Tooth extractions happen for loads of different reasons. For instance, some people have large caries or cavities that are no longer able to be cement. Other people have periodontal disease or gum disease. Then, there are people who have broken or fractured teeth, in which case broken tooth extraction is needed. Others find that their teeth have been traumatized for some reason, leading to inflammation or infection. Also, some teeth do not erupt, which leaves them stuck inside the bone.
How Are Teeth Extracted?
There are two ways for teeth to be extracted. The first tooth extraction procedure is where dental forceps are used. Most of the time, this method is suitable for teeth removal, particularly for erupted teeth. What happens here is for the tooth to be held at the neck with the forceps. Then, it is gently rocked backwards and forwards, expanding the bone socket that surrounds the tooth. Hence, this procedure is most successful in those teeth where the surrounding bone is still quite elastic. This is mainly the case in young patients, where the expansion is done very easily. For older patients, however, the bone has matured, which means it will resist the expansion.
The second method is used only on teeth where a root will not be gripped with a forceps, or if the patient has oddly shaped roots and all efforts with forceps are unsuccessful. In this case, the gums have to be cut open and a dental surgeon then cuts the bone that is found around the tooth. This will then allow the tooth to be removed. Generally, this is not done by a general dental practice, but has to be done by a surgeon. This is also a more common procedure in molar tooth extraction or wisdom tooth extraction.
Does Tooth Extraction Hurt?
Whenever a tooth is removed, anesthesia is used. Often, this is a local anesthesia, numbing the tooth itself, the root and the tissue surrounding it. Because of this, the extraction itself, if done properly, does not hurt at all. However, the patient is likely to feel some pressure as the procedure is being done. In the case of patients who have to have their gums cut, the procedure is sometimes done under general anesthetic.
However, one thing that is very real is that people are afraid of the procedure. Because of this, they expect pain to happen and the pain then becomes real. Anxiety is very real and should not be downgraded. Also, after the procedure, some tooth extraction pain may stay. This is generally resolved with some Paracetamol or Ibuprofen. Another problem is that if the patient doesn’t take care of the wound and doesn’t pay attention to tooth extraction care, in which case an infection can occur. This can, naturally, be very painful.