Broken or Decayed Teeth Extractions
Safe and Effective Removal of Severely Damaged Teeth at Newtown Dental

Teeth can become severely damaged due to various factors, and when they are beyond repair, extraction may be necessary. Common causes include:

• Severe Tooth Decay
  Untreated cavities can lead to extensive decay that weakens the tooth structure. When the decay reaches deep into the tooth, it can result in pain, infection, and the need for extraction to prevent further complications.
• Trauma or Injury
  Teeth can be broken or cracked due to accidents, sports injuries, or biting down on something hard. In some cases, the damage is so severe that the tooth cannot be repaired with a filling or crown, making extraction the best option.
• Failed Restorations
  A previously restored tooth with a large filling or crown may break or decay again, especially if it wasn’t properly maintained. If the damage is extensive, extraction may be needed to prevent pain and infection.
• Root Fractures
  A fracture in the root of a tooth can compromise its stability and health. In many cases, root fractures require extraction because they cannot be repaired.
• Advanced Gum Disease
  Gum disease can weaken the support structures around the tooth, causing it to become loose or decayed. If a tooth cannot be saved due to severe gum disease, extraction may be necessary.

Extracting a broken or decayed tooth may involve a standard or surgical extraction, depending on the location and extent of the damage.

1. Initial Consultation and X-Rays
   Your dentist will begin by examining the tooth and taking digital X-rays to assess the extent of the damage. This helps us determine whether a standard extraction (for visible teeth) or a surgical extraction (for broken or impacted teeth) is necessary.
2. Local Anesthesia and Sedation Options
   Before the extraction, we’ll numb the area around the tooth using local anesthesia to ensure you don’t feel any pain. For patients who feel anxious, we also offer sedation options, including IV sedation or nitrous oxide (laughing gas), to help you relax during the procedure.
3. Tooth Removal
   1. Standard Extractions – If the tooth is fully visible and easily accessible, a standard extraction is performed by loosening the tooth with a specialised instrument and gently removing it.
   2. Surgical Extractions – If the tooth is broken beneath the gum line or impacted, a small incision may be made in the gum to access and remove the tooth. In some cases, the tooth may need to be sectioned (cut into smaller pieces) for easier removal.
4. Stitches (If Needed)
   If a surgical extraction is performed, the incision may be closed with stitches to promote healing.

After your extraction, it’s important to follow proper aftercare instructions to ensure a smooth recovery and prevent complications like infection or dry socket.

• Control Bleeding
  Gently bite down on a piece of gauze to control bleeding. Change the gauze as necessary until the bleeding stops, usually within a few hours.
• Manage Pain and Swelling
  Over-the-counter pain medications, such as ibuprofen, can help reduce discomfort. Applying ice packs to the outside of your cheek for the first 24 hours can help reduce swelling.
• Avoid Straws and Smoking
  For the first 48 hours, avoid using straws or smoking, as these activities can dislodge the blood clot and lead to dry socket, a painful condition that delays healing.
• Soft Foods Only
  Stick to soft foods like soup, mashed potatoes, and yogurt for the first few days to avoid irritating the extraction site.
• Keep the Area Clean
  After 24 hours, gently rinse your mouth with warm salt water to keep the area clean. Be sure to avoid vigorous rinsing or spitting, as this can disrupt the healing process.

We’ll provide detailed aftercare instructions before you leave the clinic and are always available to answer any questions during your recovery.