In the past, teeth were extracted routinely due to dental problems. These days, teeth are extracted less frequently due to advances in dentistry and the focus on preventative and operative dentistry.
Teeth may be extracted for various reasons;
- Extensive damage to a tooth which is badly broken down from decay or trauma
- Periodontal disease where the supporting tissues have lost their strength
- As part of orthodontic treatment where overcrowding necessitates extraction
- Vertical cracks in teeth where repair is impossible
- Impacted teeth and Wisdom teeth where they cannot erupt in function
Before a dental extraction, it is common for us to obtain an x-ray of the roots of the tooth. This allows us to plan the safest way to extract the tooth and also allows us to visualize any other structures that may relate to the root. e.g sinuses or nerves.
A routine extraction is usually completed with the use of local anaesthesia. For more involved extraction procedures we may suggest the use of conscious sedation (gas) or a general anesthetic.
Care after extraction
Keep firm pressure on the padding placed over the site for at least 30 minutes and then discard the packing.
Avoid anything too hot or cold for the rest of the day.
If there is persistent bleeding from the site, place a clean gauze pack on the site and bite firmly for another 20 minutes.
Avoid Smoking, Alcohol or strenuous activity for 3 days
The area may be uncomfortable for 7-10 days. For this period, take paracetemol or nurofen as required respecting the recommended dosage. Your dentist may prescribe stronger pain relief if it is warranted.
If excessive bleeding or pain continues/if there is fever or swelling/ or if you have any concerns, please do not hesitate to call us.
Eat soft foods for 48 hours on the side opposite to the extraction and do not rinse the area for 24 hours. After 24 hours, rinse gently with warm salty water for a further 2 weeks.