Tooth extraction: what to expect, step by step

A tooth is taken out when it cannot be saved or is causing harm. Knowing the steps takes much of the worry out of it.

Why might a tooth need to come out?

Because it is badly decayed or broken, has a serious infection or gum disease, is a wisdom tooth that keeps causing trouble, or is in the way of other treatment. Dentists try to save a tooth first when they can. See save the tooth or take it out?.

Before the visit

Tell the dentist about:

• any health condition, such as diabetes, heart disease or high blood pressure
• all medicines you take, especially blood thinners. Do not stop any medicine on your own.
• allergies, and whether you are pregnant
• any past trouble after dental treatment

Have something to eat beforehand unless you are told otherwise, because you may not want to eat for a few hours after.

What happens during the visit?

1. The dentist checks the tooth, usually with an X-ray, and explains the plan.
2. The area is numbed with a local anaesthetic. You should not feel pain, only pressure and movement.
3. The tooth is loosened and lifted out.
4. You bite on a gauze pad to stop the bleeding. Sometimes the dentist places stitches.
5. You are given instructions for the next days.

Simple or surgical?

A simple extraction is for a tooth that can be seen and held. It is often quick.

A surgical extraction is for a tooth that is broken below the gum, has curved roots or is stuck, such as many wisdom teeth. The dentist may cut the gum, remove a little bone or divide the tooth into pieces. It takes longer, and there is usually more swelling afterwards. Stitches are common.

Will it hurt?

During the treatment you should feel pressure but not pain. If you feel pain, say so, and the dentist can numb the area more. Afterwards the area is sore for a few days. See after a tooth extraction: care in the first days.

How long does it take?

A simple extraction can take a few minutes. A surgical one takes longer. Your dentist can give you an idea once they have seen the X-ray.

What about the gap?

A gap can let neighbouring teeth drift and makes chewing harder. Ask your dentist about replacing it. See replacing a missing tooth.

When to see a dentist

If you have a tooth that hurts, is loose or is broken, come for an examination. Dental care is available at both our clinics, in Sayan and on Chhaprabhatha-Variyav Road. Use the booking button below to ask for an appointment.