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A tooth extraction procedure: what to expect

tooth extraction

What is the purpose of tooth extraction?

tooth extraction

Adults may need tooth extractions for other reasons besides wisdom teeth removal, which is common among teenagers and some adults.

An extraction is necessary when a tooth is severely decayed, infected, or crowded. Bracing users may be forced to remove one or two teeth to accommodate shifting teeth. A compromised tooth may also need to be removed if the sufferer is undergoing chemotherapy or about to undergo an organ transplant.

There are a variety of different types of tooth extractions that dentists and oral surgeons perform. The procedure is primarily outpatient and usually involves local, general, or intravenous anesthesia. There is no need for anesthesia when removing visible teeth. It is necessary to carry out a more involved procedure when teeth are broken, below the surface, or impacted.

Do tooth extractions cost a lot?

It depends on whether the tooth is impacted and whether it costs more or less to extract. Simple tooth extractions usually cost $75 to $200 each, depending on the type of anesthesia you need.

Impacted teeth are significantly more expensive to remove and can cost anywhere between $800 and $4,000. Many services are tailored to the cost of living in an area, so where you live can also affect the cost.

An extraction preparation guide

It is necessary to get a dental X-ray before your dentist can schedule the procedure. Medications, vitamins, supplements, and over-the-counter medications should be disclosed to your dentist.

Inform your dentist if you will soon take an intravenous drug called bisphosphonate to treat another medical condition. Otherwise, you may suffer osteonecrosis (bone death) if the extraction is not done before the drug treatment.

Any of the following conditions should be disclosed to your dentist:

  • Heart defects born at birth
  • Diabetic syndrome
  • An infection of the liver
  • Disease-related to the thyroid
  • Having a kidney problem
  • A hypertensive state
  • Joints created artificially
  • Valve damage
  • An adrenal condition
  • Immunosuppression
  • Endocarditis due to bacteria

It may be necessary to achieve a stable state or have all conditions treated before having a tooth extracted by your dentist. Preparation for the procedure may require antibiotics in the days leading up to it, depending on the following:

  • There will be a lengthy recovery period after your surgery
  • Your immune system is weakened, or you have an infection
  • Medical conditions affect you

To ensure quality treatment on the day of the tooth extraction, keep these things in mind:

  • Before your appointment, wear loose-fitting clothing and a short-sleeved shirt if you intend to receive intravenous (IV) anesthesia. Do not consume food or drink for six to eight hours before your procedure.
  • Prevent smoking by not smoking before you start.
  • In case of a cold, let your dentist know and reschedule your appointment.
  • Your dentist might need to change your anesthesia or reschedule your appointment if you experienced nausea or vomiting the night before.
  • Make sure someone is driving you home if you are receiving general anesthesia.

In what way do teeth need to be extracted?

Based on whether your tooth is visible or impacted, you will either need a simple extraction or a surgical extraction.

Simple extraction

You won’t feel any pain during the procedure when you receive a local anesthetic. Instead, you will feel only pressure around your tooth. To remove the tooth, the dentist must first loosen the tooth with an elevator and then remove it with forceps, using an elevator instrument.

Surgical extraction

Local and intravenous anesthesia will likely be administered. You will be relaxed and calm during the procedure if you receive intravenous anesthesia. You may also undergo general anesthesia if you have any medical conditions. A general anesthetist will perform the procedure on you while you remain unconscious during the process.

Your general dentist or oral surgeon will make a small incision on your gum. An extraction may require removing bone or cutting your tooth to prepare it for extraction.

How does tooth extraction affect your health?

Getting a tooth extracted may come with a few risks; however, your dentist will likely recommend it if you feel the benefits outweigh the risks.

The socket – the hole in the bone where a tooth has been extracted – forms a blood clot naturally after the tooth is extracted. The chances of a dry socket occur when a blood clot doesn’t form or breaks off, leaving the bone inside the socket exposed. If this occurs, the dentist will attempt to protect the area by placing a sedation dressing over it for a few days until the blood clot forms or breaks off. An additional clot will form during this period.

Other risks include:
  • An extended period of bleeding
  • Infection is characterized by severe fever and chills
  • Vomiting or nausea
  • Coughing
  • Breathing problems and chest pain
  • The surgical site is swollen and red

Symptoms like these should be reported to your dentist.

When does a tooth extraction require a recovery period?

The recovery period after tooth extraction usually lasts a few days. Your recovery will be smoother if you follow these steps.

  • The swelling in your cheek can be reduced by placing an ice pack on it after the procedure. Once a day, apply an ice pack for 10 minutes.
  • Bite down on the gauze pad after the dentist places it over the affected area to help with clotting. Once the gauze pad has become saturated with blood, leave it for three to four hours.
  • If you are taking over-the-counter pain medications, take them as directed.
  • The first 24 hours are a time to rest and relax. Next morning, don’t start your regular routine right away.
  • Within 24 hours, you should not use a straw.
  • Smoking should be avoided.
  • After tooth extraction, do not rinse. Spit only gently after 24 hours.
  • To keep your head upright while lying down, use pillows.
  • Be sure to avoid the extraction site when brushing and flossing your teeth.
  • Eating yogurt, pudding, and applesauce the following day is a good idea after the procedure.
  • Afterwards, rinse your mouth with warm water containing half a teaspoon of salt.
  • Your diet can gradually be introduced to other foods as you recover over the next few days.

You should consult your dentist as soon as possible if you are experiencing pain that is not resolved after several days or if you are experiencing signs of an infection – such as fever, pain, pus, or drainage from the incision – and you think it may be an infection. For more queries,


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