When is extraction needed?
- Teeth that cannot be restored because of severe decay or fracture
- Loose teeth caused by advanced gum disease
- Impacted or partially impacted wisdom teeth
- Making space for orthodontic treatment
- Baby teeth that do not fall out
How is the procedure done?
- The root structure and closeness to the nerve are assessed with an X-ray.
- Local anaesthesia; you feel no pain during the procedure, only a sensation of pressure.
- A simple extraction takes 10–20 minutes; impacted tooth surgery 30–60 minutes.
- Stitches are placed if needed and removed after 7–10 days.
Aftercare for extraction
- Bite on the gauze for 30–45 minutes; do not spit or rinse.
- On the first day avoid hot food, smoking and straws.
- Apply a cold pack to the outside of the face; from day 2, rinse gently with warm salty water.
- Take your painkiller as your dentist advises.
Frequently asked questions
Can't I just take antibiotics instead of having the tooth pulled?
Antibiotics only suppress the infection temporarily; if the tooth that is the source is not treated, the abscess comes back. Antibiotics are given to support treatment when they are needed.
Does every wisdom tooth have to be removed?
No. Wisdom teeth that have erupted properly, can be cleaned and cause no problems may stay in the mouth. Teeth that are impacted, painful or causing decay in the neighbouring tooth are removed.
How long does healing take after extraction?
You are fully back to daily life in 3–5 days after a simple extraction and 7–10 days after impacted tooth surgery. Swelling is greatest on days 2–3 and then goes down.
What should be done to replace the extracted tooth?
For missing teeth other than wisdom teeth, the gap lets neighbouring teeth tilt. Replacing the tooth with an implant or bridge within 2–3 months is recommended.