Tooth Extraction or Removal of Teeth

Tooth extraction means pulling out a tooth from its socket. This procedure is completely painless as they are performed  under the support of anesthesia inorder to make it more comfortable for the patient.

Indications for extraction of tooth are:

  • Severely damaged or decayed teeth
  • Non restorable caries
  • Loosened tooth
  • Therapeutic reasons ( in cases of crowding of teeth)
  • Malpositioned tooth
  • Fractured tooth


Third molars, also known as wisdom tooth are 4 in number and are located at end of the arch or back of the jaw. These are last to erupt in the oral cavity by 17 to 22 years of age.
They are termed as wisdom tooth because they erupt by the time a person become wiser, as they appear late when a person matures and enters adulthood.

These can erupt and remain healthy and uninfected in many whereas many cases indicate their emergency removal, especially when they exhibit presence of infections and other pathologies.

At times , they erupt partially with gum growth over them resulting in gum inflammation and severe pain. These cases also show presence of food impaction beneath the growth making the whole scenario worse.

Some individuals show the presence of 3rd molars deep inside the bone. These are detected only on radiographs as they do not show any evidence of eruption. All these cases if symptomatic leads to extraction procedure if unattended. Procedure of extraction completely depends on the tooth angulation and position. Some cases demand surgical removal whereas others only need forceps extraction. This completely depends on individual patient case and cannot be predicted..

Symptoms of wisdom tooth infections:

  • Swelling around the area of tooth.
  • Severe pain in jaw.
  • Redness and inflammation around that area.
  • Bad taste from mouth and bad smell.
  • Pus filled gum covering the tooth etc.

Extraction after care

  • Take all medications given by the doctor in correct intervals to relieve pain and to minimise the risk of possible infections.
  • Keep the area clean.
  • Cold compression.
  • Adequate rest.

Frequently Asked

For more queries contact us.

Why is tooth removal necessary?
  • Some of the reasons that indicate tooth extraction or tooth removal are:
  • Non restorable caries.
  • Severe gum and bone diseases.
  • Fracture of tooth or tooth along the jaw fracture line.
  • Before radiation therapy.
  • Loosened tooth without support.
  • Broken tooth with poor prognosis.
  • Severe infection.
  • Impacted wisdom tooth that are likely to cause problems.
What all checkups should be performed before getting my tooth extracted?
  1. Blood pressure (120/80mmHg)
  2. Blood glucose level
  • Without diabetes – fasting blood sugar (before food) – 70-99mg/dl

2 hours after meals                          – <140mg/dl

  • With diabetes –  fasting blood sugar (before food)    – 80-130mg/dl

2 hours after meals                            – <180mg/dl

  • HbA1c – normal for a person without diabetes – 5.7%

For someone with diabetes                   -<7.0%

  1. Haemoglobin level – Males – 13.8 to 17.2gm/dL

Female – 12.1 to 15.1gm/dL

  1. Bleeding time , Clotting time and PT INR
  2. Routine blood investigations
What time is required to recover from tooth extraction?

Though this varies in each patient, you can expect healing within 7 days post extraction. Body does the bulk of the healing in first 24 hours after extraction . Jaws and facial muscle may be stiff making them hard to fully open . It is very important to do mild mouth opening exercises to prevent trismus (reduced mouth opening)

7 days after extraction healing process nears to the end stage and the socket continues to close

What all can I expect after extraction?

It is completely normal to experience slight pain , discomfort and swelling post extraction and it usually gets resolved in 3 days time.

What are the dos and donts after tooth removal?

 Dos :

  • Keep a cotton or gauze piece over the extraction socket and remove it after 30 minutes . This helps to control bleeding.
  • Take pain medications as recommended by the specialist
  • Only Soft and cold food should be taken on the day of extraction
  • Drink plenty of water and keep body hydrated
  • It is very important to maintain oral hygiene after tooth extraction , so that brush that area gently.
  • Ice pack application can relieve post extraction pain
  • Warm saline rinse on the second day post extraction
  • Application of ice packs helps to control healing
  • If the extraction socket is sutured , get it removed after 7 days post extraction.
  • Start rinsing with warm saline water 24 hours after extraction and continue it 4-5 times daily for next 7 days.


  • Donot use straw to drink liquid as they can dislodge the clot.
  • Smoking, alcohol and tobacco use should be avoided.
  • Donot drink hot liquids post extraction.
  • Constant spitting and rinsing mouth should also be avoided as that can disturb the clot.
What all should be done to make healing faster?

It usually take a week time for complete healing. Keeping extraction site clean, managing pain and swelling can accelerate the healing process.

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    Shifa Dental Clinic provide team based, comprehensive dental care for children & adults including patients of all age.

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