When Does a Tooth Extraction Become a Necessity
Our permanent teeth are meant to last a lifetime, but there are situations when a tooth may need to be removed. Tooth extraction is only recommended when a tooth cannot be saved or leaving it in place would risk more damage to surrounding teeth and gums.
You may need a tooth extraction if:
- The tooth is too damaged for repair
- An infection has reached the pulp and doesn’t respond to antibiotics or root canal therapy
- Advanced periodontal disease has caused the gums to recede and loosen the tooth
- Your mouth is overcrowded and an emerging tooth cannot come through the gums
Some health conditions may increase your risk of complications during a tooth extraction, including:
- Congenital heart defects
- Damaged or artificial heart valves
- A weakened immune system
- Cirrhosis
- Artificial joints
Before scheduling an extraction, it’s important to inform your dentist about your full medical history and any medications or supplements you’re taking.
What to Expect During a Tooth Extraction
Before your tooth is removed, local anesthesia will be applied to numb the area. If you’re feeling anxious, we can discuss sedation options. For multiple tooth extractions, general anesthesia may be recommended.
Some extractions are more complex, especially if a tooth is impacted beneath the gum and bone. In those cases, the tooth may need to be divided into smaller sections before removal.
After extraction, a blood clot should form in the empty socket. Your dentist will place a gauze pad over the site and may use self-dissolving stitches to aid the healing process.
Post-Extraction Care Instructions
To support a smooth recovery, follow these guidelines:
- Take pain medication as prescribed, or over-the-counter options if recommended
- Bite gently on gauze pads to minimize bleeding and encourage clot formation
- Apply an ice pack to reduce swelling (10 minutes at a time)
- Rest for at least 24 hours and limit activities for a few days
- Eat carefully and avoid chewing on the extraction side
- Rinse with warm salt water (after the first 24 hours)
- Do not use a straw for at least 24 hours
- Avoid smoking for at least one week
- Stick to soft foods and gradually reintroduce harder foods
- Prop your head up while sleeping to encourage clotting
- Brush and floss carefully, avoiding the extraction site
When to Contact Your Dentist After an Extraction
Call your dentist immediately if you experience:
- Persistent bleeding or pain lasting more than 4 hours
- Signs of dry socket (loss of the blood clot, exposing bone)
- Fever, chills, nausea, or vomiting
- Swelling, discharge, or continued inflammation
- Chest pain, coughing, or shortness of breath
Most patients recover within 1 to 2 weeks. During this time, discuss tooth replacement options to prevent additional dental problems.
Schedule a Tooth Extraction
If you believe you may need a tooth extraction or want to learn more about your treatment options, call Brimhall Family Dentistry in Fort Collins today at 970-482-4242. You can also request an appointment online at your convenience.