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Tooth extraction is done when gum disease has loosened or severely damaged a tooth. In most cases, a dentist can pull (extract) your tooth. But if the procedure is complicated or risky, an oral or maxillofacial surgeon may do the extraction.
Your dentist or oral surgeon may give you a local anesthetic to numb the area where the tooth will be removed. A stronger, general anesthetic may be used, especially if several of your teeth need to be removed at the same time. A general anesthetic prevents pain in the whole body and will make you groggy or sleep through the procedure.
After removing the tooth, the dentist or surgeon may put in stitches (sutures) and place gauze over the wound to help stop bleeding.
Typically it takes only a few days to recover from a tooth extraction. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. If you have questions about your instructions, call the dentist or surgeon. The following are general suggestions to help speed recovery:
Your dentist will remove your stitches a few days after the surgery.
An extraction is needed when gum disease has damaged a tooth so badly that there is no other way to prevent the infection from spreading and damaging nearby teeth and bones.
Removing a tooth prevents gum disease from spreading and damaging nearby teeth and bones.
Tooth extraction can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for a severe infection or if infections are particularly dangerous for you. You may need to take antibiotics if you:
After an extraction, a blood clot forms in the tooth socket. The clot protects the bone while the healing process takes place. If that blood clot is dislodged, you may have a dry socket, in which the bone is exposed. Dry sockets may last for several days and may cause severe pain that sometimes includes ear pain.
If you delay having a damaged tooth removed, your gum disease can spread and cause you to lose more teeth.
To promote healing, stop all use of tobacco. Smoking or using spit tobacco decreases your ability to fight infection of your gums and delays healing. To learn more, see the topic Quitting Smoking.
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