Tooth Extractions

Tooth Extractions

Tooth Extractions

Losing a tooth is never fun, but unfortunately, it’s sometimes necessary.

The good news is that modern dentistry has come a long way, and extractions are now quick and relatively painless.

A tooth extraction may be indicated for several reasons, including decay, infection, crowding, or trauma.  Whether you need a tooth extraction for dental care or pain relief, we’ll be able to assess your individual situation and help you decide if an extraction is necessary and if it is the best option for you.

We understand that extractions can be stressful and unsettling for many patients. We’ll do everything possible to make it as comfortable and stress-free for you as possible. 

Regardless of whether it’s wisdom teeth or any other type of extraction, we always aim to ensure that any tooth extraction procedure is handled with the utmost care and attention.

It’s the Dental Care you Deserve

Common Reasons for a Tooth Extraction

Tooth extractions are a common procedure performed by dentists. There are a number of reasons that a tooth extraction may be indicated. Following are a few of the more common reasons:

Wisdom Teeth

Wisdom teeth extractions are arguably the most common dental extraction. Removal is indicated when there is an impacted wisdom tooth that is causing pain and discomfort. Impacted teeth can quickly cause further infection, decay of adjacent teeth and bruising. Read more about fillings here.

Dr Summer with her young patient for some Children’s Dental services

Tooth Decay, Infection or Trauma

Another common reason is to relieve pain caused by tooth decay or a tooth infection, or where the tooth has become too severely damaged by dental trauma. Injury to the teeth and its associated periodontal ligament, gums, and alveolar bone can lead to complications if not treated.

Overcrowding

Crowded teeth can increase the risk of infection, gum disease, tooth decay and pain. This can cause dental problems, so extracting one or more teeth may be necessary. Commonly this extraction occurs prior to an orthodontist visit.

Alternative to Root Canal

A tooth extraction may be an alternative to a root canal. This is often the case when there is a risk of infection, or the tooth is too damaged to be saved.

Tooth Fragment Removal

Removal of broken teeth. We also offer tooth fragment removal services. This procedure is typically performed after a tooth has been broken or fractured.

Dr George Lathouras in a Tooth Extractions consultation

Pre-Dental Implant or Bridge

Finally, a tooth extraction procedure (along with a dental bone graft) may be done before other replacement options, such as a precursor to dental implants or dental bridges or when bone loss affects the surrounding teeth.

Whatever the reason, tooth extraction is a relatively simple and straightforward procedure that can provide relief from pain and improve your oral health.

Types of Tooth Removal Procedures

Simple Extraction

A simple extraction is a fairly simple and straightforward process. This type of extraction is typically done when there is still part of the tooth visible above the gum line. With a simple extraction, pain can be managed with local anaesthesia. It involves loosening the tooth with a simple tool until it can easily be removed from its socket in your jawbone. A simple extraction generally takes about 10 minutes or less to complete.

Surgical Extraction

A surgical extraction involves more complex dental tools and a more complex dental procedure. A surgical procedure can be necessary if the tooth has not erupted in the mouth or has become damaged or fractured near the gum line. In such cases, your oral surgeon will typically make a small incision in the gum to access and remove the impacted wisdom tooth or broken tooth. All efforts are taken to minimise discomfort during and after the surgery.

Whether simple or surgical, an extraction can help preserve your oral health and improve your smile’s appearance.

What to Expect During a Tooth Extraction Procedure

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.

Caring for your Extraction Site Post-Surgery

Thankfully, if your tooth extraction was due to a toothache, you’ll notice immediate relief from that pain, however, even a simple extraction site needs some extra care to heal quickly so you can get back to your everyday life sooner.

  • After teeth have been removed, it’s important to take some time to rest and recover. 
  • We’ll send you home with personalised and detailed post-operative care instructions to help minimise any discomfort. 
  • Avoid smoking, alcohol, drinking from straws, and eating hard or crunchy foods. 
  • We recommend you eat soft foods such as soup, pudding, and mashed potatoes. 
  • And be sure to brush and floss carefully around the extraction site. With a little care, you’ll be feeling back to normal in no time.
  • You may experience some soreness and post-operative swelling after the anaesthetic wears off, but this is normal. It can be treated with over-the-counter pain medication.

In most cases, tooth extraction procedures are fairly straightforward with minimal complications. However, if you have any concerns or experience any unusual symptoms or severe pain after your tooth is extracted, be sure to contact us right away.

Replacing the Extracted Tooth

After your tooth extraction, we may recommend replacing it. This is because missing teeth can cause a number of problems, including gum disease, decay, and bone loss. The good news is that there are dental procedures that can help. We may recommend a bone graft to support a future dental implant.

Ultimately, the best option for replacing a missing tooth is the one that’s best for your individual situation. So be sure to ask us about the options available to restore your brightest smile.

Frequently Asked Questions

Prolonged bleeding is one sign to be mindful of; if the bleeding doesn’t stop four hours after the procedure, tell your dentist right away. You should also tell us if there are any signs of infection, such as fever and chills or vomiting or severe nausea.

The extraction site may be vulnerable to infection. Usually this will present as swelling, pain or bleeding. 

Additionally, pay attention to how much pain you are in by taking note of how long it takes before taking pain medication again and how often. Contact us if the pain worsens or it’s difficult to eat or swallow.

Additionally, dry socket is a complication that can cause additional pain and increased risk of infection.

Dry socket is often a complication of tooth extraction and is caused by blood clots formed in the socket or dislodged in an extraction site. When this happens, bones and nerve cells are exposed to air and nutrients. Dry socket often appears a few days after wisdom teeth or tooth extractions and is indicated by an unpleasant smell or taste.

Both simple and surgical extractions require local anaesthesia — this numbs the area so you won’t experience pain or discomfort during the tooth removal procedure. Afterward, your dentist may provide additional instructions to ensure your extraction heals properly and quickly. Rest assured that whatever type of extraction you need, your dentist is on hand to ensure the process goes smoothly and without hassle. ​

Get the dental care you deserve.

Book an appointment online with our dentists today.