Tooth Extraction

Our dentist and team will do everything they can to save your tooth. However, it may occasionally become necessary to perform an extraction in order to protect the health of your remaining teeth. Removal of tooth will your gently as possible, and will provide you with appropriate instructions on how to care for the area following your procedure.

Although permanent teeth can last a lifetime, teeth that have become damaged or decayed may need to be removed or extracted. Before removing the tooth, our dentist will give you an injection of a local anaesthetic to numb the area where the tooth will be removed. If you are having more than one tooth extracted or a tooth is impacted, your dentist may use a general anaesthetic, this will prevent pain throughout your body and make you sleep through the procedure call Sedation Dentistry.

Instruction Before and After Tooth Removal

Eat only soft things the day of the tooth removal—fluids, milk, ice cream, puddings, etc. Starting the second day, you can start trying to eat other foods only if you feel up to it. The advice here is to listen to your body and not push yourself to eat things you don’t have the strength to chew.
After tooth removal you should be somewhat still, without strenuous activity, for about two hours. Don’t suck or spit, as this will inhibit the formation of a blood clot.
Expect your saliva to be tinged with blood for several hours. You should
follow the above instructions on how controlling bleeding and swelling
Follow correctly pain medication as instructed
If you continue to swell beyond the second day after extraction you should contact the dentist—you may have an infection.
A raised head keeps fluids from accumulating in the head area.
Keep the area of the tooth removal as clean as you can. You need to get rid of these food particles for proper healing
You will have pain and it may be hard to open your mouth very far. This is normal.Your pain should lessen and your ability to open your mouth should improve someeach day. If these things don’t get better, it could signal an infection and you shouldcall your dentist.

What to expect with tooth extraction

Dentists and oral surgeons (dentists with special training to perform tooth removal) perform tooth extractions. Before removing the tooth, your dentist will give you an injection of a local anaesthetic (or pain medicine) to numb the area where the tooth will be removed. If you are having more than one tooth extracted or a tooth is impacted, your dentist may use a general anaesthetic, this will prevent pain throughout your body and make you sleep through the procedure.

If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a tooth that is difficult to remove must be taken out in pieces.

Once the tooth has been extracted, a blood clot usually forms in the socket. The dentist will pack a gauze pad into the socket and get you to bite down on it to help stop the bleeding. Sometimes the dentist will place a few stitches — usually self-dissolving — to close the gum edges over the extraction site.

Sometimes, the blood clot in the socket breaks loose, exposing the socket – causing a painful condition called dry socket. If this happens, your dentist will probably place a special dressing over the socket for a few days to protect it as a new clot form.

INDICATION

A tooth that cannot be restored, because of severe caries
A mobile tooth with severe periodontal disease, pulp necrosis, or periapical abscess, for which root canal treatment is required that the patient cannot afford (or for which endodontic treatment failed)
Overcrowding of teeth in the dental arch, resulting in orthodontic deformity

CONTRAINDICATIONS:

Pregnancy
Area with an infection that has not been adequately
Under stabilization of the fractured bone, teeth trauma
Haemophiliac patients
Caution and extreme care are required before extraction in patients on long-term corticosteroids, immunosuppressant, or cancer chemotherapeutic agents.
Site exposed to radiation; if extraction is performed in the irradiated area, osteoradionecrosis results
Proximity to a malignancy; extraction in the area of malignancy may increase the chances of dissemination of malignancy.
Patients receiving such therapy results in osteochemonecrosis, brittleuncontrolled diabetes, end-stage renal and liver disease, uncontrolled leukaemia, lymphoma,
hypertension, cardiac dysrhythmias, and cerebrovascular accidents.

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Tooth Extraction