Extraction is always the last resort. We first try to save the tooth with a filling, root canal or crown. In some cases, however, removal is the safest choice.
When extraction is needed
- Decay too extensive to repair
- A tooth fractured down the root
- Severe mobility from gum disease
- To create space for orthodontic treatment
- An impacted wisdom tooth causing problems
- A retained baby tooth blocking the permanent one
The procedure
An X-ray first shows the root anatomy. Local anaesthesia then fully numbs the tooth and surrounding gum — you will feel pressure, but not pain. The tooth is loosened and lifted out, the socket cleaned, and gauze applied. Sutures are placed if needed.
Aftercare
First 24 hours
- Bite firmly on the gauze for 30–45 minutes
- Do not rinse or spit — it dislodges the blood clot
- No straws, no smoking
- Apply ice to the cheek (10 minutes at a time)
- Eat cool, soft food; avoid anything hot
- Sleep with your head slightly raised
From day two
- Rinse gently with warm salt water 3–4 times daily
- Brush normally, avoiding the socket itself
- Complete the full course of any prescribed antibiotics and painkillers
Contact us immediately if: bleeding continues past 24 hours, pain increases rather than eases after 3–4 days (dry socket), you develop a fever, or you cannot open your mouth — call 01886-995689.
Replacing the tooth
Leaving the gap causes adjacent teeth to tilt and bone to resorb. Once healed (usually 2–3 months), plan a dental implant or bridge.
