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Major reasons for tooth extraction

  • Infection or risk of infection: Bacteria in the mouth can enter the pulp, that may eventually lead to infection.

  • Damage to the tooth due to extensive tooth decay.

  • Broken and cracked tooth beyond repair.

  • Misaligned teeth that may have negative impact on oral health.

  • Orthodontic Treatment: Braces may require tooth extraction to make necessary space for proper teeth alignment.

  • Extra teeth that may block other teeth from erupting.


Two types of tooth extractions

  • Simple Extractions: Simple Extractions are performed on visible teeth. Most are usually done under a local anesthetic.

  • Surgical Extractions: Hard to reach teeth in the mouth. Surgical extractions performed by dentists or oral surgeons, these extractions require some surgical procedure, for instance bone removal, or removing and lifting part of the gum tissue to uncover the tooth, or splitting the tooth into pieces. Surgical extractions performed under local anesthesia and under sedation. Patients that have medical conditions may receive general anesthesia.


What to Expect During a Tooth Extraction
The dentist will numb the jawbone, gums surrounding the tooth and the tooth itself. Normally, local anesthesia is injected to eliminate the pain.

  • Simple Extraction: The dentist will take hold of the tooth with specialized tools and move back and forth to loosen the tooth before removing it.

  • Surgical Extraction: Surgical Extraction is more complicated, therefore the dentist may possibly administer sedation before numbing the tooth, in some cases bone tissue may cover or surround a tooth as a result more surgical effort may be needed, the dentist will need to cut and lift back or remove this tissue. Sometimes a tooth is so firmly attached in its socket that the dentist must cut the tooth into pieces to remove each piece individually. Stitches may be required after the procedure, some stitches are absorbable, and others require removal by the dentist.


Post Tooth Extraction
Bleeding, some swelling and discomfort are normal after a tooth extraction. The dentist possibly will prescribe a pain medication and ice packs can help decrease the swelling. Sleeping with your head face upward to relieve pressure on the jaw, and keeping your head elevated with extra pillows also may help. If the jaw is sore and stiff after the swelling dissipates, warm compresses can help. Continue brushing and flossing other teeth as usual. After the day, for five days gently rinse with warm salt water, 1/2 teaspoon of salt in a cup of water before the bed. Avoid smoking, engaging in strenuous activities, stay away from hot liquids, crunchy foods or foods containing seeds, alcohol, and soft drinks for two to three days after tooth extraction.

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