Tooth extractions are a widely performed procedure designed to remove teeth that are severely damaged, decayed, or impacted. They may also be recommended when teeth are causing crowding or interfering with orthodontic treatment.
At Pure Smiles in Fulham, we aim to provide clear, detailed information about when and why tooth extractions may be necessary, what to expect from the procedure, and how to manage recovery effectively.
Tooth extraction refers to the process of removing a tooth from its socket in the jawbone. While preserving natural teeth is always the ideal approach, there are times when extraction is the most practical or necessary step to restore and protect overall oral health.
Extractions are generally categorised into two types: simple extractions, where the tooth is visible above the gum line and removed easily, and surgical extractions, which are more complex and involve teeth that are broken, impacted, or located beneath the gum surface.
Each extraction begins with a thorough examination to determine the best course of action. Digital X-rays or imaging may be used to understand the position of the tooth, the condition of the surrounding bone, and any potential complications.
Tooth extraction may be recommended for a variety of reasons. Understanding these reasons can help make the decision easier and more informed.
Decay that has progressed deep into the tooth, reaching the inner pulp and root structure, can compromise the integrity of the tooth beyond what a filling or crown can repair. If the decay also affects surrounding bone or causes recurrent infections, removing the tooth may be the best course of action.
Periodontal disease can weaken the tissues and bone structures that support teeth. When this happens, teeth may become loose or begin to shift, impacting the bite and overall oral health. Extraction may be advised if the damage cannot be reversed or stabilised.
Wisdom teeth are the most commonly impacted teeth. When they fail to fully erupt or grow at an angle, they can cause pain, swelling, infection, and pressure on neighbouring teeth. In such cases, removing the impacted tooth can help prevent long-term complications.
For those undergoing orthodontic treatment, tooth extraction may be used to create space, especially in cases of severe crowding. This helps ensure that the teeth have enough room to move into their ideal positions.
A cracked or fractured tooth, particularly below the gum line or into the root, may not be treatable with standard restorative procedures. Extraction can remove the source of pain and help prevent further damage.
If an infection has spread deep into the tooth and root system and does not respond to antibiotics or other treatments, removal may be necessary to protect surrounding teeth and tissue.
The extraction process is designed to be as straightforward and comfortable as possible. A step-by-step approach ensures that every patient understands what is happening at each stage.
The first step is an examination of the tooth and the surrounding area. X-rays help assess the root length and position, any signs of infection, and the proximity of nearby structures like nerves or sinuses.
Local anaesthetic is applied to numb the area around the tooth. In some cases, sedation may also be offered to help with relaxation and comfort, especially during more complex extractions.
For a simple extraction, the tooth is loosened using an instrument called an elevator, then gently removed with forceps. If the extraction is surgical, a small incision is made in the gum, and the tooth may be sectioned into smaller parts before removal.
Once the tooth has been removed, gauze is placed over the socket to control bleeding. Instructions are given for pain management, swelling, and healing to support a smooth recovery.
Proper aftercare is crucial for healing:
Bleeding: Bite on a gauze pad to control bleeding.
Swelling: Apply an ice pack to reduce swelling.
Pain Management: Over-the-counter pain relievers can alleviate discomfort.
Diet: Stick to soft foods and avoid using straws.
Oral Hygiene: Maintain cleanliness but avoid the extraction site initially.
Healing typically takes a few days, but complete recovery may take a couple of weeks.
If you are experiencing persistent tooth pain, swelling, or other issues, tooth extraction may be a necessary step to protect your long-term oral health.
At Pure Smiles in Fulham, we’re here to provide clear information and supportive guidance every step of the way. Whether you’re dealing with a wisdom tooth, an infected molar, or preparing for orthodontic work, understanding your options is the first step.
Contact us today to explore your next steps and find out what’s right for your smile.
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I have only had very positive experiences at Pure Smiles, who I have been going to since 2016 when I moved to Fulham. I recently had a wisdom tooth out, which I was nervous about beforehand. Thankfull… Read More
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750a Fulham Road, Fulham, London SW6 5SH
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