Tooth extractions

The last option, and only when it genuinely is.

Q: What replaces the tooth?

Depending on the gap: an implant , a bridge , a partial denture , or sometimes nothing at all if it is a back tooth and the bite is stable. We discuss it beforehand.

Sometimes a tooth cannot be kept. When that is the case we will say so plainly, and the conversation about what replaces it happens before the extraction, not after.

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When extraction is the right answer

Beyond repair

A tooth split below the gum, or with decay too far under it for a restoration to seal.

Severe bone loss

Advanced gum disease that has taken the support. More on gum disease.

Crowding or impaction

Wisdom teeth that cannot come through cleanly, or space needed before orthodontic treatment.

Afterwards

Home care after an extraction

Bite firmly on the gauze for about an hour, and change it if it soaks through.
No rinsing, spitting or straws for the first twenty-four hours — that is what dislodges the clot.
Soft food, nothing hot, and chew on the other side.
Painkillers as advised. Ice on the cheek for the first day helps the swelling.
No smoking. It is the single biggest risk factor for a dry socket.
Call us if bleeding does not settle, or if pain increases after the third day.

Questions

Asked often.

Does it hurt?

You should feel pressure but not pain. If you feel anything sharp, say so. Sedation is available if the idea of it is the problem.

What is a dry socket?

When the clot is lost from the socket and the bone is exposed. It shows up around day three as pain that is getting worse rather than better. It is treatable, and we would rather see you than have you wait it out.

What replaces the tooth?

Depending on the gap: an implant, a bridge, a partial denture, or sometimes nothing at all if it is a back tooth and the bite is stable. We discuss it beforehand.