Oral Surgery

“Is Oral Surgery Right For Me?”

Even with the best preventive measures, sometimes oral surgery is the best option. When oral surgery is required, New York General Dentistry is here to take excellent care of you.

Whether it’s removing wisdom teeth, restoring a tooth suffering from extensive decay, or helping you recover from gum disease, we’re here to help. Our dental specialists provide a variety of oral surgery procedures and the highest quality of care to relieve pain and restore your health.

With an emphasis on comfort, precise results, and easy recovery, our team works hand-in-hand with you to ensure your dental surgery procedure is as stress-free as possible.

Types of Oral Surgery 

Maxillofacial Surgery

Maxillofacial surgery is focused on the jaw and lower facial regions. This type of surgery is usually recommended by Dr. Chern if you have a misaligned jaw that causes issues with chewing or speaking. Additionally, this type of surgery can help alleviate TMJ disorders. This surgery can not only help your comfort, lifestyle, and oral health but can also improve your cosmetic appearance and function.

Tooth Extraction

A common procedure performed by oral surgeons is tooth extraction. Extractions are usually necessary for resolving extensive decay, trauma, or overcrowding in the mouth. Removing diseased tissue restores the mouth to health and function and also prevents further concerns from developing. Often, tooth extraction is performed in tandem with restorative treatments like implants or bridges to make sure your smile remains complete and you don’t experience negative side-effects from gaps in your smile.

Implants

Implants are usually used to replace missing teeth. They work by placing a socket in the jawbone where a rod can be attached to support a fabricated tooth or bridge. The process is often performed under local anesthesia and requires several months of healing prior to final crown placement. Implants can restore your oral function and fill in missing gaps where teeth were lost.

Wisdom Teeth Removal

Although some people don’t experience any problems with their wisdom teeth, many people need them removed at some point. This is because they can cause concerns like crowding, shifting, problems with your bite, or even discomfort if they aren’t removed within the right timeframe.

Bone Grafting

Bone grafting is a minor procedure where bone material from elsewhere on your body (or from another source) is deposited into the jaw to combat bone loss. Bone loss usually happens as a result of decay, but it may also be necessary to graft bone onto the jaw in order to place implants. 

Crown Lengthening

This procedure is used to expose more of the tooth structure by reshaping the gum and bone tissue. This can have a lot of benefits including cosmetics (to address a gummy smile) or for certain restorative procedures.

Tooth Extraction FAQ’s

Are you awake during tooth extraction?

You can choose to be awake or to be sedated. Extractions can be done in either way.

Can a dentist pull an infected tooth?

yes, A dentist often pulls an infected tooth as soon as possible so the infection doesn't get worse or spread.

Can I brush my teeth with toothpaste after tooth extraction?

You can brush all areas around the extraction site with toothpaste for the first day and resume normal brushing after the area has started healed.

Can I drink cold water after tooth extraction?

You can drink cold beverages but avoid straws which create negative pressure and can impede healing.

Do I keep gauze in overnight after tooth extraction?

The bleeding from an extraction should stop within the first few hours of the procedure. You should not need to use gauze during sleeping hours. If the area is bleeding extensively, you should call your dentist. Sleeping with glaze is dangerous because you can swallow or aspirate it.

Can I get my teeth pulled and dentures in the same day?

Yes, immediate dentures are dentures made prior to extracting any teeth. The dentist approximates the final tooth position and inserts them the same day as the extraction.

Can you see the blood clot after tooth extraction?

The blood clot forms in the socket where the extracted tooth was located. You may be able to see the clot formation depending on the visibility and position of the tooth that was extracted.

Can you shower after tooth extraction?

You can absolutely shower after an extraction after you have recovered from the anesthesia and/or sedative.

Do dentists prescribe painkillers for tooth extraction?

NSAIDS are often prescribed for routine extractions and Opioides are prescribed for complex extractions. These analgesics aid in pain and inflammation management.

How do you get a tooth out painless and fast?

An experienced surgeon can often extract a tooth very quickly. Local anesthesia is used in the area to create a numb sensation during the procedure making it painless.

How do you sleep after a tooth extraction?

You may sleep routinely after an extraction. If there is swelling after the extraction, it is recommended to sleep in a slightly elevated position.

Do I need time off work after tooth extraction?

A routine extraction does not have much down time from work and most people are fine to return to work the next day. A more complicated surgery may require 2-3 days of post-operative recovery.

Do I sleep with gauze after tooth extraction?

You should never sleep with guaze after an extraction. There is a chance of swallowing or aspirating the gauze which can be life threatening.

How long do I keep gauze on tooth extraction?

The first gauze stays in place for 30 minutes and can be changed accordingly till the bleeding from the extraction site stops.

How long do you have to use salt water after tooth extraction?

Salt water rinses are very therapeutic on the second day post extraction. They promote healing and keep harmful food and bacteria particles out of the clotted socket. You may continue the rinses for several days as you see fit.

How do you eat after a tooth extraction?

It's advisable to eat a soft diet on the opposite side of the extraction for the first 24-72 hours.

How long do you have to wear gauze after tooth extraction?

Gauze is recommended to be worn and changed till the bleeding stops and the initial clot is formed.

How long will I spit blood after tooth extraction?

You MUST avoid spitting after the extraction! Spitting creates a negative pressure in the mouth causing poor clot formation.

How many teeth can be extracted at once?

A patient can have one or more teeth extracted in a day. It is not uncommon to have a patient remove all diseased teeth in one appointment. That is a choice to be discussed with your dental surgeon.

How long does it take for a clot to form after a tooth extraction?

The initial clot starts to form soon after the extraction and matures in 1-2 days with proper care.

How painful is a tooth extraction?

A tooth extraction should never be painful. Your surgeon will give you enough anesthetic that you will not feel the procedure.

How long does it take to recover from a tooth extraction?

A routine extraction may take 1-2 days to recover from depending on an individuals medical history. For more complex surgeries, recovery may take up to a week.

How soon after tooth extraction can I eat?

As soon as the anesthetic wears off, it is safe to eat a soft diet.

How long should you wait to drink water after getting a tooth pulled?

You can drink water as soon as the bleeding has stopped after the extraction.

Is it OK to spit after tooth extraction?

You must NEVER spit after an extraction. Spitting will cause improper clot formation.

Is it safe to swallow blood from tooth extraction?

It is absolutely safe to swallow blood from your mouth.

What are extractions on teeth?

Extractions of teeth are the removal of teeth which are decayed, fractured, mal-aligned, infected and non-functional.

What does blood clot after tooth extraction look like?

A blood clot initially looks deep red in color and after more pronounced healing appears white.

Should I get a root canal or extraction?

It is always advisable to try to save your natural tooth structure. Choosing between an extraction and root canal must be discussed with your dentist. It is very unique and depends on an individual tooth long term prognosis.

What happens after tooth extraction?

After a tooth extraction, the area is irrigated with saline, required stitches are placed, gauze is placed in the area to promote clotting and, post-operative interactions are given.

What happens if you have a tooth pulled and dont replace it?

If a tooth is not replaced, the bite may shift, remaining teeth may shift, bone loss occurs in the area and a patient may have issues with eating and chewing properly.

Should you rest after tooth extraction?

You should rest after a tooth extraction to allow the area to heal properly.

What is the best mouthwash to use after a tooth extraction?

No rinsing is advised in the first 24 hours after an extraction. Warm salt water is a great and easy rinse to make for the following days the first 24 hours.

What should I avoid after tooth extraction?

Avoid spitting, rinsing, hard foods, strenuous exercise and smoking.

When can I return to work after tooth extraction?

After a routine extraction, you can return to work in 24-48 hours. More extensive surgeries may require a longer recovery time and return to work.

Why does my tooth extraction hurt more at night?

The extraction hurts more at night because of our sleeping position. Laying down causes more blood to rush to our heads, putting extra pressure on our mouth. Another factor is that we are less distracted and any mild discomfort before sleep can seem more intense.

“I have been Dr. Chern’s patient for several years now and I have no intention of ever finding another dentist. When you find an amazing dentist, you stick with them. She’s honest, professional, and knows what she’s doing. Her staff is just as amazing.”

– David K.

The Oral Surgery Process and What to Expect

Your First Appointment (30-45 minutes)

Dr. Chern will speak with you during a consultation to discuss your oral surgery options in Midtown. A surgical treatment plan will be formulated, and our team will coordinate your subsequent appointments. We are partnered with experienced oral surgical specialists all around New York and can ensure you receive consistent and high-quality care. 

Your Surgical Appointment (60-90 minutes)

Your oral surgeon will make sure you know what to expect during your surgical procedure. Most oral surgeries are performed using a local anesthetic or IV sedation, meaning you’ll be comfortable and relaxed throughout. You’ll receive detailed aftercare instructions to follow, as well as what to expect from follow-up with your oral surgeon or our office. Your oral surgeon will coordinate any relevant information with us as well so that we can keep track of your treatment.

Your Follow-Up Appointment (15-30 minutes)

As you recover, it’s important to keep an eye on your progress and take the right steps for the next part in your treatment plan, whether this includes restorative devices or further care from Dr. Chern. We’ll make sure you know whether to come back for another follow-up and can help you schedule accordingly.

Caring for Your Oral Surgery Results

Your oral surgeon will provide detailed instructions to follow to ensure a successful recovery. When it comes to maintaining your results for the long term, make sure to follow these steps:

  • Eat a healthy diet (with moderate amounts of sweets and soft drinks)
  • See your dentist regularly for check-ups and hygiene appointments (every 4-6 months)
  • Brush your teeth twice daily for 2 minutes with a soft or electric brush
  • Floss every day or use a water flosser (Waterpik)

Sedation FAQ’s

Are you awake during IV sedation?

There are varying levels of sedation ranging from conscious (awake) to general anesthesia (not awake).

Can I be sedated for tooth extraction?

Yes, often many patients choose to be sedated for extractions to relieve anxiety.

Can you eat and drink before dental sedation?

It is recommended to abstain from eating and drinking for 8-12 hours prior to sedation.

Can you request to be sedated at the dentist?

Yes, you can request sedation. It usually can not be done the same day and requires some arrangement with a surgeon or dental anesthesiologist.

Do I need sedation for tooth extraction?

You do not need sedation. Extractions are performed under local anesthesia unless the patient specifically desires sedation.

Does sedation dentistry cost more?

There is an additional fee associated with the sedation. The fee varies on the duration and complexity of the procedure.

Can you feel anything under sedation?

Yes, that is why local anesthesia is used in tandem with sedation to relieve pain sensations. Sedation is not a pain reliever. It acts to minimize anxiety.

How does sedation dentistry work?

A consultation appointment is used to discuss sedation options and a subsequent appointment is scheduled for the actual procedure. When you present for the sedation appointment, an IV is placed and the sedative is administered. The procedure is completed and you are placed in a recovery room to have your vitals monitored. Once you are stable, you are escorted home to fully recover.

Is dental IV sedation safe?

Dental Sedation is safe with the proper anesthesiologist and with proper monitoring facilities.

How long after sedation can you drive?

You should abstain from driving till the next day. It takes time for the anesthetic to me removed from your system.

How long does dental sedation last?

The sedation can last as long as needed to complete the given procedure. The recovery can be several hours till the medication leaves your blood.

Is dental sedation safe?

Dental sedation is safe when proper pre-operative and post-operative monitoring is conducted.

What are the side effects of oral sedation?

The side effects of oral sedation include drowsiness, sluggishness, loss of memory during the procedure, slow reflexes, low blood pressure, headache and nausea.

How long does it take conscious sedation to wear off?

Depending on the level of sedation, it can takes several hours to pass completely through a patients system. To be sure, it is important to ask the treating dentist for specific post sedation timelines.

Is conscious sedation safer than general anesthesia?

Yes, conscious sedation is safer than general anesthesia because patients remain responsive and recover much faster.

What drugs are used for sedation?

Depending on the duration of the procedure, there are a variety of common sedative drugs which include ketamine, phenobarbital, lorazepam, propofol and fentanyl.

What is minimal sedation?

Minimal sedation is a level of anxiety relief where the majority of your senses are intact and you control your own breathing.

What kind of sedation is used for tooth extraction?

A wide range of sedation can be used for extractions ranging from oral sedation to general anesthesia.

What sedation is used for dentistry?

All forms of sedation are used in the field of dentistry. The type depends on the specific needs of the patient and the duration and complexity of the procedure.

What can I expect after sedation dentistry?

You can expect to feel nothing at all or sluggish , drowsy and possibly nauseous. Side effects vary depending on the type of medication used.

What should I do before dental sedation?

You should stop eating and drinking 8-12 hours prior to surgery. Get a good nights rest and organize someone to accompany you.

Will I feel any pain with dental sedation?

You may feel minor discomfort from the IV needle but otherwise there is no pain from the actual sedation.

Why no food or drink before IV sedation?

Food and drink are contraindicated 8-12 hours before anesthesia so the stomach remains empty. Any food in the stomach can come back up into the mouth and be aspirated into the lungs causing major problems and need for emergency care.

What Makes Our Office the Right Fit for Your Dental Needs?

Personalized Care

Dr. Chern will evaluate your dental health, working carefully with our team to diagnose the problem and recommend the best surgical treatment. We’ll create a treatment plan personalized just for you.

Comfortable Office

When you visit our Midtown East dentist office with surgical needs, we’ll help you feel calm, relaxed, and confident about your dental health future. Your comfort is our top priority.

Toothache causes New York General Dentistry

Health-First Approach

Using our advanced network of surgical specialists, we’ll ensure you get the highest quality care and amazing results. From start to finish, our attention to detail is unparalleled!

“There are many ways to achieve the smile of your dreams. Let’s talk about how we can make it happen.”

Meet With Dr. Chern &
Our Manhattan Team

New York General Dentistry was built on the foundation of genuine care for patients, their health, and our community. We’ll work with you each step of the way in your oral health journey. If your dental health requires surgical intervention, we’re here to help. To get started, we invite you to schedule an appointment with Dr. Chern by calling or filling out our online form.

Our New York City Office

Midtown East Manhattan

212.838.0842

150 E 58th St., 8th Floor Annex
New York, NY 10155
Get Directions

Hours:
Monday 8am – 7pm
Tuesday 8am – 5pm
Wednesday 8am – 5pm
Thursday 8am – 7pm
Friday 8am – 5pm
Learn More

Sundays – Available by request for special cases and dental emergencies

“One of the most wonderful dentists I have ever been to. Inna is kind, compassionate, and truly cares about her patients. I was always afraid of dentists until I met Inna. Highly recommend her for any dentistry needs – and if you would like your dentist to be your new best friend!”

– Abhi G.

Let’s Brighten Your Smile!

New York General Dentistry is always welcoming new patients to our Midtown East dentist office.

Feel free to send a text to (929) 244-8140 or call (212) 838-0842