Tooth Extraction

Your Guide to Tooth Extraction

A tooth extraction will be advised as a last resort option. Our dentist’s first choice will always be to save the tooth and restore it back to health.

They will always discuss all the advantages and disadvantages of all your options with you before any treatment is carried out.

Extraction will only occur with your full consent especially since this is an irreversible procedure.

The process can be straightforward or require a more advanced surgical technique.

There are a few reasons why a tooth may be advised to be extracted:

The Extraction Procedure

The aim of the extraction procedure is to minimise any bone damage and destruction. The extraction site will resorb anyhow after the extraction.

To minimise the amount of bone loss and damage that incurs, a careful extraction technique is required.

Excessive bone loss or retained roots that cannot be extracted mean that in the future this site may be difficult to restore with an artificial tooth like dental implants in the future. Replace my teeth.

Steps to extraction:

  1. Medical and dental history assessment is first required to make sure that there are no contra-indications to extractions. In some complex cases, the patient may need to be referred to a hospital for the extraction.
  2. The tooth to be extracted is first re-assessed for complexities and difficulty of extraction. The primary assessment will have been carried out beforehand in order to plan for the extraction technique.
  3. We first make sure that you are sitting or lying in a comfortable position.
  4. The tooth is anaesthetised with a local anaesthetic.
  5. Once the tooth and surrounding area are numb for the patient, the extraction process begins.
  6. Radiographic assessment is necessary to ensure a safe extraction preventing any damage to any nerves or important structures.
  7. Various instruments are used to extract the tooth. These include retractors, extraction forceps, elevators and luxators. There are various techniques but the most careful of them involve cutting down the periodontal ligament (the attachments between bone and root) and best use of leverage forces.The elevator or luxator blade is driven down the space between the bony wall of the socket and the root of the tooth. The tooth is then gripped with the extraction forceps and pulled out. Tooth extraction should not require considerable strength- it’s all about the correct technique.
  8. If a surgical technique is being used then a scalpel will be used to open a flap (or raise the gum). This provides better visibility for the surgeon.Sometimes a drill is also used on the bone to dissect the tooth for ease of extraction. In this type of technique, sutures may be required. The healing period is also longer.
  9. Once the tooth has been removed, cotton wool pads are then compressed on the extraction site to stop any bleeding.
  10. Once haemostasis (bleeding stopped) has occurred the dentist will check the extraction site and then provide you with a Post-operative pack and instructions to follow.

Post-Extraction Advice

Complications after Tooth Extractions

For more further information or any questions about our tooth extraction procedure, contact us on 01992 552115 today. You can also visit a member of our team at our Hertford dental practice or in one of our London consulting rooms by booking an appointment.

The Perfect Smile Hertfordshire Clinic | 7/9 South Street, Hertford, Hertfordshire, SG14 1AZ. | Tel: 01992 552115 

Contact The Perfect Smile

7/9 South Street,
SG14 1AZ