Extraction
When does a tooth need extraction?1,2
- Severe decay or caries
- Severe gum disease (periodontal disease) associated with tooth loosening
- Pathology associated (if the tooth is in close proximity or associated with cyst, tumours or jawbone fracture)
- Baby teeth that is not dropping out to make room for permanent teeth
- As part of orthodontic treatment
- Fractured tooth
- Trauma or injury
What happens during tooth extraction?2
BEFORE
Before performing a tooth extraction, the dentist will carefully assess medical and dental history and may take X-rays to evaluate the condition of the tooth and surrounding bone. Based on this information, they will determine the best approach for the extraction, which may involve referring to an oral surgeon for more complex cases.
For a simple extraction, local anesthesia will be used to numb the area around the tooth. For more complicated procedures, such as surgical extractions, the oral surgeon may administer intravenous (IV) anesthesia, ranging from conscious sedation to general anesthesia, which puts the patient to sleep. If you are placed under general anesthesia, it’s important to arrange for someone to drive you home afterward and stay with you until the effects wear off.
DURING
There are two types of extraction. A simple extraction is performed by a general dentist to remove tooth that is visible in the mouth. The dentist will numb the tooth and gum tissue, loosen the tooth with an instrument called an elevator before removing it with dental forceps.
A surgical extraction is a more complex procedure performed by either a general dentist or an oral surgeon, typically for a tooth that may have broken off at the gum line or has not come into the mouth yet. During a surgical extraction, the doctor will make a small incision (cut) into the gum and remove the underlying tooth.
What to do after a tooth extraction?3
In the aftermath of a tooth extraction, the mouth may feel like a battlefield – tender, swollen, and in need of tender loving care.
Rest and relax
Take it easy for the day and avoid strenuous activities that may impede the healing process.
Be gentle
The mouth feels delicate but it is crucial to maintain good oral hygiene to prevent infection. Gently brush the teeth the day after the extraction, being careful to avoid the extraction site.
Pain and swelling
It’s normal to experience some discomfort and swelling after a tooth extraction. Apply an ice pack to the affected area 10-minutes at a time to help reduce swelling and ease pain. Over-the-counter pain medications, as recommended by your dentist, can also provide relief.
Eat soft, nutritious food
Nothing crunchy or chewy for the time being, your tender gums need a break. Choose soft, easy-to-chew foods like porridge, noodle soup, yogurt, mashed potatoes, and smoothies in the days following extraction. Avoid hot foods and beverages, as they may irritate the extraction site.
No straws and no smoking
Sucking motions can dislodge blood clots and impede the healing process.
Protect and heal vulnerable gums
GENGIGEL®’s Gel formulation provides soothing relief to the extraction site, helping to alleviate discomfort and promote healing. Applied directly to the extraction site, GENGIGEL® can help accelerate the healing process, supporting the formation of healthy gum tissue and aiding in the closure of the extraction socket. Its antimicrobial properties create a protective barrier over the extraction site, helping to keep it clean and reduce the risk of infection. GENGIGEL® is easy to apply directly to the extraction site, either using a clean finger or a cotton swab. Its smooth gel consistency makes it gentle on sensitive gums, ensuring a comfortable application experience.
References: 1. https://www.facialart.com/oral-surgery-dental-procedures/teeth-extractions/tooth-extraction/ 2. https://www.colgate.com/en-us/oral-health/tooth-removal/tooth-extraction# 3. https://www.webmd.com/oral-health/pulling-a-tooth-tooth-extraction