ooth extraction is usually relatively straight forward, and the vast majority can be usually performed quickly while the individual is awake by using local anesthetic injections to eliminate pain. Some teeth are more difficult to remove for several reasons, especially related to the tooth’s position, the shape of the tooth roots, and the integrity of the tooth.
The most common reason for extraction is tooth damage, due to breakage or decay. There are additional reasons which may include gum disease, orthodontics, infection that cannot be treated with root canal treatment or impaction (the tooth is wedged against another).
Extractions are often categorised as “simple” or “surgical”.
Simple extractions are usually performed on teeth that are visible in the mouth. They require instruments to lift and grasp the visible portion of the tooth. the teeth are removed with slow, steady pressure is applied with controlled force.
Surgical extractions involve the removal of teeth that cannot be easily accessed, usually they have broken under the gumline or they have not erupted fully. Surgical extractions almost always require an incision. the dentist may lift the gum that covers the tooth and bone, and may also remove some of the overlying and/or surrounding jawbone tissue with a drill. Frequently, the tooth may be split into multiple pieces to facilitate its removal.
What to expect after a dental extraction
Immediately following the removal of a tooth, bleeding or oozing is likely to occur. Pressure is applied by the patient biting on a gauze swab so a blood clot can form in the socket. If a clot does not form, we may need to place a small stich to keep the tissues together. Sometimes the blood clot can be dislodged, triggering more bleeding and formation of a new blood clot, or leading to a dry socket.
We always issue patients with aftercare instructions and ensure that a suitable clot has formed.