Tooth Extractions

You and Dr. Kienle, Dr. Steinkeler and Dr. Gunawardena 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, Drs. Kienle, Steinkeler and Gunawardena will discuss alternatives to extractions as well replacement of the extracted tooth.

For more information about Tooth Extractions or to make an appointment with Dr. Kienle, Dr. Steinkeler or Dr. Gunawardena, please use our Appointment Request form or call our office: Warminster Office Phone Number 215-672-6560.

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The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic. This is just using local anesthesia (ie novocaine) and staying awake for the procedure.

The other alternative is to be asleep for the procedure using either sedation or general anesthesia techniques. When sedation or general anesthesia techniques are utilized you will not be aware of the extraction procedure and for most patients it is the most comfortable and easiest way to undergo the extraction process.

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.

Normally you feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain. However the nerves that transmit pressure are not profoundly affected. Sometimes it is impossible to provide complete local anesthesia (completely numb) and you may require sedation or general anesthesia to have the procedure done comfortably and without pain. This is usually the case when a tooth is acutely infected.

If you do feel pain at any time during the extraction please let us know right away. Refer to our post-surgical instructions below for information you can use to heal while resting at home.

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.

Benefits of Oral Surgeons Performing Tooth Extractions

Oral and maxillofacial surgeons, such as Dr. Kienle, Dr. Steinkeler and Dr. Gunawardena, are the only dental specialists who are fully trained in all oral surgery procedures. All doctors in our practice are board certified in oral and maxillofacial surgery and in anesthesia and have earned both medical and dental degrees.

Oral & Maxillofacial Surgery Centers is the only practice in the Delaware Valley/Tri-State area that

  • Has all of our surgical facilities fully accredited by the Joint Commission.
  • Has surgeons uniquely qualified with both medical and dental degrees, as well as board certification in oral and maxillofacial surgery and anesthesia.

You can be assured that Drs. Kienle, Steinkeler and Gunawardena have the best training and experience, along with the proper staff and facilities, to provide you with exceptional safe and comfortable surgical care. Call us today and schedule an appointment: Warminster Office Phone Number 215-672-6560

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 60 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 60 minutes. You may have to do this several times to stop the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 24 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Apply the ice pack for the first 24 hours. Take pain medications as prescribed. The swelling usually peaks after 48 to 72 hours and then subsides after that.

Use pain medication as directed. Call our office during regular office hours if the medication doesn’t seem to be working: Warminster Office Phone Number 215-672-6560. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain or continued swelling for more than 7 days call the office during regular office hours: Warminster Office Phone Number 215-672-6560. If you have a reaction to the medication, call our facility promptly or go to the emergency room at your local hospital.


Patient Reviews: Tooth Extractions

This reviews section is in progress. Please visit the Patient Review Form page to leave a review about your tooth extraction experience with Oral & Maxillofacial Surgery Centers. Call our office if you would like more information: Warminster Office Phone Number 215-672-6560.

Oral & Maxillofacial Surgery Centers

5 out of 5 stars based on 128 Extraction reviews.

Patient Review by Alicia T

I have had many procedures with Dr. Kienle and feel completely comfortable in his care. The nursing staff is also incredibly skilled and kind. This is an unparalleled oral surgery practice.

- Alicia T

5 out of 5 stars on

Patient Review by Paul B

Dr. Gunawardena extracted tooth #19 back in January 29, 2019. Excellent hands and he handled the extraction with great sensitivity and success. No need for pain meds after the numbing agent wore off. Wow! Second extraction was on April 30th., tooth #30. This one was more involved but Dr. Gunawardena again, did the extraction with great skill and sensitivity. He has great hands. Given the extent of my infection surrounding this particular tooth, I thought I would have to take pain meds for sure because this tooth needed more attention and more detailed cleaning of the socket after the extraction. Well, another 'piece of cake' extraction outcome. No meds needed. Felt comfortable hours after the numbing agent wore off. I was surprised. No need for pain pills. My third extraction will be forthcoming this July 3rd. tooth #3). Well, I am actually looking forward to it, thanks to Dr. Gunawardena. He is exceptional in his expertise. A great guy, too, I can tell. His confidence fills the operatory. This put me at ease prior to the extraction. Very glad I was referred to OMS by my primary dentist, Dr. Lou Trovato, also a great guy. I am fortunate to have such talented dentists taking care of me. What goes on with the mouth can affect your total body's systems. Oral/dental health is key to a better immune system along with other bodily functions.

- Paul B

5 out of 5 stars on

Patient Review by Donald W

My husband had an emergency abscess and the office couldn't have been more accommodating. The staff was caring, professional and thorough. He called on a Monday morning at opening and the immediate response was "come in and we will find a way to fit you in." They saw the pain he was in and started on him immediately. By the time I arrived to pick him up, his procedure was finished and he was out of pain.

- Donald W

5 out of 5 stars on

Patient Review by Rich M

Great Experience, no pain at all

- Rich M

5 out of 5 stars on

Patient Review by Michael L

Overall the procedure went well. And if I had to go back again for another procedure I will.

- Michael L

5 out of 5 stars on

Patient Review by Erica B

Everyone was so kind to me. I was extremely nervous but the nursing staff and Dr. made me feel very safe and comfortable. I would highly recommend this office.

- Erica B

5 out of 5 stars on

Patient Review by Samuel E

Thank you Dr G and nurse Pattie and supporting staff, you are all great. Dr. G was so knowledgeable about my special needs. Thank you again for the great care.

- Samuel E

5 out of 5 stars on

Patient Review by MADELINE L

Dr. Gunawardena made me feel confident about the procedure and exhibited a caring manor.


5 out of 5 stars on

Patient Review by Sophia M

Excellent care, and very friendly staff. After a first procedure of impacted canines, my daughter had to return for an extraction. Made a scary situation for her so much better. Great office!

- Sophia M

5 out of 5 stars on

Patient Review by Tina L

Everyone was very kind and accomodating. They made me feel comfortable and told me exactly what to expect during the recovery. They even called the next day to see how I was doing!

- Tina L

5 out of 5 stars on

Patient Review by Christa B

Doctor and staff were very friendly, courteous and highly efficient. They make sure that you are prepared for your procedure and they do not let you leave until you have been fully informed about your aftercare. I highly recommend this practice!

- Christa B

5 out of 5 stars on

Patient Review by marlene g


- marlene g

5 out of 5 stars on

Patient Review by Cristina M

Referred by my dentist for wisdom tooth extraction. I was very nervous. Entire staff was amazing. Dr. G. and the dental techs were awesome. Made me feel comfortable the entire time.

- Cristina M

5 out of 5 stars on

Patient Review by Marian C

Wonderful experience. Everyone was very professional and treated me with courtesy and kindness.

- Marian C

5 out of 5 stars on

Patient Review by Daniel D

Nothing but good great place go back in a heart beat

- Daniel D

5 out of 5 stars on

Patient Review by Kim W

The care I received was of the highest quality. Choosing Drs. Schelkun & Kienle Associates was truly a good decision. Office procedures are tight, efficient and professional. And, each interaction with each staff member, and all care professionals exuded kindness, consideration and gold standard customer service. Prior to my extraction, performed by Dr. Gunawardena, I was a mess. I was prepared for the worst procedure and a pain filled, incapacitating recovery. Instead, the procedure was pretty quick and substantially uneventful. Post procedure I experienced almost no pain, and subsequently just a bit of discomfort. As dental procedures go, this was very much a positive experience.

- Kim W

5 out of 5 stars on

Patient Review by Trena K

The staff and physician was great! Discharge instructions were clear and I have healed without complications.

- Trena K

5 out of 5 stars on

Patient Review by Tara T

Dr Kienle is the best oral surgeon I have ever had the pleasure of knowing. Will recommend to family and friends

- Tara T

5 out of 5 stars on

Patient Review by Carla V

Thank you for Advertsing in the back of St. Joseph’s church bulletin. I am happy I came here to have my wisdom tooth extracted. I had the best care.

- Carla V

5 out of 5 stars on

Patient Review by Terry C

I have had an uneventful recovery with minimal discomfort. I would recommend Dr. Schelkun and this establishment highly for care. The office is well staffed and professional. The facility is all I could ask for in an outpatient setting.

- Terry C

5 out of 5 stars on