Tooth extraction is a common oral surgery involving removal of one or more teeth from its socket in the mandible. If it is cracked or damaged by decay, our dental experts at Dentistry At Its Finest will attempt to repair it using a filling, crown or another treatment. There are cases when there is too much damage to the teeth that it cannot be fixed. In this situation it needs to be extracted. A very loose tooth will also need to be pulled if it cannot be saved with a bone graft. Schedule an Appointment.
Reasons for teeth removal
- Extra teeth that prevent new ones from erupting.
- Baby teeth that doesn’t fall out in time for the permanent ones to come out successfully.
- Braces may need to be extracted to make room for the neighboring teeth to shift properly into position.
- When receiving radiation to the head and neck it may require those in the area of radiation to be removed.
- Some cancer drugs can cause infections as these drugs can weaken your immune system. In such case, your teeth may require removal.
- People with organ transplants have a greater risk of infection since that prescribed drugs can suppress the immune system that can cause removal of the teeth.
- Periodontal disease is a type of infection that happens around the structure of the teeth and alveolar bone. It’s early stage is called gingivitis which can affect the gums. A more severe type of the disease happens when all the tissues are affected.
- Impacted Wisdom Teeth, or third molars, are usually extracted usually before or after they erupt. It usually comes out during the early 20s or late teens. Wisdom teeth need to be extracted if it is decayed, causing pain, or has an infection. These usually come out in the jaw implicated or don’t come out at all. It can cause irritation to the gum which can trigger swelling and pain. In this case, all four wisdom teeth will need to be removed and it is typically taken out at the same time.
Oral surgery: What to tell us before tooth removal
Getting tooth extraction is one of the safest General dentistry treatments; however, there’s a small chance that harmful bacteria can enter the bloodstream. Gum tissues can get infected as well. If you are in a condition that will put your risk in developing severe infection, you will need to take antibiotics before and after tooth extraction. It is a good practice to tell your dentist of medical history, medicines, and supplements you are taking and be honest about it. It is also important if you have any of the following conditions:
- Damaged or man-made heart valves
- Impaired immune system
- Liver disease (cirrhosis)
- Artificial joint, such as a hip replacement
- History of bacterial endocarditis
- Congenital heart defect
An X-ray is taken on the area where the tooth is to be removed. You need to provide your full medical and dental history and any medications you are taking at the moment.
If your wisdom teeth are to be extracted, you’ll be getting a panoramic x-ray. This type of x-ray will take an image of all your teeth at once. Panoramic x-ray can show many things that can help with the procedure:
- The impact of your wisdom teeth on surrounding ones
- The relationship with the upper teeth and the sinuses
- The lower teeth’s relationship to a nerve in the jawbone that provides feeling to the lower jaw, lower teeth, lower lip and chin. This nerve known as the inferior alveolar nerve
- Any infections, bone disease or tumors present in the mouth
Sometimes the doctor will prescribe an antibiotic to deal with infection. Additionally antibiotics are often prescribed if:
- There is an infection during surgery
- The immune system is weak
- The surgery can take hours to complete
- You have a specific medical condition
After the procedure, we recommend having someone drive you home. Your doctor will also provide post-surgery instructions that you need to follow.
Procedure for tooth extraction
There are two types of extractions:
- A simple one is performed on patients when the tooth to be extracted can be seen. This is one of the most common procedures. During the extraction, your doctor will loosen the tooth with an instrument known as the elevator. They will then use forceps to remove the tooth.
- A surgical one is a more complicated procedure. This type of surgery is often recommended when the tooth has broken off or it has not come out yet. Surgical removals are performed by oral surgeons, but general dentists can also be qualified for extraction. During a surgical procedure, the doctor makes a small incision to the gum to expose the tooth to be extracted. Sometimes, cutting the tooth in half can be the only method to safely extract it.
Most simple procedures can be performed with an injection (a local anesthetic) to the extracted area. Oftentimes, you may be offered medications to help you relax. For surgical extractions, you’ll be given with a local anesthetic or an intravenous to your vein. If you are receiving conscious sedation, you may receive steroids and medicines in the IV line. The steroids can help reduce swelling and pain after the procedure. During the procedure, expect to feel no pain, but there is pressure. If you feel pain during the procedure, you should tell your doctor immediately.
Aftercare – Pulled out a tooth
- Your doctor will provide detailed instructions on what to expect before, during, and after dental surgery. If you have questions, make sure to ask it before you leave the office.
- Expect to feel minimal discomfort after a simple tooth extraction. Your doctor will likely prescribe over-the-counter pain medications with ibuprofen such as Advil and Motrin. Take the pain medications as the doctor prescribes it and you won’t feel pain.
- Surgical extractions can usually cause pain when the anesthesia is gone. The amount of pain and discomfort depends on the complexity of the extraction. The pain will go away after a couple of days.
- An incision in the mouth will bleed more compared to a cut in the skin as your mouth is often wet and it can’t dry out or scab. After the procedure, you’ll be asked to bite down on a piece of gauze for 20 to 30 minutes to promote blood clot. The bleeding will stop after the next day therefore, it is recommended to not disturb blood clot formation.
- Apply ice packs and/or warm compresses to minimize swelling.
Eat cool or soft food for several days. Then when you feel comfortable you can try to ease into your regular diet.
- Gently rinse your mouth with warm salt water, starting 24 hours after the surgery.
- If your extraction will need stitches, your doctor will use threads that dissolve. On average, the stitches will dissolve in one to two weeks. Rinsing your mouth with lukewarm salt water solution can help the stitches to dissolve. Some stitches will need surgeon intervention.
- Use a straw or spit after your tooth is extracted. Doing this will delay the blood clot formation.can pull the blood clot out from the area where the tooth was. Do not smoke on the day of the surgery and for 24 up to 72 hours after the teeth is extracted.
When to call your dentist
- Your tongue, chin or lip is numb for more than 3 to 4 hours following the procedure
- The swelling and inflammation becomes worse
- The area continues oozing or bleeding after the first full day
- Blood seems to clog up forming coagulation
- You experience fever, chills or redness
- The extraction site becomes severely painful — It may be a sign of a dry socket
- There is uncontrolled bleeding in the area also known as hemostasis
- You experience trouble swallowing
Tooth extraction cost
The Cost of tooth extraction can will depend on the complexity of the case, the skill of the dentist, and other services required before the dentist can proceed with the extraction. The benefits of this procedure outweighs the cost as dental extraction will be able to save you from a plethora of oral health issues in the future especially if the dentist will need to have an infected tooth extracted. That being said, spending money on a dentist who has excellent reviews and is near your home and office makes the time and cost of this treatment worthwhile.
How much for a tooth extraction?
Cost for tooth extraction ranges from $50 to $200 for a simple gum-erupted extraction. Surgical extraction with Anesthesia cost between $125 and $650. Soft-tissue or complicated surgical removal for broken teeth cost around $175 and $600.
These can be affordable as dental insurance helps pay for tooth extraction.
Teeth extraction – Costa Mesa
Our Team at Costa Mesa takes pride in providing safe tooth extractions. If you are in or near Costa Mesa and in pain, don’t hesitate to give us a call. If you are nearby, visit us to book your next Dental Extraction California appointment. We provide you with affordable and best low cost treatments in Costa Mesa, CA so contact our office if you have queries with regards to dental insurance, scheduling, and cost of the treatment. We accept patients in Costa Mesa, California with or without insurance.
Dental Extraction FAQ
How long does it take to recover from a tooth extraction?
Normally, your oral surgeon will ask you to relax and refrain from doing any strenuous activity to promote blood clot. After that time, you are allowed to return to your regular activity. Soft tissues will usually heal in two to four weeks. Ask Dr. Michael Ayzin DDS about effective recovery steps when your teeth gets extracted.
Is tooth extraction painful?
In a simple extraction, the slight pressure you are feeling is normal as the dentist is rocking the tooth back and forth to loosen it and help it be extracted safely. You should only feel pressure but no pain. At Dentistry At Its Finest, we’ll make sure you don’t feel any pain when your teeth is being extracted.
Can I go to work after tooth extraction?
It depends. If it is a simple type of extraction where the tooth is removed above the gum line, it is a simple procedure that requires a local anesthesia. This means you can return to work in a day or two. If you have multiple teeth extracted, then it can take a few days or more for you to get back to work. Contact our Dentistry At Its Finest office to learn more about tooth extraction.
How long after tooth extraction can I eat?
You are allowed to eat only soft foods and liquids 24 hours after the extraction. It is possible to transition to a regular diet after several days or when you feel confident doing so.
Can I use toothpaste after extraction?
Yes. We highly recommend brushing your teeth to keep the extracted site from getting infected, but do not use any toothpaste. Rinsing your mouth with toothpaste may dislodge the blood clot.
How can I make my tooth extraction heal faster?
After the teeth have been extracted, make sure that blood clot will successfully form on the extracted site. You’ll be instructed to bite a gauze that you will keep in the mouth for several hours or until it stops bleeding so make sure to not remove the gauze until then. If you have to brush your teeth, use gentle brushing strokes particularly on the extracted site to prevent the clot from dislodging. Consume only soft foods and return to your normal diet after the bleeding stops. Keep the extraction clean to prevent infection.
Do I sleep with gauze after tooth extraction?
No. It is not recommended to sleep with gauze in your mouth. If you sleep with gauze still in your mouth, we recommend to keep it checked every 20 minutes. Do not sleep for long periods without checking the gauze in your mouth.
How long after extraction can I remove the gauze?
The gauze placed on your teeth can help to stop the bleeding and promote blood clot. The bleeding will stop in 3 to 4 hours and it is safe to remove the gauze at that time. If the bleeding persists for more than four hours, we recommend to keep the gauze in the mouth until it stops bleeding.
How do you relieve pain after tooth extraction?
Pain medications are normally needed after surgery. Your dentist will usually prescribe over-the-counter medications such as ibuprofen to relieve pain. Ibuprofen is an effective anti-inflammatory that can help ease pain.
Tooth Extraction Near Me
Choosing a dentist that is close to home, place of work, or place of study is crucial when you are trying to save time and money. Expect to have a few treatments and follow up appointments in addition to your routine visits particularly if your dentist needs to monitor your progress. Having a dental office near you can make visits more convenient. Additionally, look for a general dentist with excellent reviews and the one you’ll feel comfortable with.