Tooth extractions
Removing a tooth that can't be saved, with clear aftercare to help you heal.
What it is
An extraction is the removal of a tooth. Dentists always try to save natural teeth, but sometimes a tooth is too damaged, loose or infected to repair, and removing it is the most suitable option.
Most extractions are done at the practice using local anaesthetic, which numbs the tooth and the area around it. The dentist will explain what to expect for your tooth before you decide.
Is it right for me?
An extraction may be suggested for a tooth with very deep decay, a tooth that is badly broken, a tooth loosened by gum disease, a baby tooth that hasn't fallen out on its own, or a wisdom tooth that is causing problems.
Before removing a tooth, the dentist will talk to you about other options where they exist, such as a root canal or crown, and about ways to replace the tooth afterwards if needed.
What happens at the appointment
- The dentist examines the tooth, may take an X-ray, and asks about your health and medication.
- The area is numbed with local anaesthetic.
- The dentist gently loosens the tooth and removes it. You will feel pressure, but shouldn't feel sharp pain.
- A piece of gauze is placed over the area and you bite on it to help a blood clot form.
- You receive written aftercare instructions before you leave.
Recovery and aftercare
Bite on the gauze for about 30 to 45 minutes. Some oozing is normal for the first day.
For the first 24 hours, don't rinse hard, spit, smoke, or drink through a straw. These can disturb the blood clot that protects the socket.
Eat soft, cool food and chew on the other side. From the next day, rinse gently with warm salt water after meals.
Take pain relief as advised by the dentist. Contact us during opening hours if pain gets worse after a few days, if bleeding doesn't settle, or if you notice swelling.
Common questions
Will it hurt?
The area is numbed before we start. You'll feel pressure but shouldn't feel sharp pain. Some soreness afterwards is normal and usually settles within a few days.
How long does healing take?
The gum usually heals over within one to two weeks. The bone underneath takes longer to heal fully.
Can I go to work afterwards?
Many people return to normal activities the next day. Avoid strenuous exercise for the first day or two.
What is a dry socket?
A dry socket happens when the blood clot in the socket is lost too early, which can be painful. Following the aftercare advice, especially not smoking, lowers the risk. Contact us if it happens.
Should I replace the missing tooth?
It depends on the tooth and your needs. Options can include a bridge or a denture. The dentist will talk these through with you.
Do you remove wisdom teeth?
The dentist can assess your wisdom teeth. Some can be removed at the practice. Others may need referral, and the dentist will explain if that applies to you.
Costs and medical aid
We accept all medical aids and most RCS cards. Depending on your medical aid plan, some treatments may have a co-payment. We'll explain any costs before treatment starts.
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