What is Tooth Extraction?
Tooth extraction is a procedure in which a tooth is removed from its socket in the jaw bone. Dental extraction is routine procedure performed under local anaesthesia and is performed by dentists in dental hospitals or clinics. A dentist usually recommends tooth extraction when the tooth cannot be saved by any of the treatments such as Root canal treatment, dental filling or when the tooth poses a risk to one’s oral health.
Conditions under which a Dental extraction is recommended by the Dentist
1. Severe tooth decay/Infection : There are condition when the tooth decay and infection has spread beyond repair by tretaments such as Root canal treatment and dental crown.
2. Gum Infection : In cases of severe periodontitis/ gum infection, the tooth loses its grip and becomes mobile due to lose gums. If the stability of a tooth cannot be restored even by gum surgery and bone grafting, a dentist recommends for tooth extraction.
3. Overcrowding of teeth in the jaw : In order to treat overcrowding, the dentist recommends tooth extraction to create space for creating alignment using Orthodontic braces.
4. Impacted wisdom tooth : In order to treat the impacted wisdom tooth that is stuck inside the jaw bone casuing pain and swelling, the dentist or an Oran surgeon recommends for tooth extraction.
5. Fractured tooth : In cases when the tooth is fractured beyond the gum line and cannot be saved, the dentist recommends tooth extraction.
6. Preparation for Dentures : the teeth which are damaged are removed so that the missing space can be restored using dentures/dental prosthesis.
Consequences of not opting for a Dental Extraction :
1. Severe pain and swelling due to damaged teeth and spread of infection to other parts of the gums and jaw bone causing severe gum disease/Periodontitis and bone loss respectively.
2. If the impacted tooth is not removed then it causes the spread of infection to the jaw bone causing severe pain and swelling of the face.
3. In case of overcrowding, if the teeth are not extracted for orthodontic braces, it can cause malalignment of teeth and gum infection as the teeth and gums become difficult to clean due to overcrowding.
Simple Extraction Vs Surgical Extraction
The main différences in these two types of dental extractions are the type of the tooth extracted, the level of invasiveness and the time required for recovery.
Factors | Simple Dental Extraction | Surgical Dental Extraction |
Tooth Type | Tooth that is visible above the gum line | Teeth that are below the gum line and Impacted or embedded in the jaw bone |
Level of invasiveness | Less invasive | More invasive, requires surgical incision |
Anaesthsia used | Performed under local anaesthsia | Can use Local or general anaesthsia |
Recovery time | In 3-4 days | In 7-10 days |
Pain | Pain is gone in 3-4 days | Pain and swelling may persist and they subside within a week or so with pain killers and antibiotics |
Post-Care | Post-care instructions are same as prescribed by the dentist | Post-care instructions are same as prescribed by the dentist |
After dental extractions, it becomes imperative to manage the missing teeth space to maintain proper oral function, aesthetics and overall dental health and appearance.
The decision depends on several factors such as:
Tooth extraction may be recommended when a tooth is severely damaged, infected, impacted, or cannot be restored. Removing the affected tooth can relieve discomfort and help protect your overall oral health.
A severely decayed, damaged, or infected tooth can cause persistent pain and affect the surrounding tissues. Removing the affected tooth may help eliminate the source of infection and discomfort.
When a tooth cannot be saved, extraction can help prevent infection or damage from spreading to nearby teeth and supporting tissues.
Impacted wisdom teeth and severely damaged teeth can sometimes lead to swelling, infection, crowding, or other complications. Timely treatment can help prevent these problems.
From your initial examination to post-extraction socket care, each step is carefully planned to ensure a safe, comfortable, and smooth tooth removal experience.
The dentist reviews your medical history and performs a thorough examination of the tooth and surrounding areas. Dental X-rays may be taken to assess the tooth’s position and its relationship with the underlying bone.
Local anaesthesia is administered to numb the area around the tooth, helping ensure a comfortable and painless extraction procedure.
For a simple extraction, the dentist or oral surgeon gently loosens the tooth using dental instruments before carefully removing it with dental forceps.
After the tooth is removed, the socket is cleaned and compressed with gauze soaked in Betadine. You will then be asked to bite down on the gauze for approximately 30–45 minutes to help control bleeding.
TOOTH EXTRACTION
The duration and cost of tooth extraction vary depending on the type and complexity of the procedure.
Simple extraction
20–30 minutes
Surgical extraction
45 minutes–1 hour
Simple extraction
₹1,500–2,000
Surgical extraction
₹4,000–8,000
The type of extraction depends on the position, condition and complexity of the tooth.
Post-Extraction Care instructions:
1. In order to control the bleeding the patient is asked to bite on the gauze for about 30-45 minutes.
2. The patient is asked to swallow the spit and is strictly asked not to rinse or spit forcefully or use a straw to drink for 24 hours.
3. The patient is asked to eat soft food that is cold and avoid any carbonated drinks for a few days after dental extraction.
4. The patient can use an ice-pack on the cheek in case of swelling or discomfort.
5. Brushing the teeth has to be avoided for the first day of the extraction
6. Smoking or drinking alcohol should be avoided to allow proper healing and reduce any risk of complications
7. Follow-up is required in case of complicated extractions to monitor the condition of the socket and the healing
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