A tooth extraction is a dental procedure to remove a tooth from its socket in the jawbone. Extractions are performed for various reasons, including severe tooth decay, infection, gum disease, crowded teeth, impacted wisdom teeth, or to prepare for orthodontic treatment. There are two main types of dental tooth extraction: simple extraction and surgical extraction.

Simple Tooth Extraction:

• Simple extractions are performed on teeth that are visible and accessible in the mouth.
• The dentist or dental surgeon gives local anaesthesia to numb the area around the tooth to be extracted.
• Using specialised dental instruments, the dentist loosens the tooth from its socket and carefully removes it.
• The extraction site is then cleaned and may require stitches.

• Indications:
  • Simple extractions are suitable for fully erupted teeth, where the crown of the tooth is visible above the gumline.
  • Typically done for teeth that are decayed, damaged, or require removal due to orthodontic treatment.
• Recovery:
  • Recovery from a simple extraction is usually quick, and patients can manage any discomfort with over-the-counter pain medications as advised by the dentist.
  • It’s important to follow post-extraction care instructions form your dentist to ensure proper healing.

Surgical Extraction:

• Surgical extractions are more complex and are necessary for teeth that are not fully erupted (not visible in the mouth), broken below the gumline, or impacted (unable to fully emerge).
• The oral surgeon or dentist may use a combination of local anaesthesia, sedation, or general anaesthesia to ensure the patient is comfortable and pain-free during the procedure.
• In this case, it is necessary to make an incision into the connective tissue surrounding the tooth to gain access to it for extraction. The incision is made in the gum to expose the tooth and, if needed, surrounding bone may be removed to facilitate extraction.
• The tooth may be divided into smaller pieces for easier removal, particularly if it’s impacted or difficult to access.
• After the tooth extraction, the area is thoroughly cleaned, and stitches may be used to close the incision.

• Indications:
  • Surgical tooth extractions are performed for impacted wisdom teeth, severely broken or fractured teeth, teeth with curved or multiple roots, or teeth that haven not fully erupted.
• Recovery:
  • Recovery from surgical extraction may take longer compared to simple extraction.
  • Pain management and following post-operative care instructions, such as avoiding certain foods and activities, are essential for proper healing.
  • Regular follow-up appointments with the oral surgeon or dentist are important to monitor healing progress.

Is it painful to have a tooth extracted?

You shouldn’t be able to feel any pain during the procedure however you will still be able to feel pressure and/or pulling in the area.

How long do extracted teeth take to heal?

Your gums will begin to heal after around 3 days and around 7-10 days the opening left by the extracted tooth should be closed or almost closed and the gums should be healed.

Mouth care after tooth extractions and surgical operations

• Do not rinse your mouth for at least 6 hours after treatment, because this may dislodge the blood clot, causing further bleeding and/or possible pain. 
• If the bleeding starts again, using the pack provided, place it over the socket or wound, and hold it there by closing your jaws together firmly for at least an hour 
• Avoid alcohol, smoking, exercise or operation of machinery on the same day.
• Follow a soft diet on the day, do not eat hot food or disturb the clot.
• You may experience some swelling or discomfort for a few days after the procedure. 
• Take any painkillers that have been advised by your dentist as required.

The choice between a simple or surgical extraction depends on the tooth’s condition, its position, and the expertise needed for removal. It’s essential to consult with one of our dentists or oral surgeon to determine the most appropriate type of extraction for your specific situation and to ensure a safe and successful procedure.

Get in touch with our practice in London to find out more or discover the other oral surgery services we offer.