Extractions

A dental extraction is also referred to as tooth extraction, exodontia, exodontics, or informally, tooth pulling.

Extractions

Extractions could be categorized into non-surgical (simple) and surgical, depending on the type of tooth to be removed and other factors.

  • Extractions are performed for a wide variety of reasons, but most commonly to remove teeth that have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth (wisdom teeth that are stuck and unable to grow normally into the mouth) cause recurrent infections of the gum and may be removed when other conservative treatments have failed (cleaning, antibiotics, and operculectomy).
  • In orthodontics, if the teeth are crowded, healthy teeth may be extracted to create space so the rest of the teeth can be straightened.

Reasons for Pulling Teeth

  • A crowded mouth
  • Infection
  • Risk of infection
  • Periodontal (gum) disease
  • Orthodontic treatment
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Step One : Consultation

X-rays are being taken, treatment plan explained

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Step Two : Treatment

Your tooth (or teeth) are removed under a local anaesthetic. This completely blocks pain from your gums, although you may still feel pressure.

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Step Three : After tooth extraction

You will be sent you home to recover. It normally takes a few days. 

To reduce discomfort, the risk of infection, and speed your recovery:

  • Take painkillers as prescribed
  • Bite firmly but gently on the gauze pad placed by your dentist to reduce bleeding and allow a clot to form in the tooth socket. Change gauze pads before they become soaked with blood
  •  Otherwise, leave the pad in place for three to four hours after the extraction
  • Apply an ice bag to the affected area immediately after the procedure to keep down swelling. Apply ice for 10 minutes at a time.
  • Relax for at least 24 hours after the extraction. Limit activity for the next day or two
  • Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket
  • After 24 hours, rinse your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water
  • Do not drink from a straw for the first 24 hours
  • Do not smoke, which can inhibit healing
  • Eat soft foods, such as soup, pudding, and yoghurt one day after the extraction. Gradually add solid foods to your diet as the extraction site heals
  • When lying down, prop your head with pillows. Lying flat may prolong bleeding
  • Continue to brush and floss your teeth, and brush your tongue, but avoid the extraction site. 

Following the above will help prevent infection.

 

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