Procedure

Tooth Extraction- Dentistry

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Tooth extraction is simply the removal of tooth from its socket in the bone permanently.

Below are the two types of extraction procedures:

A simple extraction 

This procedure involves the removal of a tooth that is visible in the mouth.

A surgical extraction 

This procedure is done when the tooth become broken in the gum line and has not erupted in the mouth.

Why Is Tooth Extraction Required?

Tooth extraction is needed for repair of teeth that cannot be repaired by temporary dentistry.

Which Doctor to Consult?

If broken or damagde tooth cannot be repaired by fillings, crowns or other treatment, your dentists will suggest a tooth extraction. This is usually done at your dentist’s clinic; he or she will also explain to you about the procedure, its risks, as well as its after care.

What to expect during the procedure

Local anesthesia is needed before you may undergo tooth extraction. This will numb the mouth area as well as the area around the tooth to be extracted. Some may need general anesthesia, especially patients with behavioral problems and young children.

During a tooth extraction, you have to say to the dentist that you can no longer feel pain upon pinching the area where the tooth should be extracted. If you can still feel anything, tell your dentist to add more anesthesia.

Antibiotics may be prescribed by your dentist if:

  • You have infection at the time of the procedure
  • You have a weak immune system
  • You will have a long procedure
  • You have specific medical conditions

You will be advised to not to eat 6 hours before treatment. Make sure that you are accompanied by someone after the procedure.

Post-operative care

After the treatment, it is normal to experience mild discomfort. If you feel pain after your tooth is extracted, your dentist may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs).

Mild bleeding is also normal in the area where your tooth is taken out. Cotton balls can help prevent bleeding. If you worry about swelling, you can put ice packs into the affected side of the face to reduce it. If your jaw becomes sore or stiff, you may try warm compress.

After the procedure, only soft and cool foods are allowed for a few days. Avoid chewing on hard foods.

Gargling warm water with salt can help you after the procedure.

Complications

Complications that may rarely happen after a procedure:

  • A dry socket may develop after the treatment, which can cause pain, a bad odor or changes in taste
  • A fractured jaw caused by pressure
  • A hole in the sinus during removal of an upper back tooth (molar)
  • Accidental damage to nearby teeth, such as fracture of fillings or teeth
  • An incomplete extraction
  • Infection may also occur if you have a weak immune system during the procedure
  • Long-lasting numbness in the lower lip and chin
  • Soreness in the jaw muscles and/or jaw joint

References

  • Tooth Extraction: About Pulling Teeth, Risks | Colgate®. (2019). Retrieved from https://www.colgate.com/en-us/oral-health/procedures/tooth-removal/tooth-extraction
  • WebMD. (2019). Having a Tooth Pulled: What to Expect, Causes For Extraction, and More. Retrieved from https://www.webmd.com/oral-health/guide/pulling-a-tooth-tooth-extraction
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