The whole process may seem complicated and intimidating, but in truth, the basics of the extraction remain the same regardless of if it’s something straightforward or more complex.
Step One: Assessment
Prior to any tooth extraction, you will have had a series of scans done (likely X rays OPG or digital scans) of the impacted area and surrounding jawbone. This helps give your dentist a comprehensive view to determine your best options for treatment.
We’ll examine your affected tooth and talk with you about whether having the tooth pulled is the best course of action. As a rule, we extract the tooth as a last resort.
Step Two: Anaesthetic and Pain Management
When it comes to tooth extraction, anaesthesia plays a key role in making the experience as comfortable as possible. A shot of anaesthetic is given for the tooth, gum and bone tissue surrounding it, so you should expect to feel a bite from the needle. However, how much you feel largely depends on the type of anaesthetic used.
Generally, numbness on and around the anaesthetised area can be achieved through local anaesthetic, which means only a small part – such as the single tooth or adjacent gum tissue – will be affected. This level of anaesthesia is typically sufficient for treating most dental conditions.
Step Three: Extraction
The tooth is loosened from its socket using special tools; ‘extraction forceps’ are used to grip and remove the tooth, instruments called ‘dental elevators’ can be used to widen the socket, allowing for easier access, while ‘periotomes’ help to lessen the trauma to the surrounding alveolar bone during the extraction.
These specialist tools help to loosen the tooth from its socket, release it from its ligament attachments and reduce stress on other teeth. Finally, with a combination of gentle suction and pressure, the tooth is removed from your mouth. This entire process takes only a few minutes and is done quickly with minimal discomfort or risk.
Step Four: Post-Surgery Assessment and Care
After the procedure, we assess the tooth socket, underlying bone, and surrounding gum tissue for any further infection, remove any harmful bacteria and ensure no remaining fragments. At this stage, we may perform a bone graft if indicated.
Simple extractions might not need sutures, however surgical extractions may. A gauze pad may be applied to bite pressure on and help stop bleeding at the extraction point and provide comfort during recovery time.
Although it might seem daunting at first, it’s important to remember that extractions are an effective way to help you maintain your oral health if needed.
Our goal is always to make sure you’re as comfortable as possible, so please don’t hesitate to ask any questions you may have about the tooth extraction process.