Tooth Extraction:

The Process, Aftercare, and Things You Should Know

Tooth extraction is a dental procedure deemed necessary to protect oral health and prevent complications. Removing decayed, broken, or non-functional teeth is crucial for maintaining dental health and overall oral hygiene. The extraction is performed by a specialized dentist in a sterile environment and is generally painless.

Why Is Tooth Extraction Performed?

Tooth extraction may be required in the following cases:

• Advanced decay: When a tooth is damaged beyond repair and cannot be treated.
• Tooth fractures: Teeth broken due to accidents or trauma may be safely removed without jeopardizing oral health.
• Making space for other teeth: Tooth extraction may be needed for orthodontic treatments.
• Impacted teeth: Teeth that are trapped within the jaw or cause harm to surrounding teeth may need to be extracted.

How Is Tooth Extraction Performed?

The extraction process varies depending on the patient’s condition and the structure of the tooth. The dentist applies local anesthesia to numb the area and prepares the tooth for removal. Surgical extractions may be necessary for impacted teeth or teeth with problematic roots. After the extraction, bleeding is controlled, and the patient receives aftercare instructions.

Things to Consider After Tooth Extraction

While tooth extraction is a common procedure, there are several important precautions to follow afterward. To ensure proper healing and avoid complications, here are the essential steps to take:

Control of Bleeding:

• Applying a tampon: After extraction, bite on a cotton ball or gauze placed at the extraction site for 30-60 minutes to help stop the bleeding. If the cotton is soaked in blood, replace it with a clean one. A clean makeup pad can also be used to apply pressure.
• Head elevation: Keep your head elevated to reduce bleeding, especially when sleeping. Avoid using a low pillow and do not bend forward, as this can increase bleeding.
• Avoiding heat: Hot foods and showers can increase blood pressure and bleeding. Avoid hot foods, tea, and coffee for 3 days post-extraction. Cold foods and drinks like ice cream are recommended for comfort.

Pain Management:

• Painkillers: Take the prescribed pain medication on time. If the pain becomes unbearable, consult your dentist immediately. NSAIDs (nonsteroidal anti-inflammatory drugs) like Apranax, Cataflam, or Ibuprufen can help manage pain and inflammation. If you have allergies to these medications, alternatives like Parol or Panadol can be used.
• Ice application: Applying an ice pack to the outside of your face can reduce swelling. Use the ice for 5-10 minutes and rest for 5 minutes. Ice is essential for pain and swelling reduction in the first two days after the extraction.
• Smoking: Smoking after tooth extraction is dangerous as it can hinder the healing process and cause severe pain from a condition called “alveolitis.” Avoid smoking for at least 3 days after the procedure.

Diet and Nutrition:

• First 3 days: Focus on liquids and soft foods like soup and yogurt. Avoid hot, spicy, and hard foods. Do not consume nuts, hard bread, or raw vegetables. Cold foods, particularly ice cream, can help soothe the area. Avoid chewing on the side of the extraction.
• Chewing: Avoid chewing on the side where the tooth was extracted. Do not eat foods that may get stuck in the extraction site.
• Good nutrition: Make sure to eat nutritious foods to support your recovery, especially those rich in calories and protein.

Oral Hygiene:

• Mouth rinsing: Avoid rinsing your mouth for the first 24 hours. Swallow when you taste blood, as spitting can affect the healing process. After the initial period, use mouthwash containing chlorhexidine, or a saltwater rinse to promote healing and reduce swelling.
• Brushing teeth: Continue brushing other teeth but avoid brushing the extraction site directly for a few days.

Physical Activity:

• Rest: Avoid intense physical activities for the first two days. Allow your body to heal. Mild walking is okay, but avoid strenuous movements that might trigger bleeding.

Medication Use:

• Prescription medications: Take any prescribed medications regularly. If antibiotics were prescribed, finish the entire course.

Follow-up Appointment:

• Checkup: Don’t forget your follow-up appointment with the dentist. This is important to monitor the healing process and address any potential issues early.

Following these guidelines after tooth extraction is essential for a smooth recovery. If you experience any doubts or issues, do not hesitate to consult your dentist. Remember, a healthy recovery process is crucial for both your physical and mental well-being. Take care of yourself and develop healthy habits.