients to stay hydrated and take prescribed medications as directed. Monitoring for any signs of infection, such as increased pain or swelling, is crucial, and patients should contact their periodontist if they have any concerns during the recovery period.

Common Reasons for Tooth Extraction

Tooth extraction may be necessary for various reasons, including severe tooth decay, periodontal disease, or overcrowding in the mouth. Understanding these reasons can help patients recognize when extraction might be the best option for their dental health.

In some cases, wisdom teeth may need to be removed to prevent future complications, or a tooth may need to be extracted to make way for orthodontic treatment. By discussing these options with a qualified periodontist, patients can make informed decisions about their dental care.

Alternatives to Tooth Extraction

Before resorting to extraction, there are several alternatives that may be considered to preserve the natural tooth. Treatments such as root canal therapy can save a tooth that is severely decayed or infected, allowing it to function normally without the need for extraction.

Other options may include dental crowns or fillings, which can restore the tooth's structure and function. Consulting with Dr. Kissel can provide patients with a comprehensive understanding of their options and help them choose the best path for their dental health.

Board Certified Periodontist, Dr. Scott O. Kissel