Surgery Overview

Tooth extraction is done when gum disease has loosened or severely damaged a tooth. In most cases, a dentist can pull (extract) your tooth. But if the procedure is complicated or risky, an oral or maxillofacial surgeon may do the extraction.

Your dentist or oral surgeon may give you a local anesthetic to numb the area where the tooth will be removed. A stronger, general anesthetic may be used, especially if several of your teeth need to be removed at the same time. A general anesthetic prevents pain in the whole body and will make you groggy or sleep through the procedure.

After removing the tooth, the dentist or surgeon may put in stitches (sutures) and place gauze over the wound to help stop bleeding.

What To Expect After Surgery

Typically it takes only a few days to recover from a tooth extraction. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. If you have questions about your instructions, call the dentist or surgeon. The following are general suggestions to help speed recovery:

• Take painkillers as prescribed.
• After 24 hours, you can rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain.
• Change gauze pads before they become soaked with blood.
• Relax after surgery. Strenuous physical activity may increase bleeding.
• Use a damp tea bag over the empty tooth socket to help stop bleeding.
• Eat soft foods, such as gelatin, pudding, or light soup. Gradually add solid foods to your diet as the area heals.
• Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
• Continue to carefully brush your teeth and tongue.
• Apply an ice or cold pack to the outside of your mouth to help relieve pain and swelling.
• Do not use sucking motions, such as when using a straw to drink.
• Do not smoke.

Your dentist will remove your stitches a few days after the surgery.

Why It Is Done

An extraction is needed when gum disease has damaged a tooth so badly that there is no other way to prevent the infection from spreading and damaging nearby teeth and bones.

How Well It Works

Removing a tooth prevents gum disease from spreading and damaging nearby teeth and bones.

Risks

Tooth extraction can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for a severe infection or if infections are particularly dangerous for you. You may need to take antibiotics if you: