What to Know About Tooth Extraction

December 12, 2019by Allen Fischer2
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A tooth extraction is the removal of a tooth from its socket in the jawbone. Dentists always try to save a tooth when they can, but sometimes extraction is the best way to protect your oral health and relieve pain. Knowing what to expect takes much of the worry out of it.

Why are teeth extracted?

  • Decay or fractures that are too advanced to repair
  • A tooth that has lost its support because of advanced gum disease
  • Root problems that have led to infection or a cyst
  • Impacted wisdom teeth or those without enough room
  • Making space during orthodontic treatment
  • A baby tooth that does not fall out and blocks the permanent tooth

What happens before the procedure?

Your dentist will examine you, review X-rays and ask about your medicines, allergies and general health. Tell them if you take blood thinners, bisphosphonates or any medicine that affects your immune system so the plan can be adjusted.

How is the extraction done?

  1. Numbing: a local anaesthetic is given. You should feel pressure but no pain.
  2. Loosening: the tooth is gently loosened in its socket with special instruments.
  3. Removal: the tooth is taken out. Impacted teeth may need the gum to be opened and the tooth removed in sections.
  4. Cleaning and closing: the socket is cleaned, stitches are placed if needed and gauze is used to control bleeding.

The first days afterwards

  • Bite on the gauze for as long as your dentist recommends.
  • For the first 24 hours avoid rinsing, spitting hard, drinking through a straw and smoking.
  • Apply a cold pack to your cheek on and off to reduce swelling.
  • Choose soft, lukewarm food for a few days and chew on the other side.
  • Keep brushing the rest of your teeth, but keep the brush away from the wound.
  • Take any prescribed medicine as directed.

When to call your dentist

Contact your dentist promptly if pain gets worse instead of better (especially around day three to five), if you notice a bad smell or taste, if bleeding does not stop, or if you develop a fever or increasing facial swelling. These can be signs of dry socket or infection.

What about the gap?

Planning a replacement for the missing tooth matters for the health of your jawbone and neighbouring teeth. Implants, bridges and dentures can all be discussed after your examination.

Appointments and questions: you can contact us or call +90 533 300 71 41.

This article is for general information only. For a diagnosis and treatment plan that fits you, please see your dentist.

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