Tooth Extraction

When do I need a dental extraction?

Tooth extractions are usually performed if the teeth are decayed. However, other conditions may also require tooth extractions, for example if there is an impacted wisdom tooth causing problems or during orthodontic procedures.

What can I expect?

Since it is impossible to remove the teeth without feeling pain, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. A stronger anesthetic can be used if the patient has a low tolerance for pain or if several teeth need to be removed. Additionally, some people may opt to have general anesthesia. This prevents pain in the whole body and during the procedure, you will be sleeping the whole time.

When the area is numb enough, the dentist will proceed to remove the teeth. Stitches may be necessary in some cases to help your gums heal. Additionally, the removed teeth may be replaced with implants, dentures or a bridge.

Lastly, your dentist will prescribe you painkillers and antibiotics.

What should I do after the extraction?

Your dentist will teach you the important after-care instructions following a tooth extraction. Among these instructions will be to:

Bite down gently on the cotton gauze pad placed over the wound to help stop the bleeding
Take painkillers and antibiotics
Rinse your mouth gently with warm saltwater several times a day to reduce swelling and relieve pain
Apply ice pack over the area
Change gauze pads regularly
Get adequate rest
Minimize exertion; this may cause bleeding
Avoid sucking actions, including drinking through a straw
Avoid smoking
Eat soft foods
Avoid carbonated drinks
Raise your head when lying down
Avoid touching or rubbing the area with your tongue
Brush teeth gently around the affected area

Why it is done

If tooth decay or an abscessed tooth is so severe that no other treatment will cure the infection, then removing the tooth is necessary. It should be done as soon as possible to avoid the spread of infection and more serious problems.