Cosmetic Dentistry

Tooth Extraction

Although the preference of dentists is to continue to use the replacement teeth in a healthy way after the milk teeth are replaced, tooth extraction may be required for many different reasons depending on dental care. One of the main reasons for tooth extraction is that the teeth become unusable. Decayed teeth, which do not allow a healthy mouth and can cause different complaints such as odour and pain, are among the most basic factors leading to tooth extraction. 

Dentists may consider tooth extraction procedure necessary for reasons other than caries. When the teeth do not fit fully into the jaw, tooth extraction may be required for orthodontic treatment and preparation for orthodontic treatment.

Among the most common reasons for tooth extraction are complications caused by wisdom teeth. It may also be necessary to extract the impacted teeth and remove them from the gum. The last method tried to save the tooth before extraction is canal treatment. If the bacteria in the tooth progresses to the pulp and causes infection, the bacteria causing the infection are tried to be removed with antibiotics or canal treatment. If these methods are not sufficient, tooth extraction is considered. In addition, gum diseases may also cause the need for tooth extraction.

What is Tooth Extraction?

In cases where it is not possible to save the tooth for any reason, the process of removing the tooth from the bone without damaging the surrounding tissues and evacuating it from the mouth is called tooth extraction. Tooth extraction is preferred by dentists as a last resort.  

Who is tooth extraction suitable for?

Tooth extraction;

  • The tooth cannot be saved by filling, crown or canal treatment,
  • Milk teeth that should have fallen out did not fall out, 
  • Impacted teeth cause discomfort,
  • Tooth placement leads to jaw space congestion,
  • Incorrect treatment of the tooth,
  • That wisdom teeth cause severe pain,
  • It is applied when needed for some orthodontic treatments.

How is tooth extraction performed?

Local anaesthesia is applied to the area before tooth extraction. After the area is numbed, the tooth is displaced using a medical instrument called an elevator. The tooth is grasped tightly with a drum and gently moved and the tooth is loosened from its ligaments. The tooth extraction is easily completed thanks to the slight forward and backward movements to separate the tooth from its ligaments. In some cases, it may be necessary to extract the tooth partially from the mouth. 

Tooth extraction can be performed in an average of 15 to 20 minutes in cases where surgery is not required. If the tooth to be extracted has more than one root, the extraction time may be slightly longer. If the tooth is impacted, surgical intervention is required for tooth extraction. 

Recovery Process After Tooth Extraction

Although the patient can go directly home after tooth extraction, it should not be forgotten that a certain healing process will be needed. In this process, it is normal for the patient to feel a slight pain, but painkillers prescribed by the dentist can be used. If antibiotics are prescribed against the risk of infection, these drugs should also be taken without interruption.

Cold compress can be applied to the area in a controlled manner to prevent swelling after tooth extraction. In this context, the cold compress should be kept in the area for a maximum of 10 minutes and then removed. Eating and drinking should not be started until the effect of anaesthesia is completely over. Warm and soft foods should be consumed during the early recovery period. Within 24 hours following tooth extraction, the mouth should not be rinsed vigorously and should not be spat out.  It is also very important not to smoke during this period. Otherwise, wound healing may be adversely affected and serious inflammation may occur.

After about 2 weeks of healing, new bone and gum tissue growth begins in the cavity in the extraction area. Differences in biting and chewing functions may occur due to missing teeth. For this reason, it is recommended to replace the missing tooth with a fixed bridge, prosthesis or implant.

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