Tooth Extraction

Tooth extraction is a dental procedure in which your tooth is completely removed from its socket after first loosening the tissues attached to your tooth. Extraction may be indicated in conjunction with other dental treatment like braces, if your tooth is extensively decayed, fractured beyond repair, or impacted. There are 2 methods of tooth extraction, namely, simple tooth extraction and surgical tooth extraction.

Things you need to know

Simple Tooth Extraction

Simple tooth extraction is performed on teeth that are visible in the mouth. Topical and/or local anaesthetic applied via a small injection will numb the gums prior to the procedure. The dentist will then loosen the tooth from its surrounding tissues and remove the tooth from its socket with extraction forceps.

Surgical tooth extraction

Surgical tooth extraction is a slightly more complex procedure that involves placing an incision in the soft tissue surrounding the tooth. This procedure is usually done if your tooth is not visible in the mouth, situated deep within the gums or if your tooth is impacted and buried beneath the gums.

  1. Impacted wisdom tooth 
  2. Grossly decayed tooth
  3. Tooth affected by advanced gum disease
  4. Tooth with failed endodontic treatment
  5. Space creation for orthodontic treatment

For a simple tooth extraction, primary wound healing would be observed within 2 to 3 days. For a surgical tooth extraction, primary wound healing will take place within 7 to 10 days. Any stitches placed would be removed after this time and thereafter, it would take around 8-10 weeks for the socket to fully recover.

  • Post-surgical infection
  • Dry socket
  • Nerve injury
  • Delayed wound healing
  • Here are some post-operative instructions that you may be advised to follow

    • Do not spit or rinse for at least 24 hours
    • Consume soft, cold, and soothing food after the procedure
    • Avoid drinking alcohol as it dries up the socket and prevents blood clot formation
    • Avoid smoking
    • Avoid eating hot and spicy food
    • Avoid eating sticky and hard food that might get trapped in the extraction socket
    • Rest well for the day
    • Brush gently with a soft-bristled toothbrush
    • Mouthwash can be used from the 2nd day onwards
    • Take the medications as prescribed, including over-the-counter painkillers, and complete the course of antibiotics if any
    • Avoid strenuous activity that increases the blood pressure and heart rate for at least 2-3 days which may induce the onset of bleeding

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