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Tooth extraction are routine dental procedures that remove decayed, damaged or otherwise problematic teeth. We at Therapeuo usually make every effort to preserve natural teeth, although sometimes a dental extraction is necessary. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic by our restorative dentist or prosthetic dentist (prosthodontist).
Although many circumstances requiring extraction are unavoidable, some could be prevented with regular dental checks and clean-up visits to our dental clinic.
Before scheduling the procedure, our oral surgeon (dentist trained specially to remove teeth and carry out other dental surgical procedures) will take an X-ray of your tooth. Be sure to tell our dental surgeon about any medications you take, as well as vitamins, supplements, and over-the-counter drugs.
Please do tell our surgeon if you will soon be treated for another medical condition with an intravenous drug called a bisphosphonate. If so, the extraction should be done before the drug treatment, or your jaw could be at risk for osteonecrosis (bone death).
At Therapeuo we always want to make sure all your health conditions are stable or treated before you undergo the tooth extraction.
Only we as dental professionals can tell you if you require a tooth extraction. However, you may be a candidate for the procedure if one or more of your teeth are decayed so severely that a tooth coloured filling, root canal treatment or other restoration is not a possibility for treatment.
If we agree to extract one or more teeth, you will be scheduled to return for oral surgery at a later date.
Before starting the dental extraction, the dental surgeon will take an X-ray of your tooth. This imaging will help them evaluate the curvature and angle of the tooth’s root.
Once the local anesthetic has numbed the area, the surgeon will begin the extraction. They may remove the tooth in several pieces.
If the tooth is concealed beneath gum tissue or bone, the doctor may need to cut away the gum or remove the obstructing area of bone.
You should not feel pain (pain free treatment), but you can expect to feel pressure against the tooth. You may also hear grinding and cracking of bone or teeth. Some people find the experience unpleasant and distressing but there is no need to fret as you are in good hands.
If you do feel any pain, please notify our dentist or oral surgeon immediately. The doctor will administer more numbing agent.
After the extraction, stitches or additional procedures to control the bleeding in the missing tooth area may be necessary.
The dentist or oral surgeon will place a thick layer of gauze over the extraction site and have you bite on it to absorb the blood and start the clotting process. You may be prescribed medications to help manage pain in the hours following your extraction.
Aftercare for an extracted tooth can vary slightly depending on a few factors.
These include which tooth our dental surgeon took out, as some teeth have deeper roots than others and take longer to heal. However, most people find that pain decreases after about 3 days.
One of the most important aspects of aftercare is maintaining the blood clot that forms in the socket where the tooth used to be.
Caring for this blood clot is key to the healing process, and it helps prevent painful complications, such as dry socket.
Much of the aftercare in the first couple of days following an extraction focuses on allowing a blood clot to form and caring for the mouth in general.
As some experts note, low level bleeding for up to 24 hours after an extraction is perfectly normal. However, active bleeding after this point requires treatment and you should notify us immediately of the same.
The extraction socket in the area of the missing tooth may bleed for a few days. Please come and see us if the bleeding is heavy and doesn't stop.
You will be instructed to avoid certain foods and also keep the surgical site clean at all times.
A person should try to eat soft foods while recovering from tooth extraction.
After the clot has formed, it is vital to keep it securely in place and to follow some extra steps for oral hygiene to help prevent other issues.
Discomfort or dental pain in the extraction site is common and lasts for a few days. Most pain disappears 2-3 days after the procedure. Most healthy people don't need antibiotics after a regular tooth extraction.