How is a Dental Extraction Performed?

When a tooth has been damaged by decay or broken, your dentist may be able to restore it using dental fillings or dental crowns. However, when the damage or decay is severe, the tooth may need to be extracted. Advanced periodontal disease may also necessitate dental extractions. In some cases, a tooth may need to be extracted before orthodontic treatment, or a wisdom tooth may need to be taken out.

If you are a candidate for dental extraction, your dentist will start with a full assessment that includes dental X-rays to identify the best way to remove the tooth. You will need to provide your dental and medical history along with information about the prescription and over-the-counter medication you take. If you have an active infection, certain medical problems or a weakened immune system, you may be prescribed antibiotics to take before and after the procedure. Individuals who experience dental anxiety or who will have longer procedures may be given sedation or IV anesthesia.

A simple dental extraction may be used to remove a tooth with a visible crown. Teeth that have been broken off at the gumline, or that are not yet erupted, may require a surgical extraction, which is a more complex procedure. You will be given a local anesthetic unless your dentist believes that general anesthesia is more appropriate for your situation. You should not feel any pain or discomfort during the extraction, but you may feel pressure.

After your extraction, you will be given specific aftercare instructions. Following these instructions carefully can help reduce your risk of complications such as infection or dry socket. You may be prescribed medications to help reduce your discomfort. Ice packs can be used to ease swelling while gauze that is placed over the extraction site can control bleeding. You may need to eat a soft diet for a few days. Avoid smoking or drinking with a straw until your mouth has healed. After 24 hours, rinsing with salt water can help keep the extraction site clean.

Complications after dental extractions are uncommon. Dry socket happens in fewer than 5 percent of extractions as the clot either does not form or is disrupted. Dry socket is most common in smokers, women who use birth control pills and individuals who have impacted teeth. If you have symptoms of dry socket, dental treatment is required to prevent additional complications. Contact your dentist right away if you have fever, chills, inflammation, uncontrolled bleeding, oozing or difficulty swallowing.

Our dentist in North Hollywood performs dental extractions when the tooth cannot be saves anymore.