Everything you need to know about getting a tooth pulled

A tooth extraction, commonly referred to as having a tooth pulled, is a standard dental procedure that many people will need at some point in their lives.

Whether it’s for a severely decayed tooth, an impacted wisdom tooth, or overcrowding, the process can seem daunting.

However, understanding what to expect before, during, and after a tooth extraction can help you feel more prepared and reduce any concerns.

Understanding tooth extraction

A tooth extraction involves the removal of a tooth from its socket in the bone. General dentists or oral surgeons perform tooth extractions for various reasons, from removing wisdom teeth that are causing pain to removing a badly decayed tooth before it can affect your other teeth.

In some cases, a tooth extraction is necessary to make space for dental implants or braces.

Why might you need a tooth pulled?

Tooth extractions are typically recommended when a tooth is severely damaged, infected, or impacted.

For instance, if a tooth is causing significant discomfort, it may need to be pulled to prevent further complications. Impacted teeth, often wisdom teeth, fail to emerge properly and can cause pain, swelling, or infection.

If nothing else can solve the problem, your dentist may recommend tooth extraction.

Types of tooth extractions

Simple tooth extraction

A simple extraction is the most straightforward type of extraction and usually involves a tooth that is visible in the mouth. It is typically performed by a general dentist using a local anaesthetic. The dentist will loosen the tooth with an instrument called an elevator before gently removing it from the socket.

Surgical tooth extraction

Surgical extractions are more complex and often necessary for teeth that are broken below the gumline or impacted. These types of extractions may require the dentist or oral surgeon to make a small incision in the gum tissue, remove the tooth, and sometimes even remove surrounding bone. Surgical extractions often involve conscious sedation or general anaesthetic to keep you comfortable throughout the procedure.

Preparing for a tooth extraction

Before any tooth extraction, your dentist will perform a thorough examination of your mouth. They may take X-rays to assess the condition of the affected tooth and determine whether the extraction is necessary. During this consultation, your dentist will explain the procedure in detail, including the benefits, risks, and potential complications.

Understanding the procedure

Knowing what to expect during the procedure can ease your nerves. For a simple extraction, your dentist will numb the affected area with a local anaesthetic. For more complicated surgical extractions, such as those involving impacted teeth, your dentist may discuss options like conscious sedation to help you relax.

Medical history

Your dentist may also ask about your medical history, as certain conditions (like bacterial endocarditis or a weakened immune system) may affect the extraction process. It is crucial to tell your dentist if you are taking any medications or if you have any health concerns that might complicate the procedure.

The extraction procedure: step-by-step

For most tooth extractions, your dentist will numb the gum tissue and surrounding area with a local anaesthetic. This ensures you don’t feel pain during the procedure. However, if you’re undergoing a surgical extraction or are particularly anxious, your dentist may recommend conscious sedation or even general anaesthesia.

What happens during the procedure?

If you’re having a simple extraction, the procedure typically lasts around 20 to 40 minutes.

After administering the anaesthetic, the dentist will use an instrument called an elevator to loosen the tooth from its socket.

Once the tooth is loosened, the dentist will pull it out using forceps. For surgical extractions, your dentist may need to make a small incision in the gum or even remove a bit of surrounding bone.

How long does it take?

The length of the procedure depends on the complexity of the extraction. A simple extraction may take just a few minutes, while a surgical extraction could take longer, especially if the tooth is impacted or if there is extensive gum tissue that needs to be cut.

Recovering from a tooth extraction

After the procedure, you may feel some discomfort, which can usually be managed with over-the-counter painkillers. It’s normal for the area to be swollen and tender for a few days. You may also experience slight bleeding during the first few hours following the extraction. It’s advisable to only eat soft foods for the first couple of days so nothing can get trapped in the wound.

Pain management and medications

To manage pain after the procedure, your dentist will likely recommend taking over-the-counter pain relief, such as ibuprofen. In some cases, they may prescribe stronger pain medications. Applying an ice pack to the affected area can help reduce swelling and numb the area, providing additional comfort during recovery.

Managing swelling and bruising

Swelling and bruising around the extraction site are normal, especially after a surgical extraction. To reduce swelling, your dentist may recommend applying an ice pack to your cheek for 15 to 20 minutes every few hours during the first 24 hours.

Avoiding complications (e.g., dry socket)

After surgery, it’s important to follow your dentist’s aftercare instructions to avoid complications like dry socket.

Dry socket occurs when the blood clot that forms in the tooth socket is dislodged or dissolves prematurely, exposing the bone and nerve endings.

To prevent dry socket, avoid sucking on straws, smoking, or vigorous rinsing. It’s also important to bite firmly on a gauze pad for 30 to 45 minutes immediately after the procedure to help reduce bleeding and encourage the formation of a blood clot.

When to seek further help and considerations

It’s essential to monitor your recovery and watch for signs of infection, such as severe pain, excessive swelling, or a bad taste in the mouth. If you experience any of these symptoms, it’s important to call your dentist as soon as possible to prevent further complications.

When to contact your dentist

If the pain becomes more intense, or if you notice persistent bleeding or unusual swelling, contact your dentist. If you experience severe pain, pus, or a fever, these may be signs of an infection, and you may need antibiotics to prevent it from spreading.

Cost and alternatives to extraction

While tooth extraction is sometimes necessary, your dentist may also discuss alternatives, such as a root canal if the tooth is salvageable. Dental implants are another option for replacing a missing tooth if extraction is unavoidable. If you’re concerned about the cost of extraction, your dentist may offer payment plans or suggest affordable treatment options.

Don’t be afraid of tooth extraction!

If your dentist recommends that you get a tooth pulled, whether through a simple extraction or surgical extraction, don’t worry. By understanding what to expect before, during, and after the procedure, you can help ensure a smooth and stress-free experience.

At Fulham Road Dental, we offer a range of dental services designed to address both routine and specialised dental needs in a comfortable and modern setting.

Our experienced team provides personalised care, from preventative check-ups and cosmetic dentistry to complex procedures like tooth extractions, dental implants, and treatments for impacted wisdom teeth.

We place a strong emphasis on patient education and comfort, ensuring that each treatment plan is tailored to promote long-term oral health.

If you’re looking for a dental practice in Southwest London, Fulham Road Dental combines expertise, technology, and a patient-centred approach to deliver high-quality dental care for every stage of your oral health journey.