How Painful is Surgical Extraction?
It can be frightening for patients when they hear that they may need a tooth extraction. Even when patients expect that they have a significant issue with their teeth, patients are the most concerned with having a tooth removed. Dental professionals will work diligently and exhaust all efforts to preserve the natural tooth. In some cases, there may simply be too much damage which is beyond repair. In this case, the only solution may be for the dentist to extract the tooth in order to preserve the oral health of the patient. The teeth are generally easy to remove. More complex scenarios, however, may require a more invasive procedure. A summary of the surgical extraction procedure and expected pain is provided below.
There are two methods which can be used for removing a tooth. This includes a simple and surgical extraction.
Simple extractions are performed when the tooth is easily accessible above the gumline. Surgical extractions, in comparison, are more complicated and require surgical access to access the tooth which is partially or fully below the gums. A surgical extraction may also be necessary for teeth with long, fragile, or multiple curved roots. Surgical extractions are also common with the removal of wisdom teeth as they are often impacted and lack space to properly erupt. They may also erupt at an angle, or partially erupt, making the extraction more difficult. When this occurs, the dentist will make a small incision in the gums to access and remove the tooth. The dentist may also break the tooth into smaller pieces which makes the tooth easier to manipulate and remove. Incisions are closed with self-dissolving sutures. Patients will need to work with the dentist to determine if they require a simple or surgical extraction.
Pain
Having a tooth extracted is a very common procedure which dentists are trained to perform. Patients should feel minimal pain during a tooth removal. The patient will feel a slight pinch or sting from the syringe when the local anesthetic is injected. The anesthetic ensures the entire area is numb prior to beginning the procedure. During the extraction, the patient may feel some pressure or pulling while the tooth is removed, but there should not be any pain. In cases where a general anesthesia is used, the patient will not be awake for the procedure. A combination of sedatives and anesthesia can be used to ensure patients remain calm and comfortable during the extraction.
Post-procedure Care
Patients who undergo a simple or surgical extraction must be diligent in following the post-procedure instructions provided by the dental professional. This helps ensure a quick and successful and also aids in avoiding the risk of complications. Aftercare instructions will be discussed prior to the procedure and patients will also be provided with a written copy to ensure the instructions are clear. General instructions following a surgical extraction include the following:
1. Place a gauze pad at the site for at least 30 minutes to minimize bleeding and promote clotting
2. Do not vigorously rinse or spit for at least 24 hours
3. Avoid use of a straw which can create a dry socket
4. Use a salt rinse to gently clean the mouth 24 hours after surgery
5. An over-the-counter pain medication can be used to manage any pain once the anesthesia wears off
6. Do not perform strenuous activities
7. No smoking
A surgical tooth extraction may sound scary, but patients have nothing to worry about. Dentists are properly trained in how to complete the procedure and ensure that the patient does not experience pain. There are also tooth-replacement options which can be discussed once the mouth heals.