Extractions
When Is a Tooth Extraction Necessary?
A tooth may need to be removed for several different reasons.
Common situations include:
- Extensive tooth decay
- Severe infection
- A tooth that cannot be restored
- Significant cracks or fractures
- Advanced gum disease
- A tooth that is loose because of bone loss
- Overcrowding
- Certain orthodontic treatment plans
- Impacted or problematic wisdom teeth
In some cases, treatments such as a filling, crown, root canal, or periodontal treatment may allow the tooth to be preserved.
If the tooth cannot be predictably restored, extraction may be the safest option.
What Happens Before an Extraction?
Before removing a tooth, your dentist will perform an examination and may take dental X-rays.
This allows us to evaluate:
- The condition of the tooth
- The shape and position of the roots
- The surrounding bone
- Nearby teeth and anatomical structures
- The extent of infection or damage
We’ll explain the recommended procedure and answer any questions you may have before treatment begins.
Simple Tooth Extraction
A simple extraction is generally performed when the tooth is visible above the gum line and can be removed without surgical access.
01
Numbing
02
Loosening the Tooth
03
Removing the Tooth
04
Protecting the Area
Surgical Tooth Extraction
Some teeth require a more involved procedure.
A surgical extraction may be necessary when a tooth is broken below the gum line, has complicated roots, is impacted, or cannot be removed through a simple extraction.
In these situations, a small incision may be made in the gum to provide access to the tooth. In some cases, the tooth may need to be divided into smaller sections before it can be removed.
Your dentist will explain the procedure and what you can expect before treatment.
What Does an Extraction Feel Like?
A local anesthetic is used to numb the treatment area before the extraction.
You should not experience sharp pain during the procedure, although you may feel pressure or movement as the tooth is loosened and removed.
If you experience discomfort during treatment, let your dental team know so that additional anesthetic can be provided when appropriate.
After a Tooth Extraction
A blood clot naturally forms in the extraction socket after the tooth is removed. Protecting this clot is an important part of the healing process.
Your dentist will provide specific post-operative instructions, which may include:
- Bite gently on the gauze provided
- Avoid vigorous rinsing immediately after the procedure
- Avoid smoking during the initial healing period
- Avoid drinking through a straw
- Choose softer foods while the area is healing
- Keep the surrounding teeth clean
- Follow any prescribed medication instructions
- Avoid disturbing the extraction site with your tongue or fingers
Some swelling and tenderness are normal following an extraction and generally improve as the area heals.
What Should You Eat After an Extraction?
For the first part of the healing period, softer foods are usually more comfortable.
Depending on your situation, suitable options may include:
- Yogurt
- Smooth soups
- Mashed potatoes
- Eggs
- Soft pasta
- Applesauce
- Smoothies eaten with a spoon
Avoid very hot foods and drinks immediately after treatment and follow your dentist’s specific instructions.
Replacing a Missing Tooth
After an extraction, your dentist may discuss whether the missing tooth should be replaced.
Depending on your situation, replacement options may include:
Dental Implants
An implant can replace the missing tooth root and support a crown.
Dental Bridges
A bridge can use neighboring teeth to support a replacement tooth.
Dentures
Depending on the number and location of missing teeth, a partial or complete denture may be appropriate.
Replacing a missing tooth can help restore chewing function and maintain the appearance and balance of your smile.
When Should You Contact Your Dentist?
Some discomfort following an extraction is expected, but you should contact your dental team if you experience unusual or worsening symptoms.
Contact us if you notice:
- Severe or increasing pain
- Significant or persistent bleeding
- Increasing swelling
- Fever
- Signs of infection
- Difficulty swallowing or breathing
- Symptoms that aren’t improving as expected
Prompt evaluation can help identify and address potential complications.
Take Care of Your Oral Health
Although extraction may sometimes be necessary, preserving your natural teeth remains an important goal whenever possible.
If you have a damaged, painful, or severely decayed tooth, an examination can help determine whether the tooth can be saved or whether extraction is the best option.
At Scarborough Village Dental Care, we’ll explain your options and help you make an informed decision about your dental care.
Meet Our Dental Team
Our Locations
Scarborough Village Dental Care
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- Monday: 9 AM - 7 PM Tuesday: 9 AM - 7 PMWednesday: 9 AM - 7 PMThursday: 9 AM - 6 PM Friday: 9 AM - 3 PM Saturday: 9 AM - 2 PM
Cliffcrest Family Dental
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- Monday: 8 AM - 8 PM Tuesday: 8 AM - 8 PMWednesday: 8 AM - 8 PMThursday: 8 AM - 8 PM Friday: 8 AM - 4 PM Saturday: 9 AM - 2 PM