What to Expect During a Tooth Extraction?

Tooth extraction is a common dental procedure performed to remove a tooth that is damaged, decayed, or causing crowding. Understanding the process can help ease anxiety and ensure proper preparation. 

At South Melbourne Dental Smiles, we prioritise patient comfort and use modern techniques to make extractions as smooth as possible. If you are in South Melbourne, VIC, and need a tooth removed, here’s what you can expect.

When Is a Tooth Extraction Necessary?

A dentist may recommend an extraction in the following cases:

• Severe decay or damage – If a tooth is too damaged to be restored with a filling or crown.
• Gum disease – Advanced gum disease can loosen teeth, requiring removal.
• Impacted teeth – Teeth that do not fully emerge can lead to pain and infection.
• Crowding – Extraction may be necessary before orthodontic treatment.
• Infection risk – Some medical conditions require extraction to prevent the spread of infection.
• Fractured teeth – In cases where a fracture extends below the gum line, making the tooth unsalvageable.
• Extra or supernumerary teeth – Occasionally, additional teeth may erupt and cause misalignment or discomfort.

The Tooth Extraction Process

The procedure typically involves three key stages: preparation, extraction, and aftercare.

1. Before the Extraction

Your dentist will assess your medical and dental history, discuss your concerns, and, if necessary, take X-rays to help determine the best approach to a safe extraction.

Patients may receive one of the following types of anaesthesia:

• Local anaesthesia – Numbs the area around the tooth.
• Sedation anaesthesia – Helps relaxation and minimises awareness during the procedure.

2. During the Extraction

The dentist will begin by numbing the area and ensuring the patient is comfortable. Depending on the complexity of the extraction, there are two methods:

• Simple extraction – Performed on visible teeth using forceps.
• Surgical extraction – Used for impacted or broken teeth, requiring an incision in the gum.

A simple extraction is usually quick, and patients may feel some pressure but no pain. Surgical extractions, however, require a more detailed approach, especially when dealing with wisdom teeth or fractured molars. The gum tissue may be gently lifted, and the tooth may need to be sectioned into smaller pieces for easier removal.

3. After the Extraction

Once the tooth is removed, the dentist may place stitches if necessary. A gauze pad will be placed over the site to help control bleeding. Patients will receive post-care instructions to promote healing.

Post-Extraction Care and Recovery

Proper aftercare is essential to prevent complications. Here’s what to keep in mind:

Aftercare Guidelines	Recommendations
Bleeding Control	Bite down on gauze for 30-45 minutes. Replace if necessary.
Pain Management	Take prescribed pain relief or recommended over-the-counter medication.
Swelling Reduction	Apply an ice pack for 10-15 minutes at a time.
Diet	Stick to soft foods and avoid hot, spicy, or crunchy items.
Oral Hygiene	Avoid brushing near the extraction site for the first 24 hours. Rinse with salt water after a day.
Activity Restrictions	Limit physical activity for at least 24 hours to prevent excessive bleeding.
Avoid Smoking and Alcohol	These can slow healing and increase infection risk.
Hydration	Drink plenty of water but avoid using straws to prevent dry socket.

Potential Risks and How to Avoid Them

While extractions are generally safe, some complications may occur. These include:

• Dry socket – When the blood clot is dislodged, exposing the bone. Avoid drinking through straws or smoking.
• Infection – Maintain good oral hygiene and follow the prescribed medication if given.
• Prolonged bleeding – If bleeding persists beyond 24 hours, contact your dentist.
• Nerve damage – Rare but possible in lower jaw extractions; symptoms include tingling or numbness.
• Delayed healing – Some individuals, particularly those with medical conditions like diabetes, may take longer to recover.

Healing Timeline and What to Expect

The initial healing phase occurs within a few days, but full recovery can take a few weeks. Here’s a general timeline:

Timeframe	Healing Progress
First 24 Hours	Bleeding subsides; blood clot forms.
2-3 Days	Swelling and discomfort decrease.
1 Week	Stitches (if placed) may dissolve or be removed.
2-3 Weeks	Gum tissue begins to close over the site.
4-6 Weeks	Bone and tissue continue to heal fully.
Several Months	Complete bone remodelling occurs for long-term stability.

Replacing an Extracted Tooth

If a tooth is removed, replacement options may be discussed. Common options include:

• Dental bridges – A fixed option to fill the gap.
• Dentures – Removable replacements for missing teeth.
• Dental implants – A long-term solution for a natural look and function.

Your dentist at South Melbourne Dental Smiles will guide you on the best solution based on your needs. Leaving a gap in your teeth can shift neighbouring teeth, affecting bite alignment and oral health.

Key Takeaways

Tooth extraction is straightforward when handled by experienced professionals. If you require an extraction in South Melbourne, VIC, our team will ensure a comfortable experience with expert care. 

Understanding the process, following aftercare guidelines, and discussing replacement options with your dentist will contribute to a smooth recovery and long-term oral health.