Extractions
Safe and gentle tooth extractions
When and why you might need an extraction
In our dental office, we will always aim to preserve your natural teeth. However, there are times when a tooth may need to be extracted to protect your overall oral health. Common reasons include:
Severe Decay or Damage
When a tooth is extensively decayed or has broken down to the point where it can’t be restored with a filling, crown, or other treatment, extraction may be necessary. This helps prevent the spread of infection and allows us to discuss replacement options to restore function and appearance.
Crowding or Orthodontic Reasons
Sometimes, a tooth needs to be removed to make space for proper alignment of the remaining teeth. This is common in preparation for orthodontic treatment (like braces) or when extra teeth are preventing others from coming in properly.
Impacted or Problematic Wisdom Teeth
Wisdom teeth often become impacted, meaning they do not fully emerge or grow in at the right angle. This can cause pain, swelling, infection, or damage to nearby teeth. In these cases, we recommend extraction to avoid ongoing issues.
Infection That Can’t Be Resolved
If a tooth becomes infected and the infection has reached the nerve or surrounding bone, and a root canal is not possible or has failed, removing the tooth may be the safest solution. Leaving an infected tooth untreated can lead to more serious health risks.
What to do after an extraction
Bite on gauze firmly
Bite down gently but firmly on the gauze pad placed over the extraction site for 30–60 minutes to help stop bleeding and form a clot.
Rest and take it easy
Avoid strenuous activity for the first 24–48 hours. Rest with your head elevated to reduce bleeding and swelling.
Apply ice packs
Use an ice pack on your cheek near the extraction site for 15–20 minutes on and off for the first 24 hours to minimize swelling.
Take medications as prescribed
Use pain relievers and antibiotics as instructed by your dentist or oral surgeon.
Eat soft foods
Stick to soft, cool, or lukewarm foods like yogurt, mashed potatoes, soup, or smoothies (with a spoon) for the first couple of days.
Keep area clean
After 24 hours, you can gently rinse with warm salt water (½ tsp salt in a cup of water) a few times a day to keep the area clean.
Stay hydrated
Drink plenty of water throughout the day, but sip gently, and never using a straw, as this can cause a dry socket.
What you can't do after an extraction
Don't spit forcefully or rinse too soon
Avoid rinsing your mouth or spitting for the first 24 hours to protect the blood clot.
Avoid using straws
Sucking can dislodge the clot and lead to a painful condition called dry socket.
Avoid smoking or vaping
Smoking delays healing and significantly increases the risk of dry socket. Avoid for at least 3–5 days (ideally longer).
Don't drink alcohol or hot beverages
Alcohol can interact with medications and delay healing. Hot drinks can dissolve the clot.
Avoid touching the extraction site with your fingers or tongue
Disturbing the extraction site can interfere with healing or introduce bacteria.
Don't eat crunchy, hard or sticky foods
These can irritate the site or get lodged in the socket.
Try to not sneeze or blow your nose forcefully
Pressure can interfere with healing or affect the sinus area.
FAQ'S
1. Is tooth extraction painful?
No. The procedure is done under local anesthesia, so you won’t feel pain during the extraction—just some pressure. You may feel mild discomfort afterward, which is manageable with medication.
2. How should I prepare for the extraction?
Let us know about any medications you take and your medical history. Avoid eating for a few hours before the procedure if sedation will be used. Arrange for a ride home if you're receiving anesthesia.
3. Can I eat before the procedure?
Since you're only receiving local anesthesia, you may eat a light meal a few hours beforehand.
4. How long does the procedure take?
Most simple extractions take about 20–40 minutes. Surgical extractions (like wisdom teeth) may take longer depending on complexity.
5. What will I feel during the extraction?
You’ll feel pressure but no sharp pain. Your dentist will ensure you’re numb and comfortable before starting.
6. How long does it take to recover?
Initial healing usually takes 7–10 days, but full bone healing may take a few weeks. Most patients return to normal activities within a few days.
7. What is dry socket and how can I prevent it?
Dry socket happens when the blood clot at the extraction site is dislodged, exposing bone and nerves. It’s painful and delays healing. Avoid smoking, straws, and vigorous rinsing to lower your risk.
8. Can I brush my teeth after the procedure?
Yes, but avoid the extraction site for the first day. Resume gentle brushing the next day, and rinse with salt water—not mouthwash.
9. Do I need to come back for a follow-up?
In most cases, a follow-up isn't required unless stitches need removal or you experience complications. Always contact us if you have concerns.