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What is a tooth extraction?
A dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Whether you have a tooth that is giving you pain, is dead or decayed, an extraction can remove the tooth and give relief from pain.
We have been a dental practice in Southfields for over 30 years and have built a reputation for offering affordable, effective and highly professional treatment.
Why would I need a tooth extraction?
Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease or dental trauma, especially when they are associated with toothache.
Sometimes wisdom teeth are impacted (stuck and unable to grow normally into the mouth) and may cause recurrent infections of the gum. In orthodontics if the teeth are crowded, sound teeth may be extracted to create space so the rest of the teeth can be straightened.
Extractions are often categorised as “simple” or “surgical”
Simple extractions are performed on teeth that are visible in the mouth, usually under local anaesthetic, and require only the use of instruments to elevate and/or grasp the visible portion of the tooth.
Typically the tooth is lifted using an elevator, and using dental forceps, rocked back and forth until the periodontal ligament has been sufficiently broken and the supporting alveolar bone has been adequately widened to make the tooth loose enough to remove. Typically, when teeth are removed with forceps, slow, steady pressure is applied with controlled force.
Surgical extractions involve the removal of teeth that cannot be easily accessed, either because they have broken under the gum line or because they have not erupted fully. Surgical extractions almost always require an incision.
In a surgical extraction the doctor may elevate the soft tissues covering the tooth and bone and may also remove some of the overlying and/or surrounding jawbone tissue with a drill or osteotome. Frequently, the tooth may be split into multiple pieces to facilitate its removal. Surgical extractions are usually performed under sedation.
What will happen during a dental extraction?
Tooth extraction is usually relatively straightforward, and the vast majority can be usually performed quickly while the individual is awake by using local anaesthetic injections to eliminate painful sensations. Local anaesthetic blocks pain, but mechanical forces are still felt. 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.
If a tooth is buried in the bone, a surgical or trans alveolar approach may be required, which involves cutting the gum away and removal of the bone which is holding the tooth in with a surgical drill. After the tooth is removed, stitches are used to replace the gum into the normal position.
How long does a tooth extraction take to do?
A tooth extraction usually takes between 20 and 40 minutes from start to finish, depending on the tooth’s position and condition. Simpler extractions, like those of loose or already mobile teeth, can be quite quick.
More complex cases, such as wisdom teeth or teeth with curved roots, may take longer as the dentist carefully removes them in stages to protect the surrounding bone.
What will happen after a dental extraction?
Immediately after the tooth is removed, a bite pack is used to apply pressure to the tooth socket and stop the bleeding. After a tooth extraction, dentists usually give advice which revolves around not disturbing the blood clot in the socket by not touching the area with a finger or the tongue, by avoiding vigorous rinsing of the mouth and avoiding strenuous activity.
Sucking, such as through a straw, is to be avoided. If the blood clot is dislodged, bleeding can restart, or alveolar osteitis (“dry socket”) can develop, which can be very painful and lead to delayed healing of the socket.
Smoking is avoided for at least 24 hours as it impairs wound healing and makes dry socket significantly more likely. Most advise hot salt water mouth baths which start 24 hours after the extraction.
Can you recommend some tooth extraction aftercare tips?
After a tooth extraction, keeping the area clean and undisturbed is key to proper healing. Keep your head slightly elevated and avoid smoking or alcohol. Follow any specific instructions from the dentist and contact us if anything feels unusual.
The first night after your tooth extraction, focus on rest and allow your body to begin healing. Take any prescribed or recommended pain relief and apply a cold compress to the cheek if needed. Stick to soft foods and avoid touching the area with your tongue or fingers.
How long does tooth extraction healing take?
Initial healing after a tooth extraction usually takes about 7 to 10 days, but full recovery of the gum and bone can take a few weeks. Most people feel significantly better within the first few days, especially if aftercare is followed closely.
The timeline can vary depending on the complexity of the extraction and your overall health. Our dentists will advise if any additional steps are needed for a smooth recovery.
What if I get an infection after tooth extraction?
If you notice increasing pain, swelling, a bad taste or discharge from the extraction site, you may have an infection. It is important to contact us promptly so that we can assess and treat it, often with antibiotics or additional cleaning.
Infections can usually be managed quickly when caught early. Always follow your aftercare instructions to minimise the risk.
What is the tooth extraction cost?
The cost of a tooth extraction depends on whether it is a simple or surgical procedure and whether sedation or x-rays are needed. You can learn more about our fees here.
Alternatively, get in touch and a member of the team will be delighted to assist you with pricing. Our dentists will always give you a clear breakdown before any treatment goes ahead.
What should I eat after a tooth extraction?
Stick to soft, cool or lukewarm foods like yoghurt, mashed potatoes, scrambled eggs and soup in the first few days after an extraction. Avoid anything hot, crunchy, spicy or chewy while the site is healing.
Smoothies and meal replacement shakes can help keep your energy up without disturbing the area. Gradually reintroduce solid foods as your comfort allows.
Is pain after a tooth extraction normal?
Yes, it is completely normal to feel some pain or discomfort for the first few days after a tooth extraction. This usually peaks in the first 24 to 48 hours and then gradually improves.
Over-the-counter or prescribed pain relief can help manage it. Our team will advise you on what is safe to take. If the pain worsens after a few days, contact us to rule out any complications.
Where can I get a tooth extraction near me?
If you are looking for a trusted place for a tooth extraction near you, Preventive Dental in Southfields offers both emergency tooth extractions and private tooth extractions with expert care and a gentle approach.
We are conveniently located just a short walk from the local train station, close to major bus routes and with parking available nearby, will make your visit as stress-free as possible. Whether you need urgent same day treatment or planned care, our team is here to help you feel comfortable every step of the way!
Courtesy of Wikipedia – en.wikipedia.org/wiki/Dental_extraction