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One of the main goals of modern dentistry is the prevention of tooth loss. All possible measures should be taken to preserve and maintain your teeth because the loss of a single tooth can have a major impact upon your dental health and appearance. However, it is still sometimes necessary to remove a tooth. Here are some of the reasons why a tooth may need to be extracted.
Severe Decay  
Advanced periodontal (gum) disease  
Infection or abcess  
Orthodontic correction  
Malpositioned teeth  
Fractured teeth or roots  
Impacted teeth (mainly wisdom teeth)  
Wisdom teeth, or third molars, do not always erupt properly when they decide to make an appearance. Different ways in which a WISDOM tooth is embedded are

It's wise to get an early opinion on getting wisdom teeth pulled before they cause pain, swelling, infection, caries and gum disease.
Instructions To Be Followed After An Extraction
DO NOT DISTURB THE WOUND: In doing so you may invite irritation, infection and/or bleeding. Be sure to chew on the opposite side for 24 hours .
DO NOT SMOKE FOR 12 HOURS: Smoking will promote bleeding and interfere with healing.
Do not brush the extraction area for the first 24 hours after surgery. After that you may brush gently to keep the area clean
Avoid all rinsing for 24 hours after extraction. This is to insure the formation of a healing blood clot which is essential to proper wound healing. Disturbance of this clot can lead to increased bleeding or the loss of the blood clot. If the clot is lost, a painful condition called dry socket may occur. Use warm salt water rinses after 24 hours to keep the area clean.
DO NOT SPIT OR SUCK THROUGH A STRAW: This will promote bleeding and may dislodge the blood clot causing a dry socket.
BLEEDING: When you leave the office, you will be given verbal instructions regarding the control of postoperative bleeding. A rolled up gauze pad will be placed on the extraction site and you will be asked to change this dressing every 20 minutes or so depending on the amount of bleeding that is occurring. It is normal for some blood to ooze from the area of surgery. If bleeding still continues, you may fold a wet tea bag in half and bite down on it. Tea contains Tannic Acid , a styptic, which may help to reduce the bleeding.
PAIN: Some discomfort is normal after surgery. Prescription medication, which may have been prescribed to you, should be taken as prescribed.
SWELLING: To prevent swelling, apply an ice pack or a cold towel to the outside of your face in the area of the extraction during the first 12 hours. Apply alternately, 20 minutes on then 20 minutes off, for an hour or longer if necessary.
DIET: Eat normal regular meals as soon as you are able after surgery. Cold, soft food such as ice cream or yogurt may be the most comfortable for the first day. It is also important to drink plenty of fluids.
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