Tooth extractions: What to expect before, during and after | 2 min read

When saving a tooth isn’t an option

Even with modern dental advancements, sometimes a tooth can’t be saved. Severe decay, infection, overcrowding, or trauma may mean extraction is the best way to protect oral health. Though having a tooth pulled can feel daunting, it’s a routine, safe, and often necessary procedure.

Common reasons for removal:

Tooth extractions may be recommended in cases of:

  • Severe tooth decay or damage beyond repair.
  • Impacted wisdom teeth that cause pain or infection.
  • Orthodontic treatment requiring space in the mouth.
  • Advanced gum disease affecting the surrounding bone and tissue.
  • Fractured teeth or teeth broken at the gumline.
  • An infection or abscess that antibiotics can’t resolve.

Types of tooth extractions:

Simple extraction

This is performed on a visible tooth, often under local anaesthetic. The dentist loosens the tooth with a special instrument and removes it with forceps.

Surgical extraction

This is used for teeth that are not easily accessible, such as impacted wisdom teeth. It may involve cutting into the gum and removing bone to extract the tooth. Local anaesthesia or sedation is typically used.

What to expect during the procedure:

Before the extraction:

  • The dentist will review your medical history and X-rays.
  • Anaesthetic is administered to numb the area.
  • You may be given pre-op instructions (e.g., fasting if sedation is used).

During the extraction:

  • The dentist carefully loosens the tooth and removes it.
  • In some cases, stitches may be used to close the gum.
  • The procedure usually takes less than 45 minutes.

Immediate post-extraction care:

  • Bite gently on gauze to stop bleeding.
  • Apply an ice pack to reduce swelling.
  • Avoid rinsing, spitting, or using straws for 24 hours.

Ongoing healing tips

  • Stick to soft foods for a few days (yoghurt, mashed potatoes, soup).
  • Avoid smoking and strenuous activity.
  • Rinse gently with salt water after 24 hours to keep the area clean.
  • Take any prescribed antibiotics or pain relief medication as directed.

Healing generally takes 7 to 10 days. Contact your dentist if you experience severe pain, swelling, or signs of infection.

Replacing the missing tooth:

If the extracted tooth was a permanent one (other than a wisdom tooth), your dentist may recommend:

  • Dental implants
  • Bridges
  • Partial dentures

These options help restore your smile and maintain proper bite alignment.

Conclusion – A clear path to oral health

Tooth extractions, though sometimes necessary, can improve oral and overall health. Most people heal quickly and comfortably with the right care before and after the procedure. Always follow your dentist’s instructions and attend follow-up appointments.

If you are concerned about your oral health, find a dentist at Intercare and book a consultation online. 

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