What are the conditions when I will need a tooth extraction?
You will need an extraction most commonly in the following conditions
- In case the tooth is so badly decayed that it cannot be saved by endodontic treatment
- In case the tooth is mobile and cannot be saved by periodontal therapy
- In case there is overcrowding and the patient requires an orthodontic treatment
- In the case the teeth left are very few and prosthetic rehabilitation is not possible without extraction of teeth
- In case of impacted teeth
What to expect when I see my dentist?
Your dentist will take your detailed history and advise you blood tests if required. He will also take an x-ray of the tooth. In case you are on blood thinners, your dentist might want to stop them a few days before the tooth extraction
What do I need to tell my dentist before I go to her for tooth extraction?
- You need to carry your recent medical prescription and inform the dentist about any allergies that you have to any drugs or to the anesthetic itself.
- In case you are running any fever, or have any infection
- In case you have an implant or any other foreign material in your body
- In case you are on blood thinners
What do I expect during an extraction?
The dentist will numb the area where the tooth is present. At times, half your tongue also might be made numb. Once the anesthetic has acted well, the dentist will use instruments to elevate your tooth and then extract it with a forceps. You will feel pressure while your dentist is working on you, but not pain. An extraction generally does not take a long time. The dentist will place cotton in your mouth and ask you to bite hard on it. Bite firmly but gently on the gauze pad placed by your dentist to reduce bleeding and allow a clot to form in the tooth socket.
How long does it take for my mouth to recover afterwards?
The initial healing period usually takes about one to two weeks. New bone and gum tissue will grow into the gap. Over time, however, having a tooth (or teeth) missing can cause the remaining teeth to shift, affecting your bite and making it difficult to chew. For that reason, your dentist may advise replacing the missing tooth or teeth with an implant, fixed bridge, or denture.
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Instructions following tooth extraction:
- Bite firmly on the cotton that your dentist has placed and remove it after half an hour. While you are biting down on the cotton, kindly swallow the saliva and do not spit. Please do not check by spitting whether the extraction socket is bleeding or not.
- Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket.
- Please take the medication as prescribed by your dentist.
- Please apply an ice pack on your face outside the extraction socket for twenty minutes intermittently three to four times a day (During this half an hour place the ice for 10ceonds and then remove for 10seconds and repeat the exercise for 20 minutes). This will help reduce the swelling.
- After 24 hours, rinse your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.
- Do not drink from a straw for the first 24 hours.
- Do not smoke, which can inhibit healing.
- Eat cold and soft foods, such as soup, pudding, rice, khichdi, yogurt, or applesauce for 24 hours following the extraction. Gradually add solid foods to your diet as the extraction site heals.
- Continue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. Doing so will help prevent infection.
In case of any problems following extraction, kindly contact your dentist.