Dental extractions should not hurt as the area is completely numbed with local anaesthetic during the procedure, although you may feel some pressure or movement as the tooth is removed.
Some people imagine the worst but modern dental techniques have truly made the process far more comfortable than many expect. Dentists take care to ensure you are as relaxed and pain-free as possible throughout the procedure. In fact, a 2023 study in the British Dental Journal found that 89% of patients reported only mild discomfort or none at all during routine extractions.
What Does a Dental Extraction Involve?
A dental extraction is the removal of a tooth that cannot be saved due to damage, decay, infection or overcrowding. Your dentist will first examine the area and take any necessary x-rays. Once the treatment plan is agreed, the tooth is gently loosened and removed using specialised instruments. Local anaesthetic is always used to numb the area, and in some cases, sedation can be offered for particularly anxious patients.
The two main types of extraction are simple and surgical. Simple extractions are used for visible teeth and usually involve minimal effort. Surgical extractions, such as impacted wisdom teeth, are more complex and may require a small incision in the gum. Regardless of the type, your dentist will make sure you are comfortable from start to finish.
A tooth extraction involves the removal of a tooth that cannot be saved due to damage, decay, infection or overcrowding.
Will I Feel Anything During The Procedure?
You will not feel pain, but you might notice some pressure or movement. Once the area is fully numbed, the nerve endings in the tooth and surrounding tissue temporarily stop sending pain signals to the brain. This means your dentist can remove the tooth without causing discomfort.
You might hear some sounds or feel a gentle tugging sensation. This is completely normal and does not mean anything is wrong. If at any point you feel discomfort, your dentist will be able to pause and give you more anaesthetic if needed.
What Happens After The Extraction?
After the extraction, the focus shifts to healing. Your dentist will place a gauze pad over the area and give you instructions for aftercare. It is normal to experience some mild discomfort, swelling or minor bleeding over the next 24 to 48 hours. Pain can usually be managed with over-the-counter medication, and most people return to their usual routine within a day or two.
You will be advised to avoid hard, hot or spicy foods at first and to avoid rinsing your mouth or using straws for the first 24 hours. Good oral hygiene and following your dentist’s instructions will help reduce the risk of complications such as infection or dry socket.
How Long Does It Take To Heal?
Initial healing usually takes 7 to 10 days, though the full recovery of the gum and bone can take a little longer. Everyone’s healing speed is slightly different and depends on factors like age, overall health and the complexity of the extraction.
Most discomfort eases after the first couple of days. Your dentist may schedule a follow-up appointment to check the area and discuss any next steps, such as tooth replacement options if needed.
What If I Am Nervous About The Procedure?
Dental anxiety is very common, especially for procedures like extractions. At many practices, including Preventive Dental in Southfields, dentists are trained to support anxious patients with a calm and patient-led approach. You will always have time to ask questions, understand your options and never feel rushed.
Sedation options may also be available for those who need additional support. These can help you feel more relaxed and allow the dentist to complete the procedure smoothly. The goal is always to make your experience as stress-free as possible.
Are There Any Alternatives To Extractions?
Where possible, dentists aim to save teeth rather than remove them. Options like root canal treatment, crowns or fillings may be explored before deciding on extraction. However, in cases where a tooth is severely damaged, infected or causing other oral health issues, removal is often the most effective solution.
Once a tooth is extracted, your dentist will also discuss ways to replace it if needed. This may include dental implants, bridges or dentures depending on your situation. Keeping the mouth balanced and functional is a key part of long term dental health.
Alternatives to tooth extractions include root canal treatment, crowns or fillings.
The Bottom Line
Dental extractions are far less daunting than they once were and most patients experience little to no pain during the procedure. With modern anaesthetics, expert support and thorough aftercare advice, the process is straightforward and manageable. If you have concerns about a tooth that might need to come out, speak to your dentist as early advice can help avoid complications and ensure a smoother experience overall.
