What is tooth extraction?

Tooth extraction refers to the complete removal of one or more teeth from the mouth. This is a procedure usually performed by a dental surgeon. Since milk teeth naturally loosen and turn into permanent teeth, they can be removed from the child's mouth without the intervention of the dentist.

Causes of tooth extraction

Teeth affected by dental caries or periodontal disease that cannot be treated with fillings, crowns or root canal treatment.

Injury or trauma causing a broken or damaged tooth that cannot be repaired.

Tooth or gum abscess that weakens the root of the tooth.

Malocclusion or crowding of teeth.

Impaction of teeth (mostly wisdom teeth) that causes the tooth to not come out of the gum.

What is included in a tooth extraction?

Removing the tooth or teeth may require one or more visits to the dentist. Some people may prefer to have artificial teeth or dentures instead of removed teeth. Usually, a detailed history of any dental disease, allergies, chronic medical conditions, or regular medication use is taken prior to the extraction. Some drugs, such as blood thinners (for example aspirin or clopidogrel), need to be discontinued at least one week to 10 days before the procedure, because their presence in the blood can cause serious bleeding afterward.

A local anesthetic such as lignocaine is injected near the tooth to numb the area of pain. The patient may be conscious and be given sedatives to relieve anxiety. When the area around the tooth is numb, the dentist grips the tooth with instruments and gently shakes it from side to side until the tooth is ready to be loosened from the socket. The person feels a slight pulling in the tooth, but usually there is no pain. The whole process may take a few minutes.

After the tooth is removed, the gum may or may not require stitches to close the gap and wound. Then the patient is given a soft cotton pad to bite into to prevent bleeding. When the patient returns home, he can take painkillers such as paracetamol or ibuprofen to numb the pain that occurs after the effects of the local anesthetics wear off. Some patients may be prescribed antibiotics.

Before discharge, the patient is advised not to rinse his mouth for at least six hours, after which lukewarm water mixed with a pinch of salt can be used to gently rinse his mouth. Soft foods can be eaten after the bleeding has stopped. It takes about a week to fully heal and the injured gum area should be avoided with a toothbrush while brushing the teeth.

Risks of tooth extraction

The risks and disadvantages of teething include:
Pain
Bleeding
Jaw stiffness
Wound infection

Dry socket. This happens when a blood clot that must form in the tooth socket to protect the bone and underlying nerves dislodges or dissolves, exposing the bone and nerves, causing severe pain and possibly infection. Immediate treatment is required.

Wisdom tooth condition?

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