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Type of Teeth Extractions

A tooth extraction is the removal of a tooth. A dentist will typically try to repair a damaged or broken tooth with a filling, crown or other treatment. However, too much damage may have occurred to repair the tooth, necessitating an extraction. A tooth that is extremely loose will also require an extraction. Other reasons for extraction include extra teeth and removal of wisdom teeth.

  1. Simple

    • A simple extraction is the most common type of extraction. This type of extraction is performed on a tooth that can be seen in the mouth. When performing a simple extraction, the dentist will loosen the tooth with an instrument called an elevator. The tooth is than removed by the dentist with a pair of forceps. Simple extractions are usually performed with the use of a local anesthetic or injection.

    Surgical

    • Surgical extractions are more complex procedures. Surgical extractions are performed when a tooth has broken off at the gum line or if the tooth has not come into the mouth yet. An oral surgeon usually performs surgical extractions. A surgical extraction is done by cutting a small incision into the gum. The dentist will sometimes have to remove some of the bone around the tooth or cut the tooth in half to extract the tooth. A local anesthetic is used for surgical extractions, though sometimes a local and intravenous anesthetic are used.

    Follow-up

    • Instructions are usually provided by the dentist after an extraction. Mild discomfort typically occurs after an extraction. Pain can be controlled with the use of an anti-inflammatory drug (NSAID) such as ibuprofen, Advil or Motrin. A surgical extraction may cause more pain than a simple extraction. Pain medication may be prescribed. An ice pack may be used to reduce swelling. Soft cool foods should be eaten for a few days after the procedure.

    Risks

    • The most common problem after an extraction is a dry socket. A dry socket is when the blood clot does not form in the hole or the clot breaks off or breaks down too early. If a dry socket occurs, the underlying bone is exposed to air and food, which can be extremely painful. Other potential problems that may occur after an extraction are incomplete extraction, a hole in the sinus, a fractured jaw and accidental damage to a nearby tooth.

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