A tooth extraction may be done in case of very severe dental decay. In normal circumstances, the doctor repairs the cavity by putting a dental filling. In very severe decay, the entire tooth is removed from the socket in its bone.
Tooth extractions are done routinely at the dentist’s office. Impacted teeth however are removed with dental surgery. Let us now study in detail the different types of tooth extractions.
Types Of Tooth Extractions
Simple extractions are done at your local dentist’s office as an outpatient procedure. The simple extraction is performed on a tooth that is clearly visible to the naked eye. A swift study of your mouth, teeth and gums are done before conducting the extraction.
Since local anaesthesia is administered, it becomes important to check the patient’s vital statistics like blood pressure. Elevated blood pressure can lead to headaches, dizziness after the administration of the anaesthesia. It can also lead to uncontrolled bleeding after the removal of the tooth.
The local anaesthesia is administered half an hour before the tooth extraction in the gum area surrounding the tooth. Once the anaesthesia has taken effect, the doctor pulls out the tooth by shaking it back and forth with the help of tooth forceps.
Once the tooth has sufficiently loosened, the tooth is pulled out. Gauze or a piece of sterile swab is put on the tooth to stop the excess bleeding. In case the tooth is very deep, a dental elevator may have to be used.
Once the procedure is complete, the patient is asked to wait until the anaesthesia wears off. Signs of bleeding are checked and the patient is given simple painkillers to numb the pain.
Surgical extractions of teeth are far more complicated. This is a more invasive dental procedure and is used on teeth that are deeply impacted or are barely visible from the gums. The person may be sedated even though he/she is awake. An oral surgeon performs the surgery.
Young children may be given general anaesthesia in case of a surgical extraction. In this, the gums are cut and pulled back to see the tip of the tooth. The tooth and its remnants are then pulled out. Sometimes the tooth is so deeply embedded that it has to be cut into small pieces and removed one by one.
This is a very tedious and time-consuming procedure. Steroids may be given after the procedure to prevent excessive swelling and inflammation of the gums. This sort of procedure is very commonly done on impacted wisdom teeth, which fight for space and push against other teeth leading to pain.
At times, all the wisdom teeth are removed at one go for ease and convenience. This also depends on the pain threshold of the patient. The top teeth are removed more easily.
The pain with tooth extraction generally subsides after 2-3 days. You may be asked to eat cold foods like ice cream to numb the pain and stop the bleeding. Painkillers may be prescribed for a few days. Surgical extractions are generally more painful than non-surgical ones.