Tooth Extraction

Tooth Extraction: Removal, Cost & What Happens

Having a tooth pulled is often the last resort. Normally your dentist would never recommend a tooth to come out if it was not necessary to do so.

Cost: Extraction from £150.

When teeth are beyond repair, tooth removal is often the best option. Following this, the dentist will walk you through your tooth replacement options during your consultation.

Reasons why you might need to have your teeth pulled

When tooth extraction might be necessary:

Process tooth extraction (having a tooth pulled)

Most tooth extractions are carried out in your dental office under local anaesthetic with many patients returning home the same day. This means your mouth will be blocked from pain, although you will still feel some slight pressure.

However, depending on the complication of the extraction, and the nervousness of the patient, sometimes an oral surgeon carries this out under sedation.

In these instances, you will be referred to a hospital for the procedure. This type of extraction is only really considered for younger children or adults with learning disabilities.

Although dentists may recommend it when multiple or several teeth are being pulled.

What happens on the day

Once you are ready and comfortable we will inject a local anaesthetic into the area of your tooth
Allowing the injection to kick over a few minutes, we will ask you a few questions to see how the numbing agent is working
We will widen your tooth socket and loosen the tooth, here will be able to remove the tooth
Some instances may require a stitch to help the empty socket heal
You will experience slight pressure in your mouth, but it will not be painful – for those who are experiencing pain let your dentist know immediately
The site will bleed for a few minutes and your dentist will provide you with soft padding to stop the bleeding – this can be taken out at home once it has stopped

Following your appointment, your dentist will give you specific instructions to follow to look after your teeth and gums.

Tooth extraction healing, recovery and aftercare

Following the procedure, as you come round from your anaesthetic you might experience some small discomfort from the extraction site.

Over the counter medications like Ibuprofen can be used for pain relief.

This is normal and it may feel strange getting used to the gap – we would recommend trying to avoid running your tongue across it to help it heal.

You should be able to continue with your day after a simple, routine extraction, but we always recommend seeing how you feel.

How long does the pain last after tooth extraction?

The discomfort should disappear after a few days, however, if you are in a lot of pain speak to your dentist straight away!

Do and don’ts after tooth extraction?

DON’t rinse your mouth out for 24 hours
DO rinse your mouth after one day has passed with salt water four times a day
DO eat soft foods
DON’T smoke or drink alcohol
DO brush away from the wound (building up day by day by brushing closer)

Tooth extraction costs

The cost will depend if you go via the NHS or via private dental practices. The main differences between private and the NHS often means you get treated and seen to a lot faster with private practices, this is especially useful if you need urgent dental care.

Here at The Perfect Smile, our tooth extractions and removals cost from £150.

See Tooth extraction NHS help. Or contact us on 01992 552115 today.

Post-extraction aftercare and advice

The anaesthetic typically leaves your lips, teeth and tongue feeling numb after the appointment. For this reason, you should avoid chewing for a few hours following surgery, or until the numbness has completely worn off.
Some discomfort after the extraction is normal. An over-the-counter pain reliever, such as ibuprofen or paracetamol (not aspirin), is usually sufficient. We can also give you a prescription for stronger pain relief if needed.
It can usually take you from 1-7 days to recover from the extraction. This also depends upon the difficulty of the extraction.
It usually takes 1-2 weeks for an extraction site to heal.
You will already have been advised of all possible postoperative complications.
If there is any swelling, apply an ice pack – 20 minutes on, 20 minutes off – for a few hours following the extraction.
You will be given written instructions on post-operative care too.
Do not rinse your mouth or eat and drink anything for a minimum of 24 hours after the extraction. This is because it will prevent the blood clot (which seals the site and starts the healing process) from forming over the extraction site.
After 24 hours we recommend warm salty mouthwashes at least 3-4 times a day to help heal.
When you feel up to eating we advise soft foods that do not require much chewing as your jaw joints and remainder teeth may be recovering. Once the numbness has worn off, you should eat, as nourishment is important to the healing process. Limit your diet to soft foods like yoghurt, soft soups, ice cream, or soft-cooked eggs for the first 48 hours.
Make sure you brush and clean your teeth as normal after the initial 24 hours. Use of mouthwash is highly recommended.
Smoking should be avoided until complete healing has occurred.
If antibiotics were prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone.
Relax as much as possible and avoid all strenuous activities for the first 24 hours following treatment.
Stay hydrated so drink at least eight large glasses of water or fruit juice each day.
It is important to consider replacing missing teeth to avoid adjacent teeth (if present) moving and impairing chewing function. We will advise you about suitable treatment options.

Possible Complications

Postoperative Bleeding. This is usually controlled and stopped (haemostasis) in the surgery. This is called Immediate Bleeding. However, there can be residual bleeding approximately 48hrs after the extraction. This is called Reactionary Bleeding. This is due to a local blood vessel opening up. When you have an extraction, you will be supplied with a pack that will contain some cotton pads. You can use these to compress on the extraction site until the bleeding stops. If you have any bleeding problems subsequent to this you should contact the surgery for further investigation. This will be Secondary Bleeding and your dentist will know how to manage this.
Pain and swelling. Non-steroidal anti-inflammatory drugs are the systemic analgesic of choice e.g. Ibuprofen. External cold ice packs can also help to reduce any swelling.
Dry Socket. This is another term for inflammation of the bone lining the socket, also called Osteitis. It is quite common following tooth extraction and tends to occur mostly after wisdom teeth or molar extractions. It usually onsets as pain 3-4 days after the extraction. The socket appears inflamed and usually bone is visible. The treatment includes irrigation of the site followed by an antiseptic dressing placed in the socket. Non-steroidal anti-inflammatory drugs are the systemic analgesic of choice e.g. Ibuprofen. But if this is not possible then your dentist will advise the appropriate one for you.
Post-operative Infection. Sometimes you can be infected with superimposed infection. This can cause you pain and a rise in body temperature.If this happens you must notify the surgery immediately. In most cases, you will be supplied with antibiotics which will clear the infection up.
An incomplete extraction. This can be due to a complex angulation of the tooth or “hooked” root tips. In most cases, the surface after a few weeks by themselves and then can be taken out with ease. In other cases, we may need to leave the parts of the tooth that cannot be extracted in the bone. These cases will need to be monitored closely. In some cases, you will be referred to an oral surgeon.
Nerve damage. This is very rare. But you can get a tingling sensation or complete numbness for a few days. In most cases, there is nothing to worry about as your normal sensations should return as the site heals. If it persists please notify the dentist as it can mean extensive damage has occurred.
Damage to neighbouring teeth. This can happen when access is restricted and there are much blood and saliva making the surfaces of the teeth “slippy”. But with careful leverage and skill of the dentist in the majority of cases will be able to avoid this.
Stiffness or soreness of the jaw joints. This can happen when the extraction procedure takes some time. The constant opening of the mouth can lead to a stiff sore jaw joint afterwards. Painkillers and external cold packs can help.

For further information or any questions about our tooth extraction procedure, contact us on 01992 552115 today or by booking an appointment.

Our free no obligation Initial Consultation will be with our dentist and/or our Treatment Coordinators. The suitability of options discussed will ultimately be dependent upon your clinical assessment with a dentist at the practice.