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Tooth Extraction

Tooth Extraction Dublin

We try and avoid teeth extractions and will advise of alternative treatments if possible to save a tooth. However if it not feasible for you and you are happy to have a tooth extracted we can guarantee you it will be a pain free experience.

What is tooth extraction?

Tooth extraction is the removal of a tooth from its socket in the bone.

When is tooth extraction necessary?

If a tooth is broken or has been damaged by decay, your dentist will usually be able to fix it with a dental crown, filling or other dental treatment. However in cases where there is too much damage for the tooth to be repaired, or the tooth is too loose to be saved with a bone graft, the tooth will need to be extracted.

Reasons you may need a tooth extraction:

- A tooth may be too decayed to do any other form of treatment to save it and an extraction is required.
- You have extra teeth that are blocking other teeth from coming in.
- Your baby teeth haven’t fallen out in time to allow the permanent teeth to come in.
- You are getting braces fitted and need to create room for the teeth that are being moved into place in order to create a pleasing smile..
- Wisdom teeth removal is often carried out either before or after they come in as impacted wisdom teeth can irritate the gum, causing pain and swelling.
- You are receiving radiation to the head and neck and need to have teeth in the field of radiation extracted.
- You are receiving cancer drugs, or immunosuppressant drugs following an organ transplant that have weakened your immune system, causing your teeth to become infected.

The tooth extraction process

An X-ray of the area is taken to help your dentist to plan the best way to remove the tooth.

Your dentist will discuss your medical and dental history with you, including a list of any prescription and over-the-counter drugs, supplements and vitamins you are taking.

If necessary you may be prescribed antibiotics to be taken before and after surgery. Antibiotics are more likely to be given if:

- You have infection at the time of surgery
- You have a weakened immune system
- You will have a long surgery
- You have specific medical conditions
- After the extraction, you will be given post-surgery instructions which it is important that you should follow.

Note: Please ensure that you have someone to drive you home following the surgery.

There are two types of tooth extractions:

Simple tooth extractions:

Simple tooth extractions are performed on teeth that can be seen in the mouth. The dentist firstly loosens the tooth with a dental instrument called an elevator, then uses a special dental forceps to extract the tooth

Surgical tooth extractions:

Surgical tooth extractions are more complex and may be needed if a tooth has broken off at the gum line or has not come into the mouth yet. Surgical extractions are mostly performed by oral surgeons, but may also be performed by your dentist. The process involves a small incision being made into your gum and it may be necessary to remove some of the bone around the tooth, or to cut the tooth in half in order to extract it.

Most tooth extractions are performed using just a local anesthetic. Surgical extractions may also require intravenous anesthesia (through a vein) In certain cases some patients may require general anesthesia.

Will I feel pain during a tooth extraction?

During a tooth extraction, you can expect to feel pressure, but no pain. Your dentist will use the appropriate anesthetic techniques to ensure that your visit is completely comfortable from beginning to end

After your tooth extraction your dentist will give you detailed instructions on what you should expect after your surgery and any after care necessary.

A tooth extraction is surgery and as such it is normal to experience some mild discomfort after even simple extractions. Nonsteroidal anti-inflammatory drugs such as Ibuprofen can greatly decrease pain after a tooth extraction. Your dentist can advise you on the correct dose you should take.

Post tooth extraction pain

Most simple tooth extractions will not cause much pain or discomfort. You may take an over-the-counter nonsteroidal anti-inflammatory drug for a few days following the procedure, or you may not need any pain medicine at all.

A surgical tooth extraction will generally cause more pain following the procedure than a simple extraction, depending on how difficult it was to remove the tooth. Your dentist may prescribe pain medicine for a few days until the pain subsides.

Post tooth extraction bleeding

A cut in the mouth will bleed more than a cut on the skin as it cannot dry out and form a scab. Following an extraction, your dentist will ask you to bite on a piece of gauze for twenty to thirty minutes. This is to apply pressure in order to allow the blood to clot. It is normal to have a small amount of bleeding for the next day or so.

Post tooth extraction care

If you have any swelling, place ice packs on your face for 20-minute intervals.

Following the surgery, eat soft and cool foods the first few days, then reintroduce other foods as you feel ready. You should not smoke, use a straw or spit following your surgery as these actions can delay the healing process by pulling the blood clot out of the hole where the tooth was.

To keep the area clean, rinse with warm salt water, starting 24 hours after the surgery. Mix one-half teaspoon of salt in a cup of warm water.

The majority of swelling and bleeding should end within a day or two, whilst initial healing will take a minimum of two weeks.

When to call your dentist

- If swelling gets progressively worse instead of better.
- You have a fever, chills or redness
- You have difficulty swallowing
- You have uncontrolled bleeding in the area
- The area continues to bleed after the first 24 hours
- The area feels numb more than 3 to 4 hours after the procedure
- The extraction site becomes very painful - This may be a sign that you have developed a dry socket.

To book an appointment for a tooth extraction please contact:

Park Clinic Dental 01 2853666
Knocklyon Dental 01 4936909