Tooth extraction is the dental procedure of removing a tooth from its socket in the jawbone. It is performed when a tooth is severely damaged, decayed, infected, or poses a risk to oral health and cannot be restored with treatments like fillings, crowns, or root canal therapy.
Types of Tooth Extractions
- 1- Simple Extraction
- Performed on visible teeth.
- The dentist loosens the tooth with an instrument (elevator) and removes it using forceps.
- 2- Surgical Extraction
- Required for teeth that are broken, impacted (such as wisdom teeth), or not easily accessible.
- Involves a small incision in the gum and sometimes removal of bone around the tooth.
Indications for Extraction
- Severe tooth decay beyond repair
- Advanced gum disease (periodontitis)
- Tooth fracture involving the root
- Impacted or problematic wisdom teeth
- Overcrowding (to assist orthodontic treatment)
- Infected teeth not responding to root canal treatment
- Retained milk teeth preventing permanent eruption
Procedure
- Examination & X-ray – to assess the tooth and surrounding bone.
- Anesthesia – local anesthesia to numb the area.
- Loosening the tooth – using dental elevators.
- Extraction – tooth is gently removed with forceps (or surgically if required).
- Cleaning & Sutures – socket is cleaned; stitches may be placed in surgical cases.
- Post-extraction care – gauze is placed to control bleeding.
Benefits
- Relief from severe pain and infection
- Prevents spread of infection to adjacent teeth and gums
- Facilitates orthodontic treatment in overcrowded cases
- Removes problematic wisdom teeth
Risks / Possible Complications
- Pain, swelling, or bleeding
- Dry socket (delayed healing due to loss of blood clot)
- Infection at the extraction site
- Injury to surrounding teeth, nerves, or sinuses (rare)