Stress-free dental extractions with precision, specialty surgical care

“Extraction” in the dental world simply refers to removing a tooth. There are many reasons why a tooth may be removed. General dentists largely partner with patients to preserve natural teeth. Sometimes, a badly damaged tooth can present a threat to the health of the rest of the mouth and even the rest of the “system” (body). These dentists often turn to specialists like the Liberty Oral & Facial Surgery team in Post Falls, Idaho, and Spokane Valley, Washington. Our surgeons, Dr. Bryan McLelland,  and Dr. Brenen Olsen, lend considerable expertise in treating conditions affecting patients’ mouth, jaws, and face. And we also want to be your first choice for oral and maxillofacial surgery in the Inland Northwest. 

Candidates for tooth removal 

Generally, root canal therapy is considered the last resort to “save” a severely damaged or badly decayed tooth. Not all teeth are good candidates for nonsurgical root canal therapy. These teeth may be beyond repair. Some root canal-treated teeth may fail, and retreatment or other endodontic procedures to resolve damage at the tooth’s center may fall short of removing the infection and preserving the natural tooth. 

Sometimes, trauma to the tooth resulting from accidents or injuries to the mouth during sports can be irreparable. The tooth may not be appropriate for therapeutic procedures if it sustains some fractures that damage the roots or nerves. Conditions such as severe infections or abscesses may be accompanied by persistent painful toothaches and require emergency treatment. Without treatment, these infections can spread to other areas of the face and body. Systemic infections are a medical emergency. 

Removal of impacted wisdom teeth represents a common type of dental extraction. These third molars are generally the last teeth to develop in your mouth. They usually try to surface during a patient’s late teens or early adulthood (that phase when individuals are “gaining wisdom”). The problem with these teeth is that, by the time they attempt to erupt, there is little to no room left for them in the mouth to do so correctly. In turn, they may become impacted or partially or fully trapped under the gums or gums and bone. Since these teeth are vestigial structures that are unnecessary for healthy function, our specialists may recommend removal. We like to monitor the development of these teeth and make recommendations for removal before they cause intense pain and other life-altering symptoms or complications.

LESS PAIN, LESS OPIOIDS with Liberty Oral Surgery

LESS PAIN, LESS OPIOIDS with Liberty Oral Surgery
Reduce pain, swelling, and tenderness by 70-75% and lower opioId use when you get your teeth extracted at Liberty Oral Surgery. Watch this video with Dr. Bryan McLelland to learn all about it.

My name is Dr. Bryan McLelland, an oral and maxillofacial surgeon at Liberty Oral and Facial Surgery, in Post Falls, ID, and Spokane Valley, WA.

Today I would like to talk to you about the reduction in the use of narcotics and opioids after oral and maxillofacial surgery.

At Liberty Oral and Facial Surgery Dr. McClelland and Dr. Olson will use Exparel in addition to the regular dental local anesthetic.

How does it work?

The regular or typical dental local anesthetic is administered as usual, and then an ultra-long-lasting local called Exparel is given after the procedure.

Exparel is encapsulated Bupivacaine and I want you to think of it as a time-released local anesthetic.

After the regular dental local anesthetic wears off on that first day, a patient will experience 70 to 75% less pain, swelling, and tenderness by the use of this ultra-long-lasting local anesthetic

This also corresponds to reducing the consumption of narcotics or opioid pain medicine by the same amount.

At Liberty Oral and Facial Surgery, we use Exparel routinely on our patients to reduce the consumption of narcotics.

I’m very confident in stating that over our last three-plus years of use of this medication, there’s been a remarkable decrease in the number of narcotics consumed by our patients and the community.

We’re very proud at Liberty Oral and Facial Surgery to be the only practice we know of in this area that routinely administers Exparel to our patients.

This should help the average person decide where to go to receive their oral and maxillofacial surgery, including removing wisdom teeth and dental implants.

Seek prompt, specialty care 

There is no reason to “sit” on potential concerns. We use precision diagnostics and treatment technologies to remove teeth comfortably, predictably, and fast. Depending on if your tooth remains intact and is easy to access, our doctors may be able to loosen and lift the tooth from its socket gently. Badly broken or impacted teeth essentially require surgical extraction, but these procedures are also well-tolerated with pain-relieving medications and relaxing sedative options. We also provide detailed and clear instructions on preparing for treatment and how to care for the extraction site following your appointment. 

Call Liberty Oral & Facial Surgery Post Falls practice at (208) 264-4665 or our Spokane Valley practice at (509) 822-2774 without delay. We look forward to restoring your comfortable, happy, and healthy smile.