Extractions - Tooth removal
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Extractions - Tooth removal
At Tandestetik Stockholm, we perform tooth extractions for various reasons. The patient may be suffering froma painful wisdom tooth or even a tooth that has been so badly damaged by decay that only an extraction will solve the problem. In some cases, we will remove a tooth to make space for dental prosthetics or braces.
We will numb the tooth first to make the patient more comfortable. While a tooth extraction will likely be unpleasant, it can be key, and the only solution for relieving dental pain and preventing future problems down the line. This is often the case when a tooth becomes so damaged or infected that it cannot be saved. It also happens that healthy teeth need to be removed, such as wisdom teeth that do not fit into your current set of natural teeth.
Tandestetik Stockholm is aware of the pain and discomfort a tooth extraction can cause and, consequently, we take every precaution to ensure our patients do not suffer from pain or discomfort during the procedure. This is yet another instance where our commitment to patient safety and our friendly, caring approach has helped us build a solid reputation in our sector.
Extraction and Tooth Removal Procedure
- We start the procedure by examining the tooth and taking an X-ray to see how the tooth is attached.
- This is followed by a local anesthesia to ensure a minimum or discomfort or pain.
- When the tooth and gums are properly anesthetized, we gently and expertly wiggle the tooth, which allow us to lift it out.
- The wound is then checked, and you will need to bite on a compress to stop the bleeding.
What is tooth extraction
Dental cavities, gum disease, and dental infections are just some of the reasons why we might remove one or more teeth. These reasons include:
- dental cavities
- gum disease
- dental infections
- trauma or injury to the tooth or surrounding bone
- wisdom teeth complications
- preparation for a dental prosthesis
- preparation for dental braces, if the teeth are very crowded
- baby teeth not falling out at the proper age
Types of extractions
Tandestetik Stockholm will evaluate what is the right type of tooth extraction depending on the tooth’s shape, size, position, and location in the mouth. We may classify extractions either as simple or surgical. A simple extraction involves a tooth that is visible above the gums and that we can safely remove in one piece. A surgical extraction is somewhat more complicated and will involve the removal of gum tissue, bone, or both. In some case, we may be faced with a situation whereby we need to remove the tooth in several pieces.
Wisdom teeth are the last to erupt and usually the first to require extraction because they painfully impact many people. This often means that they have yet to fully emerged from your gums. In this case, a wisdom tooth extraction is a common procedure in oral surgery.
During your consultation with us prior to the extraction, we ask for a detailed medical history as well as enquire about any medications you could be taking. Some patients need to stop or start taking certain medications in the days leading up to the extraction surgery, that might also include taking certain medications on the day of the surgery.
Stopping blood thinners
If you are in need of blood thinning medication to prevent the formation of blood clots in vessels, you could suffer more bleeding during your surgery. We can usually control the bleeding by:
- using topical clotting medications on the gums
- packing the tooth socket with foam or dissolvable gauze
- stitching up the extraction site
Using gauze and applying pressure after the procedure can also help stop bleeding. It is very important to notify us in the event you are taking blood thinners.
It is not uncommon that we prescribe antibiotics prior to a tooth extraction, especially when needing to treat dental infections with widespread symptoms, which can include fever or malaise, and/or additional local oral swelling. Generally, toothaches without swelling do not require antibiotics. A patient may need antibiotics if they have a high risk of infective endocarditis, an infection of the heart valves or the interior lining of the heart chambers.
Anaesthesia during surgery
We always administer a local anaesthetic close to the extraction site. This has for effect to thoroughly numb the area so that the person will not feel any pain. The numbness generally continues for a few hours following the surgery, but after a couple of hours, this sense of numbness has already substantially receded. The patient can request additional anesthetic or sedative medication to minimize pain or anxiety during the procedure. We always acquiesce to such requests since your comfort is foremost on our minds while treating you and especially for an unpleasant procedure such as a tooth extraction.
- Prior to the extraction, we take an X-ray of the tooth to be extracted. This imaging helps us evaluate the curvature and angle of the tooth’s root.
- Once the local anesthetic has taken effect and numbed the area, we proceed with the extraction.
- If the tooth is concealed beneath gum tissue or bone, we may need to cut away the gum or remove the obstructing bone area.
- You should not feel pain, but youo can expect to feel pressure against the tooth.
- If you do feel any pain during the procedure, you should notify this immediately to benefit from further numbing agent administration.
- After the extraction, stitches or additional procedures to control the bleeding might be necessary. The dentist or surgeon will place a thick layer of gauze over the extraction site and have the patient bite on it to absorb the blood and start the clotting process.
Changing dental gauzes
Following an extraction, we will lay a thick layer of gauze over the site. Biting down on the gauze with firm, consistent pressure assists in controlling the bleeding. The gauze must remain in place for at least 20-30 minutes. You need to replace the gauze when required. It is not uncommon that the bleeding can continue up to one or two days after the surgery.
The numbness from the local anesthetic should only last for a few hours following an extraction of your tooth. Contact Tandestetik Stockholm if the numbness persists. In some instances we may prescribe medication to alleviate pain and inflammation after the procedure.
Avoid disturbing the extraction site
The first 24 hours after an extraction are extremely important for the success of the procedure. Disturbing or irritating the area can hinder the effective forming of blood clots and as a result, slow the healing process down. You should therefore avoid:
- sucking on the area where your tooth was extracted
- touching the area with your tongue
- using a straw
- eating solid or crunchy foods
- vigorously rinsing your mouth
- drinking alcoholic beverages
- using a mouthwash that contains alcohol
One of the complications that can occur following a tooth extraction is dry socket. This is not an infection. It consists of bone in the extraction area becoming exposed, either because the blood failed to clot or because the clot was dislodged. Dry socket can be very unpleasant causing intense, radiating pain that usually starts some days following the procedure. It can also cause bad breath. If you are suffering from severe pain that started 233 days after the surgery, call us immediately.
The treatment calls for a thorough rinsing of the area and the placing of medicinal paste on top of the exposed bone in order to protect it. You can usually prevent dry socket by following our aftercare instructions. It is also highly recommended not to smoke after a tooth extraction surgery. Infection can be another complication, and it may occur when bacteria infect the gumline in and around the socket within one to two days following the surgery.