Tooth Extraction

The Last Resort in Dental Health: What Is Tooth Extraction?
Tooth extraction is the process of removing a tooth from the mouth, either surgically or simply, when it can no longer remain healthy due to decay, trauma, infection, or lack of space. Although modern dentistry prioritizes preserving the natural tooth, extraction becomes inevitable in some cases.

When performed correctly and under sterile conditions, tooth extraction is a safe and quick procedure that protects the patient’s overall health and prepares the mouth for future treatments.

When Should a Tooth Be Extracted?

• Advanced tooth decay that cannot be treated

• Fractured or cracked teeth (especially below the gum line)

• Teeth loosened by gum disease and bone loss

• Extractions for orthodontic preparation

• Impacted or partially erupted wisdom teeth

• Cysts, abscesses, or infections at the root area

• Irreversible trauma to the tooth

How Is Tooth Extraction Performed?
There are two main types of extraction:

1. Simple Extraction:
   Used for visible teeth that are easy to access. Performed under local anesthesia, the tooth is loosened and removed with special instruments.

2. Surgical Extraction:
   Used for impacted or broken teeth. The gum is opened and, if necessary, some bone tissue is removed. The area is cleaned and sutured afterward.

Both methods are painless during the procedure, and with proper aftercare, recovery is usually smooth.

Post-Extraction Care Instructions

• Do not rinse or spit for 24 hours

• Avoid eating or drinking for the first 2 hours

• Stay away from hot food and beverages for 24 hours

• Do not smoke or consume alcohol

• Apply pressure with a gauze pad for 30 minutes

• Use cold compresses to reduce swelling

• Maintain oral hygiene but avoid brushing the extraction site aggressively

• Take antibiotics or painkillers if prescribed

What Happens After a Tooth Is Extracted?
If the missing tooth is not replaced, the neighboring teeth may shift toward the empty space, leading to:

• Crooked teeth

• Chewing difficulties

• Aesthetic issues

• Jaw joint imbalance

• Bite misalignment

Therefore, options such as implants, bridges, or dentures should be considered after extraction.

Frequently Asked Questions

1. Does tooth extraction hurt?
   No. Local anesthesia prevents pain during the procedure. Mild discomfort afterward can be managed with medication.

2. How long does bleeding last?
   Minor oozing may continue for a few hours. If bleeding persists beyond 24 hours, contact your dentist.

3. Can I smoke after extraction?
   No. Smoking delays healing and increases the risk of “dry socket” infection.

4. When are stitches removed?
   Typically after 7–10 days. Dissolvable stitches may not require removal.

5. When can I eat again?
   Avoid eating for 2 hours, then consume only soft, lukewarm foods for the first 24 hours.