Tooth extraction

What it is

Removal of a tooth. It is generally a last resort, considered when a tooth cannot be restored, when infection keeps returning, or when a wisdom tooth is impacted and causing problems.

When it may be recommended

• Decay or fracture too extensive to restore
• Advanced gum disease with significant bone loss
• Impacted wisdom teeth causing pain, infection or damage to the tooth in front
• Retained baby teeth, or crowding as part of an orthodontic plan

Will it hurt?

The extraction is carried out under local anaesthetic. Once the area is numb you should feel firm pressure and movement, but not pain. Tell the dentist if you feel anything sharp — more anaesthetic can be given at any point.

If you are anxious about the procedure, say so when booking. Knowing in advance lets us allow more time and take it at your pace, which makes more difference than most people expect.

Discomfort once the anaesthetic wears off is managed with ordinary pain relief taken as directed on the packet. Most people find day two is the peak and it eases from there.

What the appointment involves

Local anaesthetic numbs the area. Simple extractions use instruments to loosen and lift the tooth out. A surgical extraction — more common for impacted wisdom teeth — involves a small incision and sometimes sectioning the tooth, with stitches afterwards.

Afterwards

Bite firmly on the gauze pad for 30–45 minutes. For the first 24 hours avoid rinsing vigorously, hot drinks, smoking and straws, all of which can dislodge the clot. Swelling peaks around day two. Contact the clinic if bleeding does not settle, or if severe pain begins three to four days later.

Replacing the tooth

Where a visible or chewing tooth is removed, replacement options include an implant, a bridge or a partial denture. Leaving a gap can allow neighbouring teeth to drift. The dentist will explain what applies in your case.