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 Michael E

I would be the first to admit that I don’t like Dentists. Mainly from my past experiences. But this was a very pleasurable experience and I will come back.

- Michael E

5 out of 5 stars on

Patient Review by Bernadette B

Although I was naturally nervous about having the procedure done, I was made to feel very comfortable by each member of the staff. The Dr and his assistant were respectful, and did all they could to make the experience as relaxed and quick as possible.

- Bernadette B

5 out of 5 stars on

Patient Review by Katie P

I've never before had oral surgery and was nervous about the procedure and how much pain I would experience. Dr. Kienle and the staff were very professional but also very kind, explaining everything I should expect. I had much less pain and discomfort than I anticipated.

- Katie P

5 out of 5 stars on

Patient Review by Anne C

I was nervous and a bit anxious about the procedure. The staff, both medical and front desk, immediately put me at ease. The office is run in an efficient manner, yet they take the time to walk you through the process and ensure you are both informed and comfortable.

- Anne C

4 out of 5 stars on

Patient Review by Allan R

I'd come back here in a second. 10 stars out of 5 because 5 out of 3 dentists have problems with fractions. Great staff, not my first time here, would recommend highly! Thanks.

- Allan R

5 out of 5 stars on

Patient Review by Peter F

Dr. Steinkeler extracted a molar on my lower left side and the procedure could not have gone any better. I was very pleasantly surprised at how little pain I felt after the surgery. I only needed to take Motrin the balance of that day and there were no complications whatsoever. The staff were professional and friendly and Dr. Steinkeler did a very job explaining the procedure and what I could expect. It was a very good experience overall and I could not recommend Dr. Steinkeler more highly.

- Peter F

5 out of 5 stars on

Patient Review by Erik h

I would suggest this office to anybody having any issues with their teeth that will potentially need surgery

- Erik h

5 out of 5 stars on

Patient Review by Marijana H

Overall, the experience was great. The procedure was fast, almost in and out. Thanks for everyone who made it for me pleasant and pain free.

- Marijana H

5 out of 5 stars on

Patient Review by Richard M

It was a great experience. I had to have a molar and wisdom tooth extrracted and opted to have it done while awake. Everything went smoothly and the teeth were extracted successfully in about 3 minutes. The whole procedure only took about 20 minutes total. Dr. Kienle and the staff were very supportive, explaining the procedure and what needed to be done afterwards. I received a call the next day to check on me and see how I was feeling. A great experience all around.

- Richard M

5 out of 5 stars on

Patient Review by James L

Good experience. No pain whatsoever after procedure. Everyone was friendly.

- James L

5 out of 5 stars on

Patient Review by Steven S

100% satisfied. I wish there was a higher rating than five stars! This is the only place to go if you need oral surgery

- Steven S

5 out of 5 stars on

Patient Review by Stephen T

I recently had extractions; this place is very friendly and makes you feel at ease

- Stephen T

5 out of 5 stars on

Patient Review by Tony W

I have a horrible fear of dental work so imagine my fear level with 2 teeth being extracted AND a bone graft. Dr. Kienle and his staff, especially Lauren my nurse, made this a comfortable, caring, and friendly environment to the point my heart rate was at a resting state as they starting the IV. I would HIGHLY recommend OMS Centers to EVERYONE who needs dental work and they will be at the TOP OF MY LIST for any future dental work or consultantions

- Tony W

5 out of 5 stars on

Patient Review by Pat M

The staff made this procedure as pleasant as possible and was very attentive to my needs. Would definitely recommend them.

- Pat M

5 out of 5 stars on

Patient Review by Marilyn E

My extraction was handled as well as possible including the sedation. I never even knew that I was getting drowsy and then I woke up and it was all over. I didn't need to take any of the pain medication. I called with an issue after the office was closed and was promptly connected to Dr. Kienle.

- Marilyn E

5 out of 5 stars on

Patient Review by Marshall D

Easy to make appointment, procedure went flawlessly

- Marshall D

5 out of 5 stars on

Patient Review by Elizabeth O

Dr. Kienle did an excellent job extracting two wisdom teeth and Dr. Gunawardena worked tirelessly to extract a difficult molar!!

- Elizabeth O

5 out of 5 stars on

Patient Review by Joanne R

I know that all I could think of to say was Excellent but it's just true. From the moment you arrive till you leave you feel that you've been dealing with people who know their stuff. Now I understand that not everyone would leave here feeling that way but for me ... I was confident that I had chosen the right place to have the oral surgery that needed to be done to help me feel better. Dr. Steinkeler also told me of other options that I have available for future things that can be done to help me get back a positive smile. I would recommend this office to anyone who is looking for a oral surgeon and staff that know what they are doing and make you feel at ease and don't pressure you into having procedures done that might not be for you. An excellent experience.

- Joanne R

5 out of 5 stars on

Patient Review by Christine E

I have horrible anxiety with anything associated with dentistry. I started having a panic attack. This place was so wonderful. Jimmy who assisted the Doctor was absolutely fabulous. He took care of me the whole way through it. He took such time making sure I was ok and explaining everything so thoroughly. I definitely would come here from now on .

- Christine E

5 out of 5 stars on

Patient Review by Marie M

Staff was excellent at putting patients at ease. Follow up care and scheduling for problems was great! Call backs were very prompt.

- Marie M

5 out of 5 stars on