Tooth Removal – Causes, Procedure and Post Extraction Care
In simple language, tooth extraction is removal of tooth from mouth, more precisely; tooth is removed from its socket in the bone.
# Causes for removal of tooth/teeth:-
- Most common cause for tooth removal is damaged or grossly decayed tooth.
- Tooth/ teeth with abscesses & swelling.
- Most common reason for tooth removal in Adults is periodontitis.
- Tooth with fracture line & fractured teeth.
- People getting orthodontic treatment/braces may require removal of teeth that are being moved into place.
- Wisdom teeth sometimes get stuck in the jaw (i.e. get impacted) may require extraction/removal.
# Procedure for tooth removal/extraction :-
–> Before doing tooth extraction dentist/oral surgeon will take Medical & Dental history of patient.
–> Dentist/oral surgeon will then evaluate tooth by clinically & if required radiograph (x-ray / IOPA) will be taken.
–> Then Dentist/Oral Surgeon will proceed with extraction (removal) of tooth if patient doesn’t have any severe medically compromised condition or any other complication/contraindication.
–> Tooth extraction (removal) can be done by two ways :-
1. Simple (Closed/Forcep) Extraction.
2. Open (Surgical) Extraction.
–> Time required for tooth extraction (removal) may vary depending upon tooth condition & extraction method.
Open (Surgical) Extraction procedure is completed by dentist in 15-30 minutes.
–> Simple extraction procedure is done by Dentist/Oral Surgeon under local anaesthesia which is given to numb the tooth & when the tooth & surrounding mucosa is anesthetized, Dentist/Oral Surgeon will proceed with tooth extraction procedure.
Tooth extraction procedure involves removal of tooth from its bony socket which require loosening of soft tissue attachment from tooth & luxation of tooth using dental extraction instrument. Lastly removal of tooth from its bony socket is done with the help of
specific dental dental forceps. Then after careful inspection of extraction socket dentist will give gauze pack to stop bleeding & to achieve haemostasis.
Postoperative/Post-extraction instruction is given to the patient.
–> Postoperative instruction given to patient after a simple or closed extraction–
Following Post-extraction instruction is very essential to avoid unnecessary pain or complications os infection or swelling.
# Immediately after extraction -
* Bite on the cotton gauze pack placed over extraction site for 45 minutes to 1 hour, after that remove it gently.
* Maintain constant pressure or gauze (No talking or chewing).
* Do not spit or suck through a straw. If bleeding persists at home, place a clean gauze pad over the socket & bite it firmly for 30 minutes.
* You can also bite on a moistened tea bag for thirty minutes. (Tannic acid in the tea bag helps to from a clot by contracting bleeding vessels).
* Some blood will ooze from the area of surgery for several hours which is normal.
* Avoid vigorous mouth rinsing or touching the wound with tongue etc. following extraction.
* To minimize any swelling, you can place ice packs to the side of face over extraction area.
* Take prescribed pain medication as soon as possible.
* Get plenty of rest at least 8-10 hours of sleep 7 avoid vigorous exorcize during first 24 hours after tooth removal.
* Do not smoke under any circumstances (at least for 48 hours after surgery).
- > Diet
* Use soft or liquid diet high in protein.
* Drink large amount of water & fruit juices (Do not use straw).
* Avoid hot food for a whole day after tooth removal.
# Some important points to be taken into consideration–>
* Some pain or discomfort is normal after tooth removal surgery which can be controlled by taking pain medication prescribed by your dentist / oral surgeon.
* Don’t drive an automobile or work around heavy machinery under pain medication.
* Do not mix alcohol & pain medication.
* Swelling after surgery is normal body reaction, applying ice packs over the area for the first 24 hours and not longer than 20 minutes at a time, helps to control swelling.
Do not use hot fermentation (do not apply heat).
* Low grade temperature (99-100F) for 7-10 days following tooth removal is normal.
* You may experience some mild bruising in the area of surgery, which is also normal and will disappear in 7-14 days.
* If sutures/stitches were placed in the area of tooth extracted then your dentist/oral surgeon will tell when sutures/stitches need to be removed (usually in about a week and if sutures are self-dissolving they don’t require removal).
* Contact your dentist for any doubt or severe discomfort.