Teeth may need to be extracted due to:
- Tooth decay – If the damage reaches the dentine, or pulp, and cannot be cleared by antibiotics or root canal treatment (RCT) then the tooth may need to be extracted.
- Periodontitis – this is an infection of the gum and bone and if this has caused the tooth to loosen and so a gentle pulling will make it come out.
- Crowding – if you are having orthodontic work to align your teeth the dentist may have to extract a tooth to make more space for other teeth.
- Trauma – if a tooth has been badly damaged by an accident it may be better to remove it.
There is a risk of infection getting into the blood stream so tell your dentist if
- You have any any joint replacements
- You are immunocompromised eg through taking certain medication such as corticosteroids
- You have had a heart valve replacement
The dentist may decide to give you antibiotics before and after the procedure. If you are on blood thinners such as aspirin you may need to stop taking them for a couple of days before the procedure to stop prolonged bleeding.
Each tooth sits in its own socket held in place by shock absorbing ligaments attached at one end to the surrounding bone. During a routine extraction the dentist will use a levering tool such as an elevator to get under the tooth and gently rock it back and forth until the ligaments break and it can just be pulled out using forceps. The whole procedure lasts less than 5 minutes. You will possibly, but not always, need a local anesthetic for this so will feel no pain but will feel the pressure applied. This is an inexpensive procedure costing around 50 EUR (around 58 USD).
You will definitely need a local anesthetic for this procedure. This is used to remove Wisdom teeth (third molars) , if there is no visible tooth above the gum line or if the tooth has long curved roots. The dentist will have to cut into the gum and/or cut the tooth into pieces before safely removing the tooth. It is the gum incision and/or tooth sectioning which makes this a surgical extraction and why it costs more than a routine one. The incision will be held together by one or two stitches. Expect to pay between 80 and 100 Euros for this (94 to 117 dollars approximately).
Extractions and Implants
It is possible to place an implant immediately after an extraction but it depends on whether any infection is present. If you want implants and think you will have your extractions done a couple of weeks before you go, don’t! Send us an X ray and the dentist will check whether it would be better for him/her to do the extraction and then place the implants in one trip.Leaving just a couple of weeks between extraction and implant may mean that you have lost so much bone that you will need to wait 6 months before you can have the implants. It is also possible to do an immediate bone graft to prevent any bone loss.
After the extraction a blood clot will form in the socket which will help to protect the bone and nerve ending. It is important to keep this clot for as long as possible in much the same way as you need to keep a blister until the skin underneath has healed. Losing the clot leads to what is known as a dry socket. Dry sockets are very painful and leave the area susceptible to infection.
After care for the first 24 hours
- Hold a gauze swab firmly down on the socket for at least 30 minutes
- Do not smoke or drink from a straw, the sucking action can dislodge the blood clot.
- Avoid hot food and drink as this can dissolve the blood clot
- If you lie down use several pillows as this will reduce the blood loss
- Do not brush the teeth next to the site.
- Do not vigorously rinse your mouth as this will dislodge the clot.
- Do not poke the site with your tongue
- Take painkillers if needed
- Apply an ice pack if there is any swelling
After 24 hours
- Rinse your mouth with salt water regularly
- Drink plenty of water through a straw
- Eat a soft diet avoid using the damaged area if possible.
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