Most people will need a type of tooth extraction at some point in their lives. Here in Brackley, at the Orchid Dental Centre we perform them regularly, but do not remove teeth that we can save. We are very passionate about keeping as many natural teeth as we possibly can.
There are two types of extractions:
Simple extractionA simple extraction is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.
Surgical extractionA surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not come into the mouth yet and it might be used for removal of wisdom teeth.. Surgical extractions commonly are done by oral surgeons. However, they are also done by general dentists. The doctor makes a small incision (cut) into your gum. Sometimes it's necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.
For a surgical extraction, you will receive a local anesthetic, and you may also decide to have anesthesia through a vein (intravenous sedation). Some people may need general anesthesia. They include patients with specific medical or behavioral conditions and young children. However, all general anesthesia cases will be referred to the hospital.
During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your doctor.
We will give you detailed instructions on what to do and what to expect after your surgery. If you have any questions, make sure to ask us before you leave the practice.
Having a tooth taken out is surgery. You can expect some discomfort after even simple extractions. Usually it is mild. Research has shown that taking nonsteroidal anti-inflammatory drugs (NSAIDs) can greatly decrease pain after a tooth extraction. These drugs include ibuprofen.. Take the dose your dentist recommends, 3 to 4 times a day. Take the first pills before the local anesthesia wears off. Continue taking them for 3 days. We will give you complete instructions.
Surgical extractions generally cause more pain after the procedure than simple extractions. The level of discomfort and how long it lasts will depend on how difficult it was to remove the tooth. We may prescribe pain medicine for a few days and then suggest an NSAID. Most pain disappears after a couple of days.
A cut in the mouth tends to bleed more than a cut on the skin because it cannot dry out and form a scab. After an extraction, you'll be asked to bite on a piece of gauze for 20 to 30 minutes. This pressure will allow the blood to clot. You still have a small amount of bleeding for the next 24 hours or so. It should taper off after that. Don't disturb the clot that forms on the wound.
You can put ice packs on your face to reduce swelling. Typically, they are left on for 20 minutes at a time and removed for 20 minutes. If your jaw is sore and stiff after the swelling goes away, try warm compresses.
Eat soft and cool foods for a few days. Then try other food as you feel comfortable.
A gentle rinse with warm salt water, started 24 hours after the surgery, can help to keep the area clean. Use one-half teaspoon of salt in a cup of water. Most swelling and bleeding end within a day or two after the surgery. Initial healing takes at least two weeks.
If you need stitches, we use the kind that dissolve on their own. This usually takes one to two weeks. Rinsing with warm salt water will help the stitches to dissolve.
You should not smoke, use a straw or spit after surgery. These actions can pull the blood clot out of the hole where the tooth was.
If you need to talk to us about a tooth extraction or would like to book an appointment for a comprehensive dental examination, call us today on 01280 703125.