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Dental Extraction – What is It?

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Tooth extraction is the removal of a tooth from its bone socket.

When will it be completed?

In the case of a broken tooth or a damaged or rotting tooth, a dentist will first attempt to repair it with choices such as crowning, filling, or other similar treatments. Because of the severity of the damage to the tooth, these therapies may not always be effective. In such instances, extraction is the last line of defence.

The following are the reasons:

  • Some people frequently have an extra tooth that prevents other teeth from coming in.
  • It is frequently necessary for people wearing braces to allow space for teeth that need to be shifted into the proper position.
  • People who receive radiation on their neck and head may need to have their teeth extracted if they are in the radiation field.
  • People who are taking cancer medications may develop tooth infection. These medications are quite potent, and they impair the general immune system, increasing the risk of infection. Any affected teeth may require extraction.

People who have had an organ transplant may also require tooth extraction because the teeth can be a source of infection after the transplant. People who have had organ transplants are at risk of infection because they must take medicines to weaken their immune systems.

Wisdom teeth, also known as third molars, are frequently extracted.


You will be questioned about your past medical history as well as your dental history. The dentist will take an X-ray of the problematic area in order to plan the optimum way of tooth removal.

Some healthcare providers may recommend antibiotics to be taken before and after surgery. This practise is usually dictated by the dentist or oral surgeon you consult.

Wear short-sleeved or sleeveless clothing that can be readily rolled up if you are prepared for conscious sedation or deeper anaesthesia. This enables for easy access to the intravenous (IV) line, which must be inserted into your vein.

You will also be instructed not to eat or drink anything for at least 6 to 8 hours before to the surgery. You should also have someone at your side who will drive you home following the medical procedure.

How does it work?

There are two kinds of extractions:

A simple extraction method can be observed in your mouth and executed on a tooth. Simple extractions are preferred by general dentists. The majority of these procedures are performed with the assistance of a local anaesthetic injection, with or without the use of an anti-anxiety medication. In the instance of a straightforward extraction, a dentist will grasp the damaged tooth with a set of forceps and loosen it by moving the forceps back and forth. The tooth will then be extracted. The dentist may also employ a dental ‘elevator’ to slacken the tooth in specific circumstances. An elevator is a dental device that is designed to fit between the tooth and the gum.

If the teeth cannot be seen, surgical extraction is required. These teeth may not have yet emerged or may have broken off in such a way that half of the tooth stays below the gum line. To see and remove such a tooth, the dentist or oral surgeon must first cut and then draw the gums back. When the gun’s “flap” is pulled back, access is gained to extract the bone and/or tooth fragment that has remained inside.

Oral surgeons typically perform surgical extraction procedures. Local anaesthetic (injections) is used for these procedures, and you can alternatively choose conscious sedation. Patients with medical issues, as well as youngsters, are sedated. In order to find the tooth during a surgical extraction, the dentist must make an incision in the gum. In severe circumstances, the tooth will be chopped into pieces and subsequently extracted.

If you are having a tooth extracted while under conscious sedation, you may be given steroids through an IV line to help reduce swelling after the procedure.

If you need all four wisdom teeth out, you must do so at the same time. The uppermost teeth are easy to remove, while the lower ones may be more challenging.


Simple extractions are rarely accompanied by any further discomfort. You can use nonsteroidal anti-inflammatory medicines (NSAIDs) like Ibuprofen (Advil, Morton, and other brands) for a few days. You may not need to use any pain relievers at all.

Because surgical extractions are so difficult, they result in excruciating discomfort thereafter. The aftereffect of such a process is discomfort, and the length of the teat stage is determined by the intensity of the extraction procedure. Your dentist will almost certainly prescribe pain relievers for a few days, followed by an NSAID. The pain will be gone in a few of days.

Incise within the mouth typically bleeds more than incise on the skin’s surface because it does not have the opportunity to dry out, resulting in the creation of a scab. Following your extraction, you will be required to bite a piece of gauze for up to 30 minutes in order to provide pressure to the site and facilitate blood clotting. It could bleed for another 24 hours before stopping. Remove the cloth that is covering the wound.

To reduce swelling after surgery, use cold packs to the face. After one or two days, the bleeding and swelling stop. The initial healing process will take roughly two weeks.

You should not spit, use a straw, or smoke after surgery. Such movements can cause a blood clot to form and pull the tooth out of its socket. This would result in additional bleeding and, in some circumstances, dryness of the socket, which occurs in roughly 3 to 4% of extraction cases. When an impacted tooth is extracted, dry socket occurs in almost 20 to 30 percent of cases. It primarily affects smokers and women who use birth control pills. It is usually expected during tough extractions.


Infections can occur following the extraction process, but if you have a robust immune system, you may not become sick.

Dry socket is a very typical problem that occurs after an extraction. It happens when there is no blot clot development in the hole or when the clot breaks down too soon.

In the case of a dry socket, the bone beneath the wound is accessible to food and air. This is quite uncomfortable and can also result in foul breath and taste. In such circumstances, prompt treatment and medicated dressing are required to alleviate discomfort and promote rapid recovery.

Other potential issues include:

A fracture, for example, could be the result of an unintentional source affecting the teeth near the site of surgery.

An incomplete extraction occurs when a portion of the tooth remains inside the jaw. A dentist removes the root to prevent infection, although it is sometimes safe to leave a little tip of the root inside.

A fractured jaw is caused by the pressure applied to your jaw during the extraction process. This is especially likely to affect elderly adults who have osteoporosis.

A hole in your sinus caused by the removal of a molar (upper back tooth). A little hole that closes on its own after a few weeks. If it does not, additional operation may be required.

Muscle or joint pain in the jaw. You may be unable to open your mouth wide. This is caused by the injections.

Numbness in the chin and lower lips that persists. Numbness can be caused by any trauma or injury to the inferior alveolar nerve. This occurs during the extraction of lower wisdom teeth. This wound takes about 3 to 6 months to heal completely. The numbness may be persistent in certain rare circumstances.

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