What it is
An extraction removes a tooth from its socket. It is advised when a tooth is too damaged to restore predictably, when infection cannot be resolved, or as part of a wider treatment plan.
Who it may suit
- A tooth broken below the gum level
- Advanced decay that cannot be restored
- Severe gum disease with a very loose tooth
- Teeth removed as part of an orthodontic plan
Signs you may need it
- A tooth that is loose in adulthood
- Recurrent swelling around one tooth
- A tooth that has fractured badly
How the treatment works
- 1
Assessment
Examination, X-ray, and discussion of alternatives to removal where they exist.
- 2
Anaesthetic
The area is numbed thoroughly before starting.
- 3
Removal
The tooth is loosened and removed; sometimes the socket is stitched.
- 4
Aftercare briefing
Written and verbal instructions for the first 24–48 hours.
- 5
Replacement planning
Options for replacing the tooth, if appropriate, are discussed.
Visits and recovery
Usually one appointment, with a review if stitches were placed. The socket heals over the following weeks; discomfort and swelling in the first few days are normal.
Benefits
- Resolves pain or infection from a tooth that cannot be saved
- Allows planning of a replacement where appropriate
Limitations
- A gap can affect chewing and neighbouring teeth over time
- Replacement options require separate treatment
Risks to be aware of
Every dental procedure carries some risk. Your dentist will discuss these with you in person, based on your own examination and X-rays.
- Bleeding, bruising and swelling
- Dry socket, a painful delay in healing
- Infection requiring further treatment
- Rarely, injury to nearby structures depending on the tooth
Aftercare
- Bite on the gauze provided for as long as advised
- Avoid rinsing vigorously, smoking or using a straw in the first 24 hours
- Use warm salt-water rinses from the next day if advised
- Keep the rest of the mouth clean as usual
When to contact the clinic
- Bleeding that does not stop with pressure
- Severe pain three to four days later
- Fever or spreading swelling
