Information about Tooth Extraction
We Have to Know about the Tooth Extraction
- Tooth extraction is the removal of a tooth from its socket in the bone.
What is it used for
- If a tooth has been damaged by decay or a fracture your dentist will try to repair it and restore it with a filling, crown or other treatment. Sometimes, though, the damage is too extensive for the tooth to be repaired. This is the most common reason for extracting a tooth.
Here are other reasons for extraction:
- Some people have extra teeth that block other teeth from coming in.
- People undergoing orthodontic work may need teeth extracted to create place for the teeth that are being moved into place.
- People receiving radiation to the head and neck may need to have teeth in the field of radiation extracted.
- People receiving chemotherapy may develop infected teeth
- People receiving an organ transplant may need some teeth extracted if the teeth are at risk of becoming sources of infection after the transplant.
- Wisdom teeth, also called third molars, often are extracted either before or after they come in. They commonly come in during your late teen years or early twenties. Impacted teeth get stuck in the jaw and often need to be removed if they are decayed or cause pain. A wisdom tooth that has emerged partially may be blocked by other teeth or may not have enough room to come in completely. This can irritate the gum, causing pain and swelling, which requires the tooth to be removed.
How it is done:
There are two types of extractions:
- A simple extraction is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions, and most can be done under a local anesthetic.
- A surgical extraction involves teeth that cannot be seen easily in the mouth, either because they have broken off at the gum line or because they have not come in yet. Surgical extractions commonly are done by oral surgeons. They can be done with local anesthesia or conscious sedation. Patients with special medical conditions and young children may be given general anesthesia.
- If you need all four wisdom teeth removed, they usually are taken out at the same time. The top teeth usually are easier to remove than the lower ones.
Medical advice for Tooth Extraction
- Call your dentist or oral surgeon if the swelling gets worse instead of better, or you experience fever, chills or redness in the area. If you have an infection, your dentist usually will prescribe antibiotics.
- Also call your dentist or oral surgeon if the area of the extraction becomes very painful. If the area continues to bleed after the first 24 hours, notify your oral surgeon.
Self-care for Tooth Extraction
- So after an extraction, you’ll be asked to bite on a piece of gauze for about 20 to 30 minutes to put pressure on the area and allow the blood to clot. The area may still bleed minimally for the next 24 hours or so and taper off after that. Don’t disturb the clot that forms on the wound.
- Eat soft foods for a few days then try other food as you feel comfortable. Rinse with warm salt water (1/2 teaspoon of salt in a cup of water) for the first few days to help keep the area clean. Most swelling and bleeding ends within one or two days of the surgery. Overall healing takes between one and two weeks.
- You should not smoke, use a straw or spit after surgery. These actions can pull the blood clot out of the hole where the tooth was.