Tooth extraction

Tooth extraction is performed by a dentist or oral surgeon and is a
relatively quick outpatient procedure , performed usually under local
anaesthesia. Removing visible teeth is a simple extraction. Teeth that are
broken, below the surface, or impacted require a more involved procedure.
Excessive tooth decay, tooth infection, and crowding can all require a
tooth extraction. Those who get braces may need one or two teeth removed to
provide room for their other teeth as they shift into place. Additionally, those
who are undergoing chemotherapy or are about to have an organ transplant
may need compromised teeth removed in order to keep their mouth healthy.

Simple extraction
You will receive a local anesthetic, which numbs the area around your tooth
so you’ll feel only pressure, not pain, during the procedure. The dentist then
uses an instrument called an elevator to loosen the tooth and forceps to
remove it.

Surgical extraction
You will likely receive both local anesthesia and intravenous anesthesia, the
latter of which makes you calm and relaxed. You may also receive general
anesthesia, depending on any medical conditions. With general anesthesia,
you will remain unconscious during the procedure.
The general dentist or oral surgeon will cut into your gum with a small incision.
They may need to remove bone around your tooth or cut your tooth before it
can be extracted.

What are the risks of a tooth
1.Dry Socket: if the blood clot does not form or dislodges, the bone inside the
socket can be exposed — referred to as “dry socket.” If this happens, the
dentist will protect the area by putting a sedative dressing over it for a few
days. During this time, a new clot will form.
2.bleeding that lasts longer than 12 hours
3.severe fever and chills, signaling an infection
4.nausea or vomiting
6.chest pain and shortness of breath
7.swelling and redness at the surgical site
Recovery followed by tooth extraction:
 Apply an ice pack to your cheek directly after the procedure to reduce
swelling. Use the ice pack for 10 minutes each time.
 After the dentist places the gauze pad over the affected area, bite down
to reduce bleeding and to aid in clot formation. Leave the gauze on for
three to four hours, or until the pad is soaked with blood.
 Take any medications as prescribed, including over-the-counter
 Rest and relax for the first 24 hours. Do not jump immediately into your
regular routine the following day.
 Don’t use a straw for the first 24 hours.

 Don’t smoke.
 Don’t rinse for 24 hours after the tooth extraction, and spit only gently.
 Use pillows to prop your head up when you lie down.
 Brush and floss your teeth like normal, but avoid the extraction site.
 The day after the procedure, eat soft foods, such as yogurt, pudding,
and applesauce.
 After 24 hours, add a half-teaspoon of salt to eight ounces of warm
water to rinse out your mouth.
 An impacted tooth is a tooth that, for some reason, has been blocked
from breaking through the gum. Sometimes a tooth may be only partially
impacted, meaning it has started to break through.
 Oftentimes, impacted teeth cause no obvious symptoms and are only
discovered during a routine X-ray at the dentist’s office.
 red, swollen, or bleeding gums
 bad breath
 a bad taste in your mouth
 difficulty opening your mouth
 pain when opening your mouth, or when chewing and biting
 If you’re experiencing pain and other unpleasant side effects from an
impacted tooth, your dentist may recommend extraction surgery,
particularly in the case of impacted wisdom teeth.

 Tooth extraction surgery is usually done as an outpatient procedure at
an oral surgeon’s office, meaning you can go home the same day you
have the procedure. The procedure usually takes 45 to 60 minutes, and
you’ll likely be put under local anesthesia. Recovery may take 7 to 10
days, but you should be able to return to work or school within a few
days of having the procedure

Eruption aids
When the canine teeth are impacted, eruption aids may be used to get the
tooth to erupt properly. Eruption aids may include braces, brackets, or by
extracting baby or adult teeth that may be blocking the canines. These
methods are most effective when performed on younger people.
 cavities
 decay
 infection
 crowding of nearby teeth
 cysts, which can damage roots of nearby teeth or destroy bone
 absorption of bone or adjacent teeth
 gum disease
Types of Impaction:
Mesial Impactions:
Mesial impactions are the most commonly occurring type of wisdom teeth
impaction. With a mesial impaction, the tooth is partially erupted and angled
towards the front of the mouth. For this reason, mesial impactions are
sometimes referred to as “angular impactions”.

Vertical Impactions:
Vertical impactions are a type of full impaction where the tooth is in the
correct position for eruption, but still lies below the gums. Since wisdom teeth
with vertical impactions are in the correct position, extraction is rarely needed.
Horizontal Impactions:
Horizontal impactions are a type of full impaction where the tooth is lying
completely horizontally underneath the gums. Instead of moving up through
the gums, the horizontal orientation of the tooth causes it to move sideways
into the tooth next to it. For this reason, horizontal impactions are considered
to be the most painful type of wisdom tooth impaction.
Distal Impactions:
Distal impactions are the most rare of all types of wisdom teeth impactions.
Like teeth with a mesial impaction, teeth with a distal impaction are angled
and can sometimes be called “angular impactions”. However unlike a mesial
impaction, teeth with a distal impaction are angled towards the back of the
mouth .
Cost of tooth extraction:
The cost of a tooth extraction varies, depending on factors such as:
 where the person lives
 the type of extraction
 how complicated the extraction is
 who performs the procedure, as specialized oral surgeons usually
charge more than general dentists,

Q1 Why does a tooth need to be extracted?
There are various reasons why a tooth might need to be removed. These
include overcrowding of the mouth, making space for orthodontic
treatment, tooth decay, damaged teeth or infection. If you’ve had pain for
some time, it’s worth getting a dental examination to determine whether
your tooth can be saved by root canal therapy. If not, then tooth
extraction is in your future. Wisdom teeth also often need to be extracted,
because they contribute to overcrowding or develop decay. If wisdom
teeth have insufficient room to erupt properly, they may become
impacted inside the jaw bone.
Q2 What is the most common complication during tooth extraction?
Dry socket – the most common complication seen from tooth extractions is dry socket.
This is when the blood clot that forms in the pocket of the gums is dislodged one to
three days following surgery. This exposes the bone of the jaw and the nerves and can
result in intense pain and slowed healing.
Q3 Do and don'ts of tooth extraction?
 Do: Get Adequate Rest. …
 Do: Allow the Extraction Area to Clot. …
 Do: Get Your Fluids. …
 Do: Address Any Swelling or Pain. …
 Don't: Smoke. …
 Don't: Drink Carbonated Beverages or Alcohol. …
 Don't: Eat Chewy or Hard Foods. …
 Don't: Disturb the Clot.

 Q4 What care needs to be taken after tooth extraction?
 Keep the extraction site clean. Gently rinse the area with an antimicrobial
mouthwash two to three times a day. …
 Take all medications as directed. Your dentist may prescribe antibiotics and pain
relievers. …
 Avoid strenuous activity for at least two days.