Tooth Extraction

When something is difficult, we usually say it’s like pulling teeth — but in reality, tooth extraction is a routine procedure that helps prevent more serious dental problems. The most commonly needed extractions are usually wisdom teeth, but dentists may also remove a tooth if it’s coming in at an angle, threatening the position of other healthy teeth or contributing to overcrowding in the mouth.

In some cases, a broken tooth may also need to be extracted, as well as teeth with significant decay that cannot be treated by a root canal. Patients with advanced gum disease may be considered for an extraction as well. In the end, removing one potentially harmful tooth can often spare you hours of future treatment.

Getting Ready

During your appointment, your dentist will typically use an X-ray to determine if an extraction is necessary. You’ll also be asked to go over your dental history, including any past problems with extractions, current medications and medical conditions. Be sure to be detailed and include any information that may be relevant.

What to Expect When You’re Extracting

To begin, you’ll receive a local anesthetic to numb the tooth, jawbone and surrounding gums. Your dentist, or in some cases an oral surgeon, will begin to rock the tooth back and forth and rotate it to widen the socket for easier extraction. Because your pain receptors have been numbed, you’ll sense some dull pressure during this process, but shouldn’t feel any pain. When the tooth is fully detached, your dentist will remove it and cover the exposed gum with a small piece of gauze.

Take Care

After your extraction, your dentist or hygienist will explain how to ensure that you heal properly. In most cases, they will advise you to bite gently on your gauze for 30 minutes to an hour. It’s important that you follow their instructions exactly to avoid any further complications. Generally, these instructions will include:

- Applying ice to the jaw area if you experience swelling
- Continuing to brush, but avoiding the area surrounding the extraction
- Gently rinsing your mouth with water
- Taking an antibiotic or pain reliever, if needed
- Avoiding smoking or using a straw for at least 24 hours

You may also be advised to stay away from certain foods and any strenuous activity for the first few days. When cared for properly, your mouth should heal quickly, but contact your dental office if you feel any prolonged pain.

It may be hard to believe that one little tooth can make such a big difference, but getting a simple tooth extraction can help ensure that your teeth stay healthy, evenly spaced and toothache-free.