Mar 01, 2021

To preserve our dental health, it is sometimes necessary to have a tooth extraction. In which cases should it be practiced? How is the intervention carried out?

Pulling out a tooth is called tooth extraction or avulsion. If it is still feared, this intervention is no longer painful thanks to modern anesthetics and analgesics. This may be necessary for several reasons:

Too much decay;

Infection in teeth;


Accidental fracture;

Need to make room to realign the other teeth in the context of orthodontic treatment, in particular, impaired implantation (wisdom teeth).

The different types of extractions

Simple extractions or exodontics: They are performed on teeth that show no abnormalities in shape, structure, and position. The tooth should be visible in the mouth and not have suffered excessive damage from tooth decay. Also, it must be able to be removed without complications.

Surgical extractions or odontectomies: This type of extraction is used when the tooth is destroyed by decay or difficult to access. For example, a tooth with strongly curved roots would be surgically removed.

Processes of tooth extraction

  • Preparation of the working field: Before the tooth extraction, the dentist should ensure the office alongside equipment to be used is thoroughly cleaned. The doctor should disinfect the mouth of the patient as well.

  • Local Anesthesia: This is important as it aids in sedating the patient’s nerve for pain-free removal.

  • Syndesmotomy: The dentist, through the aid of sensitive equipment, a syndesmotic, ensures that every tissue linking to the tooth is severed.

  • Subluxation: With the aid of an elevator positioned between the tooth and alveolar bone, the tooth is easily moved.

  • Disengagement and Separation: The forceps is essential here as it assists the dentist in firmly gripping the teeth for easy removal.

Alternatively, you can adopt the Devatilization method.

  • Devitalization of a tooth involves extracting its pulp, creating an impermeable barrier to bacteria. It is performed when you do not take care of the cavity and have destroyed the pulp or the nerve. The risk of inflammation, infection, or even necrosis is therefore significant. A traumatized or damaged tooth can also be devitalized. If it is broken, the pulp is then exposed to air and food, increasing the chances of infection. Devitalization of a tooth permanently inhibits pain while preserving it.

In some cases, the dentist must polish the bone and sew stitches for the wound to heal correctly. He will perform a surgical extraction if the tooth must, for example, be separated into several pieces. The average time to complete healing, whether it is simple extraction or surgery, is 2 to 3 weeks.

Possible complications

Some complications, minor or major, can occur as a result of this procedure. The dentist will explain all the precautions to be taken. It is essential to consult your doctor if these disorders persist or appear to be abnormal.


Bleeding is frequent following a dental avulsion. To remedy this, gently bite into a cotton pad until there is no more blood. However, you must be vigilant not to remove the clot formed in the socket (= the hole left by the extraction). The latter promotes healing. It is advisable not to rinse or spit during the first 24 hours after the procedure.

Tooth Extraction Pain: It is normal to feel pain after having a tooth extracted. The dentist will prescribe pain relievers that help ease the discomfort. In addition to reducing swelling, ice can also help relieve pain. However, do not apply it directly to the skin.

Edema (swelling of the face): In some patients, there may be swelling of the face. This side effect will subside after a few hours or days.

Hematomas: based on the difficulty of the extraction, bruises can appear in different places on the face’s skin. Just like the edema, they will go away after a while.

Infection in teeth: In the eve an infection, the dentist will prescribe the appropriate antibiotics.

Kids Dentist near me?

Is your kid experiencing teeth problems? Dr. Lindsey Koerich, a licensed pediatric dentist, is just a beep away. Alternatively, you can book an appointment at Lancaster Pediatric Dentistry.

Call Now Book an Appointment