handicap accessibel


Our office is

handicap accessible.


Office Hours:

Monday | 9am - 5pm

Tuesday | Closed

Wednesday | 9am -7pm

Thursday | 9am - 5pm

Friday | 8am - 4pm

Saturday | Two per Month | Oct - June


Gay Ellstrom, Office Manager

Rosario (Pilar) LaMonaca, Administrative Assistant

Lisa Skeen, R.D.H.

Kandy Soskin, R.D.H.

Amanda Reyes, R.D.A.

Angelica Hernandez, C.D.A.

Extractions & Site Preservation




Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can

come in unevenly, or the tooth may only emerge partially.


When a wisdom tooth only emerges partially, a flap of skin called an operculum may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its

own, but it causes swelling and pain in the area.


Impacted teeth and wisdom teeth that can potentially cause problems, like infections, and need to be

removed. Extractions can range from a single tooth to removing all four wisdom teeth at once.

Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb

the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so

that they will be sedated during the procedure.


The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by

gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a

tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this

the tooth will be broken up into pieces first before being removed. Depending on the incision and

extraction site, sutures may be needed to close the area. Soluble sutures are the best option,

which will dissolve on their own.


After the surgery you will need to rest. You need to be driven home by a friend or family member

because of the anesthesia. You can expect for the extraction site to bleed for a little while after the

surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when

it becomes soaked.


If bleeding continues for longer than 24 hours you should call your dentist.

Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up

on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore

take as directed. You can also use an ice pack for the pain. Your dentist might also provide you

with a cleaning solution to clean the extraction site.


You will be limited to soft foods for a few days after your surgery. Some recommended foods are:


  • Gelatin
  • Pudding
  • Yogurt
  • Mashed Potatoes
  • Ice Cream
  • Thin Soups
  • ...and other food you can eat without chewing.



When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures

and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding,

irritation, or don't feel that the extraction site is healing, properly call your dentist for a follow up.


When removing a tooth it is important to consider what will be done with the empty space after that

tooth is removed. Wisdom teeth are in the back of the mouth, so that site will heal on its own with

no complications. If it is necessary to remove another tooth, plans must be made. If a tooth is

removed and nothing is done with the extraction site, the jaw bone will degenerate and change

shape during healing and can cause your teeth to shift. This can create problems in your bite and

affect your ability to speak and chew.


If you want to fill the space with a dental implant, a sturdy jaw bone is necessary to install the

implant. If you opt for a dental bridge, the bridge must be molded and placed before the teeth shift.

Your dentist is always open to a conversation on what you would like to do with your extraction site

before removing a tooth. They will be able to make a recommendation and lay out a treatment plan.

Make sure to schedule follow up appointments to properly care for your extraction site.

Montclair Aesthetic & Family Dentistry | 22 The Crescent | Montclair, New Jersey | Phone 973-707-2982 | Fax 973-707-2984