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All About Tooth Extractions

July 02, 2023
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Tooth extraction refers to the act of extracting one or more teeth from the socket within the jawbone. A dentist or oral surgeon usually performs this procedure. It is recommended when the tooth is severely damaged or decayed or when it threatens other teeth or your overall dental health. In this article, we’ll discuss the details of tooth extractions, including when it’s necessary, the types of extractions, the procedure, and aftercare.


When is a Tooth Extraction Necessary?

A dentist or oral surgeon may recommend tooth extraction in several situations. Here are some of the most common:

  1. Severe decay: In instances of severe tooth decay, a filling, crown, or root canal therapy may not be enough to save it. In this case, extraction may be the only option to prevent the decay from spreading to other teeth.
  2. Gum disease treatment: If gum disease has caused the tooth to become loose, extraction may be necessary to prevent it from falling out on its own.
  3. Impacted teeth: Impacted teeth are those that fail to emerge fully from the gums. Wisdom teeth are the most common example of impacted teeth that require extraction.
  4. Crowding: When there isn’t enough space in the mouth for all the teeth to grow correctly, extraction may be recommended to make room.


Types of Tooth Extractions

Two categories of tooth extractions exist: simple and surgical.

Simple extractions are performed when the teeth can be easily seen in the mouth. Generally, the dentist or oral surgeon employs forceps to gently loosen the tooth and extract it from its socket. This process is usually performed under local anesthesia, which numbs the area around the tooth.

Surgical extractions are more complicated and necessary when the tooth has not fully emerged from the gums or has broken off at the gum line. In this case, an incision will be made in the gum to access the tooth, and some of the surrounding bone may be removed to extract the tooth. Typically, this procedure is conducted while the patient is under general anesthesia.


The Tooth Extraction Procedure

Before the procedure, the dental professional will numb the area with a local anesthetic. You may also receive sedation dentistry if you are anxious about the procedure.

During the extraction, you will feel pressure as the dentist or oral surgeon works to remove the tooth from the socket. You should not feel any pain. If you do, tell the dentist or oral surgeon immediately so they can administer more anesthesia.

After removing the tooth, the dentist or oral surgeon will pack the socket with gauze to stop the bleeding. This is quite normal. The dentist will provide instructions for you to apply pressure on the gauze by biting down for about 30-45 minutes to help the blood clot.


Ask your Waterloo dentist about Platelet-Rich Plasma Therapy. Platelet Rich Plasma (PRP) therapy is an innovative technique. The process can be used in conjunction with tooth extractions to promote healing and reduce the risk of complications. During PRP therapy, a small amount of the patient’s blood is drawn and processed to separate the platelets, which contain growth factors that can stimulate tissue regeneration. The platelets are then concentrated and injected into the extraction site, which can help accelerate the healing process and reduce pain and inflammation. Platelet Rich Plasma Therapy has effectively reduced the risk of infection and improved the overall outcome of tooth extractions. However, not all patients may be suitable for PRP therapy, and it is essential to consult a dental professional to determine whether this treatment suits you.



After the extraction, you may experience some pain, swelling, and bleeding. Your Waterloo dentist or oral surgeon will give you specific instructions on easing discomfort and caring for your mouth after the procedure. Some instructions may include the following:

  1. Bite down on gauze: Bite down on the gauze for about 30-45 minutes after the procedure to help stop the bleeding.
  2. Use ice packs: Apply a covered or wrapped ice pack to your cheek for no more than 20 minutes. Use on and off to reduce swelling.
  3. Take pain medication: The dentist or oral surgeon may prescribe pain medication. Alternatively, they may also recommend over-the-counter pain relievers to manage any discomfort.
  4. Avoid smoking: Refrain from using tobacco products for a minimum of 72 hours following the procedure, as this can delay healing and recovery while increasing the risk of complications.
  5. Stick to soft foods: Eat soft foods, such as soups, mashed potatoes, and smoothies, for the first few days after the procedure. Avoid chewing, especially on the side of your mouth where the extraction occurred.
  6. Keep the area clean: Rinsing your mouth gently with warm salt water is recommended. You may do this several times a day to keep the area clean and promote healing.

Following these instructions carefully is important to ensure a smooth and speedy recovery. The majority of individuals can resume their work and regular activities within a few days. However, it may take several weeks for the socket to heal fully.


Why Regular Dental Check-Ups are Important

While tooth extractions are sometimes necessary, maintaining good oral health is the best way to avoid them. This entails maintaining regular brushing and flossing habits while also avoiding sugary and acidic foods and maintaining your dental visits.

During a dental check-up, your dentist can detect and treat any problems early before they require more invasive procedures like extractions. They can also provide guidance on enhancing your oral hygiene regimen and identify any risk factors that may increase your chances of developing dental problems.


Tooth extractions are more common than you think. This dental procedure can help to alleviate pain and prevent further dental problems. After the procedure, following your dentist’s instructions carefully is vital to ensure a smooth and speedy recovery.

While tooth extractions are sometimes necessary, maintaining good oral health is the best way to avoid them. Be sure to maintain your dental appointments for regular check-ups and cleanings. We recommend scheduling your next dental appointment soon and booking future appointments in advance to take care of your teeth and keep them healthy for life.

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Lamine Diallo
Lamine Diallo
02:21 15 Jun 22
My family and I have been receiving care from Dr. Ashraf and his amazing team since we first moved to Waterloo in 2002. His assessment skills are spot on, he is gentle and is very skilled at working with anxious\nervous patients. My dental hygienist is Lin who is very knowledgeable, and passionate about her work. She is amazingly gentle yet very,very thorough when it comes to preventative dental care. She is didactic as well, taking the time to teach patients how to use certain equipment as well as addressing gingivitis in pro-active ways. We are in very capable hands.
Trisa Kapetaneas
Trisa Kapetaneas
18:12 01 Jun 22
I have been a patient here for over 2 years now and I've always enjoyed the experience. The staff are professional and have always made me feel comfortable. I recently had a cleaning done by Lynn for the first time and she was amazing! Will continue to visit for my checkups/cleanings.
Aamir Mirza
Aamir Mirza
14:54 03 May 22
Dr. Ashraf and his team is amazing. All work done under one umbrella for entire family. We all are very happy to be under the care for the last 20 plus years. Lin, dental hygienist is remarkable professional. She knows her job so well that I look forward to my cleaning every time I'm scheduled. Thank you Lin for your amazing work for my entire family!
Alena Delena
Alena Delena
14:50 02 May 22
My family loves Dr Ashraf. We've been through many dentists in many cities and he's by far our favourite one. He's always thorough and professional. His referrals are also of equal high caliber. I went to him for a root canal and a crown. I had many concerns and he addressed them all personally. He even went so far as to redo a root canal for me. Recommend.
Nicole Wood
Nicole Wood
15:31 28 Apr 22
I found Ashraf Dentistry a year ago and I absolutely love their dental clinic. Everyone is very kind and thorough. Lin is the best dental hygienist I've ever had! She takes the time to ensure I receive the care I need. Both dentists I've seen have also been very kind and wonderful at making me feel like my teeth are being taken care of. Highly recommend!
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