What is Tooth Extraction?

Sometimes, a dentist can resolve the carious teeth problem through fillings, root canal treatment, crowns, etc. But when the damage to the tooth is major, such that tooth cannot be salvaged, then tooth extraction is the only solution. Tooth extraction is the removal of the tooth from its alveolar socket.

The most common reasons for tooth extraction are as follows:

  1. Crowded mouth:

    Dental braces treatment (orthodontic treatment) may require tooth extraction in order to make some space for alignment of rest of the teeth.

  2. Infection:

    When tooth decay becomes severe, the infection will enter the tooth pulp. Often, this can be treated by endodontic (root canal) treatment. However, if the tooth cannot be saved by root canal treatment also, then extraction becomes inevitable.

  3. Tooth injury:

    Any trauma due to sports or accident can lead to tooth crack. In such a situation if there is vertical fracture of tooth due to trauma or if the tooth cannot be salvaged by root canal treatment, the dentist will extract the tooth and give various options to replace the gap created by missing teeth.

  4. Impacted Wisdom tooth:

    In most people, impacted wisdom tooth mandates tooth extraction. Due to encroachment/lack of space in the jaw, the tooth may find it difficult to erupt. It will cause pain, infection or cause harm to the next tooth beside. Hence to save other teeth in the jaw line, impacted wisdom tooth should be removed at the earliest.

Expert's Opinions

  • Dr. Manan Dhulia Dental Director of Sabka dentist says “Tooth extraction should be done such that painless removal of tooth can be achieved with minimal trauma to investing tissues.”
  • Dr. Zita Antao Dental Director of Sabka dentist says “Common reasons for tooth extraction are excessive tooth decay, mobile teeth, orthodontic reason, etc.”
  • Dr. Preethi Nagarajan Dental Director of Sabka dentist says “Post - operative care after tooth extraction is essential. Gauze pad is placed over the affected area for a minimum 30 minutes to allow the blood to clot, taking prescribed medications, not spitting or using a straw to create negative pressure etc, are to be kept in mind.”

The tooth extraction procedure:

The dentist at Sabka Dentist will carry examination of your mouth and take the details about your medical history. You need to disclose to the dentist if you have any known medical allergies or any other treatment that you are undergoing. An X-ray will assist in thorough examination of the tooth condition. Once the checkup is done, they will give you an injection i.e local anesthesia (lignocaine) to numb the affected tooth and surrounding area. According to the tooth condition, there are two types of extraction that can be performed.
  1. Simple extractionThis is performed on a tooth that can be visibly seen in the mouth. General dentists commonly perform simple extractions. In a simple extraction, the dentist loosens the tooth with instruments like moons’ probe and elevator. Then the dentist finally uses forceps to remove the tooth.
  2. Surgical extractionThis is a more complex procedure, which is used if a tooth may have broken off at the gum line or is unerupted in the mouth or if the tooth is impacted. Oral maxillofacial surgeons usually perform this procedure, though general dentists may also perform disimpaction. A small surgical incision (cut) is made into your gum/gingiva to surgically remove the broken tooth or impacted wisdom tooth. It may become necessary to remove some of the bone surgically around the tooth after reflecting flap or to cut the tooth in half (hemisection) in order to extract it.
Most simple extractions can be done using just a local anaesthetic injection (a local anesthetic) in the majority of clinical cases. For a surgical extraction, you will receive a local anesthetic, and additional anesthesia through a vein (intravenous), if required. Some patients with specific medical background and history — may require general anesthesia. During a tooth extraction, you experience pressure, but no pain as such. If you feel any pain or pinching, tell your dentist as it can indicate that anaesthesia has not been effective or administered properly.

What are the possible side effects of Tooth Extraction?

There is no harmful side effect after the extraction. But you may find the below characteristics:
  1. Bleeding: Increased bleeding is a common after the extraction treatment. Avoid excessive spitting during this time as it will lead to dislodge of clot in the socket.
  2. Pain management: Pain after extraction is unavoidable. However, our dentist will prescribe antibiotics and NSAIDS to mitigate the pain and prevent infection. However, if you still have pain that is not bearable you should contact our dentist regarding this.
  3. Swelling: Swelling of your cheeks usually improves in two or three days. You can use an ice pack for the first few days followed by the warm pack later as directed by the dentist.,
Some Important tips to follow
  • Do not spit or use straw for 1- 3 days after extraction as it can displace the blood clot and result in dry socket.
  • Do not brush or rinse vigorously till 12 hours after the extraction is done.
  • Consumption of alcohol or caffeinated drinks for at least a week after the treatment is done should be avoided.
  • Do not eat any hard food. The difficulty while chewing makes the wound irritable leading to major pain.
  • The gauze pad should be kept at the site of extraction for 30 mins.
  • If stitches used are not dissolvable, then get it removed after 7 days.

When to call your dentist:

  1. When you experience any difficulty in breathing or swallowing.
  2. Excessive and continuous bleeding from the socket
  3. When you feel severe pain even after having the prescribed painkillers.
  4. If you find that swelling has not cured even after 2-3 days.
  5. When pus is exuding from the site of extracted area.

Replacement options after tooth extraction given by Sabka Dentist clinic

A gap will occur in place of missing tooth. There are several options available at Sabka Dentist to fill or occupy this site of gap, and the exact choice is agreed between dentist and patient considering several factors.
  1. Dental Bridge:A dental bridge is an artificial or a false prosthesis that is used to replace missing teeth or tooth. Dental bridge consists of pontic i.e. supported by the adjacent natural teeth. It is typically made from material like porcelain that goes along with the natural teeth shade. At Sabka Dentist, Dental bridge treatment is carried out to replace the missing teeth at an affordable price.
  2. Dental Implants:Dental implants are artificial tooth roots which serve as receptacle for replacing artificial tooth. In this procedure, the implant is inserted in the jaw bone and then an artificial tooth is placed on it
  3. Dentures:Compared to the above options denture is the less expensive option. It is a removable appliance fixed against the extracted tooth gap.

How to find a Dentist?

At all the Sabka dentist clinics, tooth extraction treatment is available. You can find the nearest clinic to your location on our website. Or you can call us directly to book an appointment. To know more about the cost of tooth extraction, please check here

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About Author

With extensive knowledge in dentistry, Dr. Manan Dhulia has experience over 9 years as a dentist. He has played varied roles in the Dental industry and keen a great interest in Implantology. Dr. Manan Dhulia is an expertise in Clinical Operations, Business development, and team management. With a brilliant personality, he drives the process flow, ground-level operations, and performance metrics for all units at Sabka Dentist.

Frequently Asked Questions

What should I inform my dentist before extraction?

One must inform their dentist about their past and present medical history, any immune system complications, ongoing medications and supplements. Conditions that will need to be carefully considered before extraction include Hypertension, Diabetes, Anticoagulant Use, Bleeding problems, Osteoporosis, Bisphosphonate Use, Birth Control Pills etc.

Do I have to remove my stitches?

After tooth extraction, the dentist will evaluate the need for stitches/sutures. There are two types of stitches/sutures. One should confirm the type of suture with the dentist, if used.
  • Non — absorbable sutures won’t degrade and will only reduce in strength over time. They have to be removed 7 – 10 days after the stitches were originally placed.
  • Resorbable sutures (plain gut/chromium gut) get resorbed and do not have to be removed. They may deteriorate over 8 – 15 days. But, it may take 70 – 90 days for them to be completely resorbed within tissues. Resorbed means that the suture material will be broken down and assimilated gradually.

What precautions should be taken after extraction?

Following care should be taken after extraction:-
  • Immediately after extraction, the dentist will cover the site of tooth extraction with gauze pack and ask you apply to bite pressure. This is done to allow the blood clot to form. Keep this gauze pack in your mouth for half an hour after the tooth extraction, to ensure clotting. One should keep applying moderate biting pressure, but not chew.
  • Bleeding for some time is expected, but if it is excessive, then do visit the dentist immediately.
  • Avoid spitting, vigorous rinsing and using a straw for next few days. These behaviors can create negative pressure that can dislodge the clot formed over the site of extraction, resulting in a painful condition called Dry Socket.
  • Have liquid and soft diet for following few days.
  • Swelling around the mouth is common. It may develop over first few hours after extraction. Ice pack should be used for the first few days to reduce the swelling.
  • After 24 hours, gently rinse and swish your mouth with lukewarm salt water.

What is Dry Socket?

If one experiences excruciating pain 3 – 4 days after tooth extraction, then you may have developed dry socket/alveolar osteitis. It occurs due to dislodgement of clot from the extraction site, thus exposing the nerve endings that results in intense pain. Bare bone may be visible in the socket in this case. Consult the dentist immediately who may pack the socket with medicated gauze to reduce the pain.

Root Canal Vs Extraction

Extraction is the last resort to any dental issue. If the natural tooth can be saved by root canal treatment, then extraction should be avoided.

Is Tooth Extraction painful?

During the extraction procedure, one should not feel anything more than pressure. Any pain should be informed to your dentist. Local anesthesia, if not administered properly, can result in pain. .

Do I have to take medications after extraction?

To resolve any pain, infection or inflammation, painkillers and antibiotics are prescribed after tooth extraction.

When will local anesthesia wear off?

The length of time that the local anesthetic takes to wear off depends on the type of anesthetic used to carry out the extraction procedure. It usually lasts for approximately 4 – 6 hours.