Prestwich Dental Clinic

Tooth Extractions

View more about our tooth extraction services below.

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About Our Tooth Extraction Services

Here at Love-Teeth, we offer tooth extraction. Teeth may need to be extracted for a wide variety of reasons, so whether it’s the extraction of baby teeth, a general extraction or those required for orthodontic reasons, we can help. All our dentists offer simple extractions.

At Love-Teeth, we also have a wonderful oral surgeon, Sandra Glass, who will often carry more complex extractions and wisdom tooth removal. Sandra is also fully trained to offer sedation.

Call our caring team on 0161 773 7080 today.

Tooth Extraction

After a damaged tooth is removed, the ‘socket’ naturally produces a blood clot. Over time, the gum will heal over the clot and the gum tissue will be restored. Things such as premature rinsing can mean the clot may be lost and cause the bone to be exposed to air which can be very painful. When the clot has been lost after a tooth extraction, an anti-bacterial swab can be inserted into the space, helping the gum to slowly heal from below until the gum tissue has been restored.

Missing Teeth

When teeth have been missing for some time, the bone and gums can begin to change shape which can affect the surrounding teeth. We have a variety of ways to replace missing teeth, ensuring you feel fully happy and confident with your smile.

All of our dentists are happy to discuss the different way to fill the gaps left by extraction to ensure you can still eat and smile as you did before. We also offer temporary solutions so that no gaps will show.

Dental Maintenance Plans

We offer a comprehensive membership plan which provides many benefits as well as 20% off treatment* and starts from as little as £9.99/month adults/£5.99/month children – please ask at reception or call us at 0161 773 7080

Tooth Extractions – Frequently Asked Questions

What are the common reasons for tooth extraction?

Severe Tooth Decay

Extensive decay or cavities:

When decay or cavities have progressed to the point where they have significantly compromised the tooth's structure, making it impossible to restore with a filling or crown, extraction may be the only viable option.

Advanced Gum Disease (Periodontitis)

Deterioration of supporting structures:

Severe gum disease can cause the bone and ligaments supporting the tooth to deteriorate, leading to tooth loosening or mobility. In such cases, extraction may be necessary to prevent further complications.

Impacted Wisdom Teeth

Lack of space for eruption:

Wisdom teeth, or third molars, often fail to erupt properly due to lack of space in the jaw. When impacted, they can cause pain, infection, or damage to adjacent teeth, necessitating their removal.

Failed Root Canal Treatment

Unresolved infection or pain:

If a root canal treatment is unsuccessful in resolving an infection or relieving pain, extraction may be recommended to prevent further complications.

Orthodontic Treatment

Creating space for alignment:

In some cases, teeth may need to be extracted to create space for proper tooth alignment during orthodontic treatment, such as braces or clear aligners.

Fractured or Broken Teeth

Non-restorable damage:

Teeth that have suffered extensive damage due to trauma or fractures, making them non-restorable, may require extraction.

Preparation for Dentures or Dental Implants

Jawbone preparation:

In cases where multiple teeth are missing or need to be replaced, remaining teeth may need to be extracted to prepare the jawbone for dentures or dental implants. It's important to note that tooth extraction is typically a last resort, and dentists will explore all possible options to save and restore the natural tooth before recommending extraction. Regular dental check-ups and preventive care can often help avoid the need for tooth extractions.

Local Anaesthesia

Numbing the area:

Before the extraction, your dentist will administer a local anaesthetic by injecting it around the tooth. This numbs the area and prevents you from feeling any pain during the procedure.

Brief pinching sensation:

The injection itself may cause a brief, minor pinching sensation, but the area will quickly become numb.

Additional Anaesthesia Options

For more complex extractions or patients with increased anxiety, your dentist may recommend additional anaesthesia options, such as:
  • Nitrous oxide:

    Laughing gas to help you feel relaxed and less anxious.
  • IV sedation or general anaesthesia:

    For those with severe dental phobia or when multiple extractions are required.

Post-Operative Discomfort

Normal discomfort and swelling:

After the anaesthesia wears off, you may experience some discomfort, swelling, or mild pain in the extraction area. This is normal and can typically be managed with over-the-counter pain medication prescribed by your dentist.

Cold compresses for relief:

Cold compresses applied to the outside of the cheek can also help alleviate swelling and discomfort. Your dentist will provide you with specific instructions on how to manage any post-operative discomfort and ensure a smooth recovery. If you experience severe or persistent pain after the extraction, it's essential to contact your dentist for further evaluation and treatment.
There are two main types of tooth extractions: simple extractions and surgical extractions. The type of extraction required depends on the specific condition of the tooth and its position in the jawbone.

Simple Extraction

Fully visible tooth:

A simple extraction is performed on a tooth that is fully visible in the mouth and has not yet erupted (emerged) from the gums.

Loosening and removal:

During a simple extraction, your dentist will use specialised dental instruments to loosen and remove the tooth from its socket.

Local anaesthesia usually sufficient:

Simple extractions are typically straightforward procedures and can often be completed using only local anaesthesia.

Surgical Extraction

Impacted or broken tooth:

A surgical extraction is required when a tooth is impacted (partially or fully covered by gum tissue or bone) or has broken off at the gumline.

Incision and removal:

In these cases, your dentist or oral surgeon will need to make an incision in the gum tissue to access and remove the tooth or its remaining fragments.

Bone removal or tooth sectioning:

Surgical extractions may involve removing some of the surrounding bone tissue or cutting the tooth into smaller pieces for easier removal.

Additional anaesthesia options:

These procedures are more complex and may require additional anaesthesia, such as intravenous (IV) sedation or general anaesthesia. Regardless of the type of extraction, your dentist will carefully evaluate your specific case and ensure that the appropriate techniques and anaesthesia are used to ensure a safe and comfortable procedure.

First 24 Hours

Swelling, discomfort, and bleeding:

You may experience some swelling, discomfort, and bleeding during the first 24 hours after the extraction.

Biting on gauze pad:

It's important to bite down on the gauze pad provided by your dentist to help stop the bleeding and allow a blood clot to form in the extraction site.

First Few Days

Peak swelling and discomfort:

Swelling and discomfort may peak within the first 2-3 days but can be managed with over-the-counter pain medication and cold compresses.

Avoiding certain activities:

You should avoid strenuous activities, smoking, and drinking through a straw during this initial healing period.

One Week After Extraction

Subsiding symptoms:

Most swelling and discomfort should subside within a week.

Healing and diet:

The extraction site should start to heal, and you can gradually reintroduce solid foods into your diet as tolerated.

Two Weeks After Extraction

Mostly healed:

The extraction site should be mostly healed, and you can resume your normal oral hygiene routine, brushing and flossing gently around the area.

Resuming activities:

Strenuous activities and exercise can typically be resumed at this point. It's important to follow your dentist's specific aftercare instructions and attend any follow-up appointments to ensure proper healing and address any potential complications. If you experience prolonged or severe pain, swelling, or bleeding, contact your dentist immediately.

Bleeding Concerns

Excessive or persistent bleeding

Some bleeding is expected after an extraction, but prolonged or excessive bleeding can occur, especially in individuals with certain medical conditions or those taking blood-thinning medications.

Dry Socket Complications

Dislodged blood clot

Dry socket, or alveolar osteitis, is a painful condition that can arise when the blood clot in the extraction site becomes dislodged, exposing the underlying bone and nerves. This can delay healing and cause severe discomfort, but it can typically be managed with proper treatment.

Infection Risks

Bacterial entry into extraction site

If bacteria enter the extraction site, an infection can develop, leading to pain, swelling, and potential complications if left untreated.

Nerve Damage Concerns

Inadvertent nerve injury

In some cases, the nerves in the jawbone or surrounding areas may be inadvertently damaged during the extraction process, leading to temporary or permanent numbness or tingling sensations.

Jawbone Fracture Risks

Weakened jawbone susceptibility

Although rare, the jawbone can fracture during a complex or surgical extraction, particularly in patients with weakened jawbones or those who have undergone radiation therapy. It's crucial to disclose your complete medical history and any medications you're taking to your dentist before the extraction. Following their post-operative instructions carefully can help minimize the risk of complications and ensure a smooth recovery.

Pre-Procedure Preparation

Understand the necessity

It's important to comprehend the rationale behind your dentist's recommendation for a tooth extraction. Common reasons include severe tooth decay, overcrowding, impacted wisdom teeth, or to create space for orthodontic treatment. Discussing the reason can alleviate any concerns.

Provide medical details

Provide your dentist with a comprehensive medical history, including any medications, allergies, or underlying conditions like diabetes or heart disease. This information ensures your safety during the procedure.

Arrange transportation

After an extraction, you may feel groggy or experience bleeding, so it's advisable to have someone drive you home. Make arrangements for a family member, friend, or a taxi service to accompany you.

Gather necessary supplies

Before the procedure, ensure you have the following items at home: - Gauze pads or cotton balls to bite down on after the extraction - Soft, nutritious foods like yogurt, smoothies, and soups - Ice packs or frozen vegetables to reduce swelling - Over-the-counter pain medication like paracetamol or ibuprofen

During the Extraction

Open communication

Don't hesitate to ask questions or express any concerns you may have. Your dentist will ensure you understand the procedure and what to expect.

Follow guidelines

Listen attentively to your dentist's instructions, such as when to bite down on the gauze or when to avoid certain activities. Following their guidance is crucial for a smooth recovery.

Post-Procedure Care

Rest and recover

Plan to take it easy for the remainder of the day after your extraction. Avoid strenuous activities, and follow your dentist's aftercare instructions precisely.

Monitor for complications

While rare, complications like excessive bleeding or severe pain may occur. If you experience any concerning symptoms, contact your dentist immediately. By being well-prepared and following your dentist's advice, you can minimize discomfort and promote a swift recovery after a tooth extraction.

Managing Bleeding and Clot Formation

Apply firm biting pressure

Bite firmly on the gauze pack placed over the extraction site for 30-60 minutes to allow a blood clot to form properly.

Avoid disrupting the clot

Refrain from rinsing, spitting, or using a straw for at least 24 hours, as these activities can dislodge the clot and delay healing.

Pain and Swelling Relief

Recommended pain medication

Take over-the-counter pain medication, such as paracetamol or ibuprofen, as recommended by your dentist to manage discomfort.

Use cold compresses

Apply cold compresses to the outside of your cheek near the extraction site for the first 24 hours to help reduce swelling.

Maintaining Oral Hygiene

Gentle cleaning

Avoid brushing or flossing the extraction site for the first 24 hours, but continue to clean your other teeth as usual.

Saltwater rinses

After 24 hours, you can gently rinse your mouth with warm salt water to keep the area clean and promote healing.

Dietary Guidelines

Soft food options

Stick to soft, lukewarm foods and liquids for the first few days, gradually reintroducing solid foods as tolerated.

Avoid irritating foods and drinks

Avoid hot beverages, alcoholic drinks, and hard or crunchy foods that could disrupt the clot or irritate the extraction site.

Activity Restrictions

Initial rest period

Rest as much as possible for the first 24 hours and avoid strenuous activities that could dislodge the clot or prolong bleeding.

Gradual return to normal activities

Gradually return to normal activities as tolerated, but avoid smoking, as it can delay healing. Follow your dentist's instructions carefully and contact them if you experience excessive bleeding, severe pain, or any other concerns during the recovery period.

Swelling Expectations

Natural healing response

Swelling is a natural part of the healing process and occurs as a result of the trauma to the surrounding tissues during the extraction.

Common occurrence

Mild to moderate swelling is common, particularly in the first 24-48 hours after the procedure.

Typical timeline

The swelling typically peaks within the first 2-3 days and then gradually subsides over the following days.

Bleeding Considerations

Inevitable bleeding

Some bleeding is inevitable during and immediately after the extraction, as the blood vessels in the socket have been disrupted.

Blood clot formation

Your dentist will provide you with gauze pads to bite down on to help form a blood clot and control the bleeding.

Persistent bleeding concerns

Minor oozing or spotting may continue for the first 24 hours, but excessive or persistent bleeding beyond this timeframe should be reported to your dentist. To help manage swelling and bleeding, your dentist may recommend applying cold compresses to the outside of your cheek near the extraction site for the first 24 hours. It's also important to follow their instructions regarding diet, oral hygiene, and activity levels during the initial recovery period.
Yes, experiencing some degree of pain or discomfort is normal after a tooth extraction. While the extent can vary based on the extraction type (simple or surgical) and individual factors, a certain level of discomfort is expected as the area heals.

Immediate Post-Operative Discomfort

Localized ache or throbbing

Immediately following the extraction, you may experience a dull ache or throbbing sensation at the extraction site, resulting from the trauma to the surrounding tissues.

Pain relief with medication

This discomfort is typically manageable with over-the-counter pain medication recommended by your dentist.

Discomfort in the Subsequent Days

Peak discomfort timeline

The discomfort may reach its peak within the first 2-3 days after the extraction, as the area starts to heal and the anesthesia's effects wear off.

Swelling and jaw stiffness

During this time, you may experience some swelling, tenderness, and jaw stiffness, which can contribute to the overall discomfort.

Discomfort Management Strategies

Adherence to aftercare instructions

Following your dentist's aftercare instructions, such as taking prescribed pain medication, applying cold compresses, and consuming a soft diet, can help alleviate discomfort and promote healing.

Consulting for severe or persistent pain

If the pain becomes severe, persistent, or accompanied by other concerning symptoms, contact your dentist promptly, as it may indicate an infection or other complication. While some discomfort is expected, it should gradually subside over the course of a few days to a week as the extraction site heals. If the pain persists or worsens, it's important to seek further evaluation from your dentist.
The duration of a tooth extraction procedure can vary depending on several factors, such as the type of extraction (simple or surgical), the position of the tooth, and any complications that may arise during the process. Here's an approximate timeline for different types of extractions:

Simple Extraction

Typical duration

A simple extraction, where the tooth is fully visible and not impacted, typically takes around 15-30 minutes.

Procedure steps

This includes the time required for administering local anesthesia, loosening and removing the tooth, and ensuring proper control of any bleeding.

Surgical Extraction

Extended duration

A surgical extraction, which involves removing a tooth that is impacted, broken, or requiring additional bone removal, can take anywhere from 30 minutes to an hour or more.

Additional complexities

These procedures are more complex and may involve making incisions in the gum tissue, removing bone, or sectioning the tooth into smaller pieces for easier removal.

Multiple Extractions

Increased procedure time

If multiple teeth need to be extracted during the same appointment, the overall procedure time will be longer, potentially taking 1-2 hours or more, depending on the number and complexity of the extractions.

Additional Factors

Influencing variables

The extraction time can also be influenced by factors such as the dentist's experience, the patient's overall health and healing ability, and any unexpected complications that may arise during the procedure. It's important to note that these are approximate timelines, and your dentist will be able to provide you with a more accurate estimate based on your specific case and the type of extraction required.
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