How Painful is Surgical Extraction?
Tooth Extractions
When patients are told they need a tooth extraction, it can be frightening and intimidating. This is true even for patients with serious oral health issues as many patients are fearful of the unknown. The dentist will work hard to preserve the patient’s natural tooth. Unfortunately, the damage may be too extensive in some cases and the tooth cannot be restored. When this occurs, the only valid option for preserving the patient’s oral health is to remove the tooth with an issue. Teeth are relatively easy to remove in general. A more invasive procedure called a surgical extraction is often required in more complex cases.
Types of Extractions
The two methods used to remove a tooth are simple and surgical. When the tooth has fully erupted above the gumline, a simple extraction is performed. A surgical extraction takes place then the tooth is fully or partially impacted below the gums, making it more difficult to access. Teeth with long, fragile, or multiple curved roots may also require a surgical extraction. These types of extraction are commonly performed with the removal of wisdom teeth, which are usually impacted or do not have the space required to erupt completely. It is also possible for the teeth to erupt partially or at an angle. With a fully or partially impacted tooth, the dental professional will make a small incision in order to access and remove the tooth. The tooth may also be broken into smaller pieces so it can be manipulated and more easily removed. Self-dissolving sutures are then used to close the wound. In order to determine if a simple or surgical extraction is required, patients must work directly with the dentist.
Pain
Tooth extractions are actually quite common, and complications are rare. Dentists are trained to complete the procedure while keeping patients safe and minimizing the amount of pain associated with the removal. When the dentist is injecting the local anesthetic with the syringe, it is normal for the patient to feel a sting or pinch. The local anesthetic numbs the extraction site prior to the procedure. Patients may feel some slight pressure when the tooth is actually being removed, however, they should not feel pain. When general anesthesia is used, patients are asleep for the duration of the procedure. Patients with anxiety or significant fear may receive a combination of sedatives and anesthesia to ensure they are calm and comfortable throughout the entire procedure.
Post-procedure Care
When patients undergo an extraction, it is important to closely follow the post-procedure instructions and dietary restrictions. These care instructions help ensure patients have a quick recovery and reduce the risk for complications. The dental team will review aftercare instructions and often provide patients with a written copy to make the instructions abundantly clear. Below is a summary of post-extraction care instructions which patients should follow:
- Use pressure and a gauze pad at the extraction site for 30 minutes or more to promote clotting and slow bleeding
- During the first 24 hours after the extraction, avoid vigorously rinsing or spitting
- Do not use a straw as it can lead to a dry socket
- Avoid brushing the teeth for the first 24 hours and use a gentle salt rinse for cleaning the mouth
- Over-the-counter pain medications and an ice pack can help manage post-procedure discomfort
- Avoid strenuous activities and give the body time to heal
- Do not smoke or use tobacco products
Surgical tooth extractions can sound intimidating but are very safe. Dentists receive thorough training on performing the procedure while simultaneously making sure patients remain comfortable. Modern dentistry also offers excellent tooth-replacement options, such as dental implants, which can restore the function and appearance of a missing tooth.
Patients with oral health issues should contact the office today to schedule a consultation with the dentist. The dentist can evaluate the patient’s mouth to determine if the patient needs a surgical extraction or another type of treatment.