Tooth extraction involves removing a tooth from its socket in the jawbone. Before your dentist considers extraction, every effort will be made to try to repair your tooth.
The two types of extractions
- Simple Extractions : Performed when teeth are visible in the mouth, easy to access and usually done under local anesthetic with/without antianxiety medication or sedation.
- Surgical Extractions : Performed when teeth are not easily visible, accessible , broken off at the gumline or partially erupted. Involves lifting and folding back gum tissue to expose tooth ,bone removal and breaking the tooth into pieces ( tooth sectioning) . Procedure may be done under local anesthetic , general anesthetic or via conscious sedation.
- Dentist will give you a piece of gauze to bite on for 45 mins to put pressure on area and allows blood to clot.
- Cold Compresses or ice packs to help reduce swelling
- Sleeping with head elevated with extra pillows to relieve pressure on the jaw.
- OTC pain reliever (eg. Ibuprofen )
- Do NOT rinse mouth for the first 24 hours immediately following treatment .
- Stick to soft or liquid diet for 48 hours after extraction and chew using teeth far from the extraction site.
- Brush and floss other teeth as usual, but avoid teeth and gums next to extraction socket.
- After the first 24 hours, for at least five days, gently rinse the socket with warm salt water ( 1/2 teaspoon in 1 cup) after meals and before bed.
Wisdom teeth removal
Our third molars, known as ‘wisdom teeth’ are prone to problems since they are the last to erupt (come through) and usually there is not enough space left in the mouth. As a result, they can erupt sideways, partially or become trapped (impacted) and this can lead to pain, infection and facial swelling.
Often, the best remedy for impacted or poorly positioned wisdom teeth is extraction (removal). Wisdom teeth removal is a fairly common oral surgery, often performed by an oral surgeon, although some general dentists do have the skills required to remove wisdom teeth.