Tooth Extractions

Common Reasons for Extraction

A tooth may need to be extracted if:

• Severe decay has destroyed too much of the tooth structure to be restored
• Advanced periodontal disease has caused significant bone loss around the tooth
• A tooth is broken or fractured below the gum line
• Overcrowding requires removal to allow for orthodontic treatment
• Impacted wisdom teeth are causing pain, infection, or damage to adjacent teeth
• A baby tooth has not fallen out in time for the permanent tooth to erupt
• Infection or abscess does not respond to root canal therapy or antibiotics

Types of Extractions

There are two main types of dental extractions:

• Simple extraction — performed on a tooth that is visible and accessible. The tooth is loosened with a specialized instrument and removed with forceps. This procedure is performed under local anaesthesia.
• Surgical extraction — required for teeth that are impacted, broken below the gum line, or have unusual root formations. A small incision may be made in the gum tissue, and in some cases, bone may need to be removed to access the tooth.

After Your Extraction

Following an extraction, your dentist will provide detailed instructions for caring for the extraction site. Key post-operative guidelines include:

• Bite gently on gauze to control bleeding
• Apply ice packs to reduce swelling
• Take prescribed pain medication as directed
• Eat soft foods for the first few days
• Avoid drinking through a straw to prevent dry socket
• Do not smoke for at least 48 hours
• Keep the extraction site clean with gentle rinsing

Tooth Replacement Options

After a tooth is extracted, it is important to consider replacement options to prevent the remaining teeth from shifting and to maintain proper jaw function. Our team can discuss options including dental implants, fixed bridges, and dentures to help you choose the best solution for your situation.