At Chapel, we extract a tooth as a last resort. If it is possible to save your tooth, we will.
When would I have to have a tooth removed?
- If the tooth is broken down beyond repair.
- Severely decayed teeth.
- Failed root canal treatments.
- Dental abscesses/ infections.
- Impacted wisdom teeth (these could be infected or even be negatively impacting on other teeth).
- As part of orthodontic treatment.
How do you extract a tooth?
Most extractions are carried out in dental surgery under local anaesthetic. In complicated cases, we may need to refer you to an oral surgeon who will extract the teeth. However, this will be discussed with you before your appointment.
If you are very nervous or anxious about the treatment, we can arrange for you to have sedation.
Once you are profoundly numb, and we will check to make sure you are numb, we apply gentle and continuous pressure onto the tooth, gently wobbling it until it starts moving. This movement widens the socket and loosens the tooth. Once the tooth is loose, we then take it out.
Sometimes, the extraction may be difficult. In these instances, we may have to drill the tooth into sections and loosen them individually. We may have to remove a little gum and bone to get the tooth out, or, in exceptional cases, we may need to refer you to the oral surgeon.
What will I feel when you take the tooth out?
You should never experience pain during the procedure; if you do, tell us immediately, and we will provide you with a further anaesthetic.
Although tooth extraction is relatively painless, you will feel pressure during the procedure.
What happens after the tooth extraction?
Once the tooth is removed, there will be some bleeding. Sometimes, we may have to place a stitch. We will apply pressure to the area with gauze, and once you have stopped bleeding, this usually takes a few minutes; you are free to go.
Can I go back to work/school after an extraction?
This entirely depends on you as a person. However, you will be numb for a few hours, so it is important not to bite or chew your lip, as when the feeling returns, this can be uncomfortable.
It is also perfectly normal for the socket to bleed, we will provide you with extra gauze to combat this, but we do advise that you take it easy and not do any exercise or anything to exercise that may promote bleeding.
We advise you to avoid spitting or rinsing your mouth immediately after the extraction and for the rest of the day.
How long will it take me to heal after an extraction?
People heal at different rates; however, generally, it may take 5 – 10 days for the area to heal. It is normal for the site to be painful for a few days after the extraction. We recommend over-the-counter medication such as paracetamol for pain relief. If the pain continues or is severe, then do ring us immediately.
Advice after an extraction
• You will be numb for a few hours after the extraction, so do not bite or chew your lip or tongue. Also, it is best not to eat or drink anything hot until the feeling returns.
• Do not rinse or spit for 24 hours after the extraction, as this can disrupt the socket and cause Dry Socket.
• Do take paracetamol or your preferred type of painkiller for pain as and when needed. Do not exceed manufactures instructions.
• Do take it easy for the rest of the day; no exercising or exerting yourself, as this can cause the socket area to bleed.
• Do not smoke.
• Do not consume alcohol.
• Depending on your feelings, soft food, such as eggs, pasta etc., would be best until you feel ready to resume your regular diet.
• Brush your teeth as usual on the evening of the extraction, but do not rinse.
• After 24 hours, rinse 3-5 times daily with warm salt water. We would advise that you do this after eating as well. One teaspoon of salt in water as hot as you can tolerate. Hold the saltwater in your mouth around the socket for 20-30 seconds.
• Consider replacing the tooth, as adjacent teeth can start to move.
• If you have any issues, do not hesitate to get in contact.