What to know about tooth extraction

December 12, 2019by aestheticsmiles0
img-careers

An oral surgeon, not a dentist, may extract a tooth when the situation is more complicated. In many cases, they extract third molars or wisdom teeth.

The dentist or surgeon will numb the tooth first to make the person more comfortable. While a tooth extraction may still be unpleasant, it can be key for relieving dental pain and preventing future problems.

In this article, we outline the different types of tooth extraction and why people need them. We also describe preparation and what to expect after the procedure.

What is tooth extraction?

A tooth extraction is the removal of a tooth.

Dentists and oral surgeons remove teeth for various reasons. Some examples include:

  • dental cavities
  • gum disease
  • dental infections
  • trauma or injury to the tooth or surrounding bone
  • wisdom teeth complications
  • preparation for a dental prosthesis
  • žpreparation for dental braces, if the teeth are very crowded
  • baby teeth not falling out at the proper age

Types

The right type of tooth extraction depends on the tooth’s shape, size, position, and location in the mouth.

Dental surgeons may classify extractions as simple or surgical. A simple extraction involves a tooth that is visible above the gums and that a dentist can remove in one piece.

A surgical extraction is more complicated and involves the removal of gum tissue, bone, or both. The surgeon may need to remove the tooth in pieces.

Wisdom teeth are the last to erupt and usually the first to require extraction because in many people, they are impacted. This means that they have not fully emerged from the gums.

Wisdom teeth extraction is a common procedure in oral surgery.

Preparation

A person will have a consultation with their dentist or oral surgeon prior to the extraction.

During the consultation, the doctor will ask for a thorough medical history. They will also ask about any medications that the person is taking.

Some people need to stop or start taking certain medications in the days leading up to the surgery, depending on the amount of teeth, bone, or both to be removed.

A person may also receive certain medications on the day of the surgery.

Stopping blood thinners

Many people take blood thinning medication to prevent the formation of blood clots in vessels. These medications can lead to more bleeding during surgery.

A dental surgeon can usually control bleeding at the site of the extraction by:

  • using topical clotting medications on the gums
  • packing the tooth socket with foam or dissolvable gauze
  • stitching up the extraction site

Using gauze and applying pressure after the procedure can also help stop bleeding.

However, anyone who takes blood thinners should let their dental surgeon know during the consultation.

In order to tell whether the person should temporarily switch to a different blood thinner or stop taking this type of medication, the surgeon may need to see the results of a recent blood test.

Typically, people do not need to stop taking blood thinners prior to tooth extractions. Anyone considering stopping this treatment should consult their dentist or physician first.

Starting antibiotics

In a few circumstances, a dentist may prescribe antibiotics before a tooth extraction.

For example, they may do so to treat dental infections with widespread symptoms, such as a fever or malaise, along with local oral swelling.

Toothaches without swelling do not require antibiotics. Always take antibiotics exactly as directed by a doctor, and avoid unnecessary use.

A person may need antibiotics if they have a high risk of infective endocarditis, an infection of the heart valves or the interior lining of the heart chambers.

According to the American Heart Association (AHA), people with certain heart conditions have an increased risk of developing this infection following dental surgery.

The AHA and American Dental Association recommend, therefore, that people with any of the following take antibiotics prior to dental surgery to reduce the risk of infection:

  • a prosthetic cardiac valve
  • a history of cardiac valve repair with prosthetic material
  • a cardiac transplant with structural abnormalities of the valve
  • certain congenital heart abnormalities
  • a history of infective endocarditis

Anesthesia during surgery

The person will receive an injection of local anesthetic close to the site of the extraction. This will numb the area so that the person will not feel any pain. The numbness will continue for a few hours after the surgery.

A person can request additional anesthetic or sedative medication to minimize anxiety during the procedure. The dentist or surgeon may offer:

  • nitrous oxide, also known as laughing gas
  • an oral sedative medication
  • intravenous, or IV, sedation
  • general anesthetic

A person who receives general anesthetic will be completely asleep during the procedure.

Some dentists do not have the options above at their offices. If a person requires any of these, they should let their dentist know during the consultation, and the dentist may refer them to an oral surgeon.

Leave a Reply

Your email address will not be published. Required fields are marked *

Copyright 2020-2021 by Aesthetic Smiles Dental Clinic- Mumbai.. All rights reserved. By Ease2web

Copyright 2021-2022 Aesthetic Smiles Dental Clinic- Mumbai.. All rights reserved. By Ease2web

EXCELLENT
70 reviews on
Ja'Rod Morris
Ja'Rod Morris
2022-06-18
As someone who has struggled with juvenile periodontitis since the age of 16, I've worked with dentists around the world, and it was refreshing to find a dentist that I was able to work with directly from beginning to end. Dr. Arora was highly professional, thoughtful, and empathetic throughout the process. I had already started the process and had implants in place, and she helped me with six abutments and a total of 26 crowns. I reached out a few weeks before my trip, and she responded immediately. She took the time to talk through my history, and I could speak with her directly, not one of her assistants. She was very transparent and empathetic to my situation. She addressed my concerns about fees and followed through by not making it about money right when I showed up at her office. She paid attention to every detail and was thorough and getting the job done, and I would recommend her to anyone looking to get some solid work done, whether it be implants or cosmetic work.
Read more
Shaheena Attarwala
Shaheena Attarwala
2022-06-18
Visited for dental facial pain issue, this was a second opinion i needed but the doctor was giving ambiguous answers & was not open to explaining in detail what would be best treatment. Again the answers were confusing and doc was not sure if the treatment would work or not. After having consulted a few docs before i was certain that this condition is not a rare one and facial pain is very common today. Again i was to visit doctor urmi but another dentist in her place consulted me which was surprising as i had no prior knowledge of this. I would appreciate if the doctor showed more enpathy towards the patient.
Read more
Ridham Desai
Ridham Desai
2022-05-29
Excellent treatment. Professional. Safe. Very good facilities.
Read more
Daman Singh
Daman Singh
2022-05-23
Dr Ritika, you play an essential part in the up keep of the pearly whites; thereby completing and complimenting the smile. A big thank you full of satisfaction to you and your team.
Read more
Sandeep Mehra
Sandeep Mehra
2022-05-20
Visited for dental implants Was looking for a good dental clinic in mumbai , found Dr Ritika online and was quite impressed with her credentials and the reviews on google I was struggling with a old broken bridge with missing teeth . On Consultation with Dr Ritika suggested me immediate dental implants. I had 3 teeth extracted and 3 dental implants place on the same day . The procedure was painless though there was some nagging discomfort for a few days later which is quite normal when you have so much dental work done in one sitting After 4 months the dental implants were restored with 4 ceramic crowns. I happy to be back to enjoying my food. Modern clinic , very professional , affordable and the overall experience at Aesthetic smiles dental clinic is good especially for nervous patients like me who tend to neglect dental treatment Highly recommended
Read more
Mohsin Shaikh
Mohsin Shaikh
2022-05-17
Last year in the month of December I have visited her and she advised me to remove my tooth and then do an implant and I had the most traumatic dental extraction experience, still I kept myself calm thinking that she is well known and experienced doctor and it’s been 5 to 6 months she did not followed up and avoid to reply to my text about the implant, Today i have visited another dentist to my wildest dream, I came to know that she has destroyed my entire jaw bone in the extraction process and no implant is possible now. It’s all big name and low fame, terrible diagnosis and treatment. Please be careful.
Read more
Kevin Lawler
Kevin Lawler
2022-05-01
Listens to client and works out an appropriate plan
Read more
Sean Verma
Sean Verma
2022-04-22
*Very hygienic *Professional *Honest *She will tell you that you do not need unnecessary treatments *Very skilled *Efficient We will be back to treat with Dr. Arora
Read more
Lisa Smith
Lisa Smith
2022-03-03
I am from the US and was living in Africa when I needed some implants done. My global travel service recommended Dr. Ritika and my experience with her was fantastic! After I moved back to the States, I returned to India specifically to have her do more dental work for me. if not for Covid, I would return to India to finish the implant work she started. Both my dentist and oral surgeon here have commented on the high quality of work I received from her. Her clinic is exceptionally clean and her staff are very nice. Dr. Ritika was also very attentive to my travel needs and even sent cars to pick me up for my appointments. Plus, It costs me less to take a 2-week vacation AND get multiple implants than to get just 1 implant on the US! I highly recommend her, and look forward to when I can go back to visit enchanting India.
Read more
sanjana dsouza
sanjana dsouza
2021-10-02
Dr Rithika and Kanchan is really great and patient centric.one of the best doctor I have met.highly recommended
Read more