extractionsYou and your doctor may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, the doctor will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Tooth Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Extraction Home Care

Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking or hot liquids.

Swelling

If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.

Eating

For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Your doctor will apply a medicated dressing to the dry socket to sooth the pain.

Healing

After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.

Meet Your Dentists

Dr. Danny Sarubin
Dr. Danny Sarubin
Dr. Danny enjoys comprehensive and complex treatment. He uses the latest technology to offer his patients the widest range of options and deliver the highest quality of care

Full Biography

Dr. Todd Sarubin
Dr. Todd Sarubin
Dr. Todd enjoys all forms dentistry. Specifically, Dr. Todd likes performing sedation dentistry, tooth replacement with implants, orthopedic orthodontics, and assisting in the treatment of snoring and sleep apnea

Full Biography

Dr. Mary B. Alexander
Dr. Mary B. Alexander
Periodontist, Dr. Alexander received her DDS degree at the University Of Maryland School Of Dental Surgery. She then attended Harvard University and earned her clinical specialty in periodontics and a doctorate in medical science.

Full Biography

Dr. Deborah Caruso-Apter
Dr. Deborah Caruso-Apter
Dr Caruso-Apter is a member of the Academy of General Dentistry and the American Dental Association and is a member of the Chesapeake Implant Study Club. Also, she volunteers at the Stanton Center in Annapolis where underprivileged individuals receive dental care.

Full Biography

What Sets Us Apart?

Experience

The professionals at Sarubin Family Dental are among the most skilled dental care teams in Baltimore area. Dr. Todd Sarubin, Dr. Danny Sarubin,  and Dr. Deborah Caruso-Apter apply their expertise and consult with one another for the unique benefit of the people they treat.

Comfort

Your ease at our practice is very important to us, whether that means a comfortable waiting room, painless treatment, or feeling informed about your care. Our doctors are happy to educate you about your treatment options and our staff is always gentle.

Convenience

Sarubin Family Dental offers appointments until 5pm Monday-Thursday. The use of advanced technology (like Cerec, Dexis Digital Imaging) allows the doctors to treat patients more efficiently. We also schedule same-day treatment for patients with emergency needs.

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Our friendly staff will work with your schedule.

A few words from our patients:

Everyone who works here, from the front desk, dental assistants, to absolutely everyone is so unbelievably friendly and make you feel so at ease. It’s wonderful! If you have a fear of the dentist and have been putting off going for years, go to Dr. Danny. You will not be disappointed!
Shannon S., YELP
At Sarubin Family Dental Associates I received excellent service, by extremely qualified personnel, with very friendly attituudes who were willing to take time to explain things to me in a way that I could understand. I am very thankful to everyone who works at Sarunin Family Dental Associates, and I will continue to recommend them to people that I know.
Ian D., GOOGLE
Very friendly, compassionate staff your greeted with a smile and by name when you come through the door. They go above and beyond to make you feel comfortable. I highly recommend this dentist!
Ladona B., FACEBOOK