GENERAL DENTISTRY
Extractions
Extractions
These procedures involve the removal of teeth, or their roots if the crown of the tooth has disintegrated, to leave a section of the alveolar ridge bare and ready for tooth replacement by:
– The pontic of a bridge
– A denture
– An implant
REASON FOR TOOTH EXTRACTION
Both deciduous and permanent teeth may require extraction at some point.
This is usually due to infection and pain being present following caries,
periodontal disease or trauma, but may also be due to the following reasons:
• the tooth is unrestorable, whether pain and infection are present or not
• the position of the tooth prevents the placement of a fixed or removable
prosthesis
• The tooth is too poorly positioned to be aligned orthodontically
• The tooth may be selectively extracted to provide space in a crowded
dental arch
• Attempts to save the tooth by root filling have failed
• The tooth may be partially erupted and impacted, and suffer from
recurrent painful infections (periocoronitis) due to food trapping
• Deciduous teeth can be selectively extracted to encourage the timely
eruption of their permanent successors into more favourable positions
• The patient’s choice, where attempting to save the tooth by root filling
is not the preferred option.
How to prepare
On day of extraction procedure
o Make sure you have a light snack 2 h before the procedure, to avoid fainting.
o If you are very nervous, we recommended coming with a competent adult, to support and escort you on a way home.
o You don’t need to worry, the procedure will be not painful. You will be given local anaesthesia.
o You need to take all medication as normal before procedure unless the dentist informs otherwise, except for ASPIRIN which prevents blood clotting and could cause postoperative bleeding.
o You will be given postoperative instruction in writing, or you can download them here. link?
Postoperative instruction
o Pain, swelling or bruising may occur after the procedure.
o Analgesics (except ASPIRIN) may be taken as required.
o Alcohol, hot drinks and exercise should be avoided for 24h after the procedure.
o No mouth rinsing should be carried out on a day of the procedure.
o Hot salt water mouthwashes should be carried out after each meal,
from the day after the procedure for up to 1 week.
o If bleeding does occur, bite onto a cotton pack for up to 30 min.
o Dental emergency telephone number 111.