What to Expect During an Extraction
Your Guide to a Safe and Comfortable Tooth Extraction at Newtown Dental

Prior to your tooth extraction, we’ll conduct a thorough consultation to assess your oral health and determine whether extraction is the best option. This includes:

• Examination and X-Rays
  We’ll examine the affected tooth and take digital X-rays to assess its condition, as well as the surrounding bone and gum tissue. X-rays help us determine the best approach for your extraction and whether any complications, such as infection or impaction, are present.
• Review of Medical History
  We’ll discuss your medical history, any medications you’re currently taking, and any allergies you may have. This ensures that we can provide safe and effective care throughout the extraction process.
• Anesthesia and Sedation Options
  Depending on your needs and comfort level, we’ll discuss the different anesthesia and sedation options available. Local anesthesia will numb the area around the tooth to prevent pain, while sedation options such as IV sedation or nitrous oxide (laughing gas) can help you relax if you feel anxious.

The type of extraction you’ll undergo depends on the condition of the tooth. There are two main types of extractions:

• Standard Extraction
  A standard extraction is performed on a tooth that is fully visible and easily accessible. Your dentist will loosen the tooth with a dental instrument called an elevator and gently remove it using forceps. This type of extraction is typically quick and minimally invasive.
• Surgical Extraction
  If the tooth is impacted (trapped beneath the gum) or has broken below the gum line, a surgical extraction may be necessary. This involves making a small incision in the gum to access the tooth. In some cases, the tooth may need to be sectioned into smaller pieces for easier removal.

Regardless of the type of extraction, the procedure will be performed under local anesthesia to ensure that you don’t feel any pain.

Here’s what you can expect during the tooth extraction procedure:

1. Numbing the Area
   Before the extraction begins, we’ll administer local anesthesia to numb the area around the tooth. You may feel pressure during the procedure, but you shouldn’t feel any pain. If you’ve chosen sedation, it will be administered at this time to help you feel calm and relaxed.
2. Tooth Removal
   Once the area is fully numb, your dentist will carefully remove the tooth. If it’s a standard extraction, the tooth will be loosened and removed. For surgical extractions, a small incision may be made in the gum, and the tooth may be sectioned for easier removal.
3. Post-Extraction Care
   After the tooth is removed, we’ll clean the area and may place stitches to close the gum if necessary. You’ll be given a gauze pad to bite down on to help control bleeding. We’ll also provide detailed aftercare instructions to help you recover smoothly.

Proper aftercare is essential to ensure a smooth recovery and prevent complications like dry socket or infection. Here’s what you can expect in the hours and days following your extraction:

• Managing Pain and Swelling
  You may experience some discomfort and swelling after the procedure. Over-the-counter pain relievers, such as ibuprofen, can help manage this. Applying ice packs to the outside of your cheek can reduce swelling during the first 24 hours.
• Controlling Bleeding
  It’s normal to experience some bleeding after an extraction. Bite down on a piece of gauze to control the bleeding, and replace it as needed. The bleeding should subside within a few hours.
• Sticking to a Soft Diet
  For the first few days after your extraction, stick to soft foods like yogurt, soup, mashed potatoes, and smoothies. Avoid hard, crunchy, or spicy foods that could irritate the extraction site.
• Avoid Straws and Smoking
  Refrain from using straws or smoking for at least 48 hours, as these actions can dislodge the blood clot and lead to dry socket, a painful condition that can delay healing.
• Keep the Area Clean
  After 24 hours, gently rinse your mouth with warm salt water to keep the area clean. Avoid vigorous rinsing or spitting, as this can disturb the healing process. Continue brushing and flossing your other teeth as usual, but be gentle around the extraction site.