Dr. Polly T. Michaels, DMD, DABOI/ID, FICOI, AFAAID Diplomate, American Board of Oral ImplantologyCALL TO MAKE AN APPOINTMENT352.597.1100


Complex Tooth Removal

General Procedure

When restoration procedures such as root canal therapy, crowns, or fillings are not enough to save a tooth, it may need to be pulled, or removed, to prevent breakdown of other teeth or serious infections.

Tooth removal procedures today are close to painless, thanks to powerful anesthetics and sedatives. In almost all, a patient who has tooth pulled experiences little or no discomfort, and only minor bleeding.

Before a tooth is removed, the area surrounding the tooth is numbed with a topical/and or injectable anesthetic such as Lidocaine or Septocaine (Though many people are familiar with the word Novocaine, it has not been used for many years.).

It is important to consider bone grafting at the time of tooth removal if the tooth may ever be replaced. At the moment of tooth removal, you start to lose bone. The body believes this bone is no longer necessary since there is no longer a tooth to support. Socket or ridge preservation grafting can save time, future surgeries and loss of support which cannot usually be fully regenerated.

Patients with extracted teeth sometimes need to take an antibiotic, and at the very least, take precautions following the procedure to ensure that infection doesn’t occur.

Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. This is called Acute Alveolar Osteitis, or “dry socket” and can be more painful than any toothache itself. Cold compresses applied to the outside cheek near the extraction area can help reduce any swelling and promote faster healing.

large cavityimpacted tooth Wisdom Teeth

Wisdom teeth are the third and final set of molars that erupt in the back corners of the upper and lower normal adult mouth. Unfortunately, most people experience problems from wisdom teeth such as cavities on adjacent teeth when they erupt at an angle, improper bites, cyst formation and other, sometimes life threatening, problems (Ludwig’s Angina).

If wisdom teeth are not removed, they can sometimes become infected. Infected wisdom teeth can be extremely painful, as well as harmful to your oral health. Symptoms are easy to spot: severe discomfort, inflammation, and some kinds of infections.

The bottom line is many people need to have their wisdom teeth removed to avoid future serious problems. These problems may not occur until a patient is in his/her 50’s 60’s or 70’s. At those ages removal is riskier and more difficult. To avoid these risks, most wisdom teeth are removed during the teen years or 20’s. In general, the lack of the four wisdom teeth does not hamper one’s ability to properly bite down, speak or eat.

If you experience any of the following symptoms, you may have an infected wisdom tooth:

  • Facial swelling
  • Infection
  • Pain
  • Gum swelling

Dr. Michaels has removed thousands of teeth and is able to remove most wisdom teeth for our patients. For the situations in which IV Sedation would work better for the patient, Dr. Michaels also offers this comfort for her patients.

Patient Treatment