Tooth Extractions | Montgomery AL
You and Dr. Nizam, Dr. Goehring or Dr. Jackson 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. Nizam, Goehring or Jackson will discuss alternatives to extractions as well as replacement of the extracted tooth.
The Tooth 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.
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.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
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.
After Tooth Extraction
Alabama Surgical Arts
Patient Review by Linda K
For over 20 years I suffered from periodontal disease and was a patient of a well respected Periodontal specialist in Philadelphia. During that time, the intent was to keep my teeth and gums as healthy as possible. Regularly scheduled deep cleaning worked. However, my doctor retired and the new staff had different ideas. The regularly scheduled deep cleaning was no longer an option, and within a couple of years my teeth deteriorated to the point where it was embarrassing to even smile. The new staff recommended extractions, at first only a few teeth. Ultimately, they planned to extract all my teeth and do implants. I agreed to have the first three teeth extracted. That was the beginning of a horrible time for me. After the extractions I bled profusely and was in a lot of pain. For two weeks I continued to bleed on and off. I was frightened ,I could not eat, and I was miserable. As time passed it didn't get much better, and I was not myself, as I was normally very outgoing and talkative, but now became very uncomfortable around people. The staff then recommended extracting the rest of my teeth and doing implants. But I was afraid of what might happen after the last experience. I thought, "if I bled so profusely from 3 extractions, how would my body react to all my teeth being extracted". The thoughts going through my head were all scary and uncertain. I sought out other opinions, but did not have a good feeling with anyone. Finally, in late 2016, I met with Dr. Sam Nizam. When we met, I immediately felt the connection, and I was comfortable. Dr. Sam listened to all my concerns attentively. I knew the qualities in a doctor that I was looking for and Dr. Sam had all of them. Dr. Sam sat me down and explained step by step what he recommended and how the procedures would be done. He was so calm and confident, and did not sugar coat anything. He explained that I needed 26 extractions, and why. He explained that I needed bone grafting for the implants to take, where he would need to do the grafting, and why. He explained that I needed a sinus lift, and where and why. Also, he showed me visually on the computer and pointed out exactly where my implants would be placed, to have the best chance of success. He explained how all procedures would be done at the same time. I was still nervous about the whole process, but I had total confidence in Dr. Sam and agreed to schedule it as soon as possible. It was February, 2018. I was in surgery for 5 1/2 hours. He performed all the work that he had explained to me. I went home, knowing I was in good hands and that I was going to be fine. But I was just a little nervous, thinking I might bleed. Dr. Sam prescribed pain killers, which I took that night and went to sleep. I awoke after a peaceful night sleep. My bleeding was the size of a dime!. I had minimal pain. I stopped taking the pain killers. I went back for a follow up. Dr. Sam was pleased with the results and so was I. No pain, no bleeding, the implants (all 11 of them) all took. I now have new teeth. I can smile again. I can speak without fear and embarrassment. At my daughter's wedding I was able to proudly smile and laugh all night! Dr. Sam gave me my life back! I am myself again! Thank you!! I will always be grateful to Dr. Sam for the incredible work he did, that now gives me the chance to enjoy life as I had not been able to do for so long. If I ever have a problem, even though I now live many states away in New Jersey, I would not hesitate to make the trip. I recommend Dr. Sam highly . He has been blessed with a tremendous talent and gift to help people. I wish him all the best,and pray that his success helps thousands more like me in the future.
- Linda K