Tooth extraction (Dental extraction):
It is a minor surgical treatment.
Do not try to do it yourself as you may not be able to remove it whole, will be painful, risk of bleeding, infection etc. Take the help of a dentist.
The dentist will remove the whole tooth and you will not feel any pain.
You need not starve before the procedure. Brush your teeth after food before going to the dentist.
Mostly it is done under local anaesthetic and you will be fully awake during the procedure.
Rarely it is done under general anaesthetic when the dentist is unable to do it at the surgery.
At hospital it will be dealt with by a maxillo-facial surgeon under general anaesthetic.


Advice after extraction:
After extraction of tooth, the tooth socket will immediately be filled by a blood clot which helps healing. The dentist will place gauze piece to bite on (do not chew) to prevent bleeding. After returning home you can remove the gauze pieces gently.


If bleeding comes back then apply some gauze piece given to you by the dentist, to bite on for some more time, say half to 1 hr, and then remove it. Do it in front of a mirror in the bathroom. Do not use tissue paper.


Do not rinse your mouth or spit out after extraction for 24 hrs. Aim is not to disturb the blood clot which covers the socket. Eat only cold liquids and semisolid foods like cold soup, milk, yogurt, icecream etc.


After 24hrs, rinse mouth gently with warm salt water after each meal and at bed time for 1 week This will help keep the sore clean and will help healing.
Brush your teeth as usual without disturbing the clot. Eat warm semisolid food and liquids for a few days.
(Preparation of warm salt water: Use half teaspoon of common salt in a glass of comfortably warm water - stir with a spoon)


No smoking, alcohol, no hot food or strenuous exercise for the first 24hrs to prevent bleeding.


Some swelling, discomfort and pain may be felt. Take Paracetamol as necessary. Usually you do not need to take them after 2 days or so.


Antibiotics are not needed routinely.


The dentist will know about your medical history, medications etc and will take appropriate caution.

 

Contact your dentist or attend hospital if bleeding continues, pain continues or increases, if the blood clot breaks down leaving a painful empty hole (called Dry socket) you start gettting temperature etc


It is normal to feel small pieces of bones working their way out of the socket in some patients.


Usually the recovery is uneventful and the dentist will review you in about 2 weeks.


Dental impressions will have been taken before extraction if you are supposed to wear denture.

 

Treatment plan is made out after history, examination, taking Xrays and discussion with you, at the first visit to the dentist.

 

In the UK, even in the NHS, dental treatment is not free for those who can afford to pay.