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Tooth extraction is the removal of a tooth from its socket in the bone. This happens when the tooth cannot be fixed.

If you are having wisdom teeth removed, you may have a panoramic X-ray. This X-ray takes a picture of all your teeth at once. As well as help plan the best way to remove the tooth. This X-ray can show several things that help to guide an extraction such as;

  • The relationship of your wisdom teeth to your other teeth
  • The upper teeth’s relationship to your sinuses
  • The lower teeth’s relationship to a nerve in the jawbone that gives feeling to the lower jaw, teeth, lip and chin.
  • Any infections, tumors or bone disease that may be present.


Some doctors prescribe antibiotics before and after surgery. This practice varies by the dentist or oral surgeon.
You may have intravenous anesthesia, which ranges from conscious sedation to general anesthesia. If so, your doctor will have given you instructions to follow. You should wear clothing with short sleeves. This allows access to an IV line. Don’t eat or drink anything for six or eight hours before the procedure.


Do not smoke on the day of surgery. This can increase the risk of a painful problem called dry socket.


Types of extractions:

  • General dentists can do simple extractions on visible teeth. Here the tooth is loosened. Then forceps are used to remove the tooth.
  • A surgical extraction is a more complex procedure. Used for broken teeth done by oral surgeons who makes a small incision into your gum. Sometimes it’s necessary to remove some of the bone around the tooth or to cut the tooth in half to extract it.


Most simple extractions use an injected a local anesthetic. You may or may not receive drugs to help you relax. patients with specific medical or behavioral conditions and young children may require general anesthesia.
If you are receiving conscious sedation, it may be steroids to help reduce swelling. This will also keep you pain-free after the procedure.
Expect to feel pressure, but no pain. If you feel any pain or pinching, tell your doctor.


Post Extraction

Infection can set in after an extraction.

After-care instructions provided by your dentists will speed recovery and avoid any complication. If you have any questions, make sure to ask them before you leave the office. These instructions may be;

You can expect mild discomfort after an extraction. Taking nonsteroidal anti-inflammatory drugs can decrease pain after a tooth extraction. These drugs include;

  • Ibuprofen
  • Advil
  • Motrin
  • and others.

Take the dose your dentist recommends.


A surgical extraction generally causes more pain and discomfort which lasts depending on how difficult it was to remove the tooth. Dentists may prescribe pain medicine for a few days. Most pain disappears after a couple of days.

The mouth tends to bleed more than a cut on the skin because it cannot dry out and form a scab. After an extraction, you’ll need to bite on a piece of gauze for 20 to 30 minutes. This pressure allows blood to clot you should not disturb the clot that forms on the wound.

Ice packs may reduce swelling used for 20 minutes at a time and remove for 20 more. If your jaw is sore and stiff after the swelling goes away, try warm compresses.

Eat soft and cool foods for a few days. Then try other food as you feel comfortable.
24 hours after surgery you can rinse with salt water to help keep the area clean. Half a teaspoon of salt in a cup of water reduces swelling and bleeding within a day or two after the surgery. Healing takes at least two weeks.

Stitches that dissolve on their own may be used. This usually takes one to two weeks. Rinsing with warm salt water will help the stitches to dissolve. Some stitches need removal by a dentist or surgeon.

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. Do not smoke on the day of surgery. Do not smoke for 24 to 72 hours after having a tooth extracted.


Dry Socket

A problem called a dry socket may develop. This occurs when a blood clot forms in the hole or the blood clot breaks off or down too early.

In a dry socket, exposure to air or food on the underlying bone can be very painful and cause a bad odor or taste. Dry sockets begin to cause pain the third day after surgery.

Smokers and women who take birth control pills are more likely to have a dry socket smoking on the day of surgery further increases the risk as well.


Tooth extraction may sound scary. Yet with today’s modern procedures and anesthesia, you have nothing to worry about. So make an appointment with us today and find out more about our procedures. Also about state of the art technology used to help provide you with the best smile.

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