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    Tooth Extraction for Gum Disease

    Tooth extraction is done when gum disease has loosened or severely damaged a tooth. In most cases, a dentist can pull (extract) your tooth. But if the procedure is complicated or risky, an oral or maxillofacial surgeon may do the extraction.

    Your dentist or oral surgeon may give you a local anesthetic to numb the area where the tooth will be removed. A stronger, general anesthetic may be used, especially if several of your teeth need to be removed at the same time. A general anesthetic prevents pain in the whole body and will make you groggy or sleep through the procedure.

    After removing the tooth, the dentist or surgeon may put in stitches (sutures) and place gauze over the wound to help stop bleeding.

    What To Expect After Surgery

    Typically it takes only a few days to recover from a tooth extraction. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. If you have questions about your instructions, call the dentist or surgeon. The following are general suggestions to help speed recovery:

    • Take painkillers as prescribed.
    • After 24 hours, you can rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain.
    • Change gauze pads before they become soaked with blood.
    • Relax after surgery. Strenuous physical activity may increase bleeding.
    • Use a damp tea bag over the empty tooth socket to help stop bleeding.
    • Eat soft foods, such as gelatin, pudding, or light soup. Gradually add solid foods to your diet as the area heals.
    • Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
    • Continue to carefully brush your teeth and tongue.
    • Apply an ice or cold pack to the outside of your mouth to help relieve pain and swelling.
    • Do not use sucking motions, such as when using a straw to drink.
    • Do not smoke.

    Your dentist will remove your stitches a few days after the surgery.

    Why It Is Done

    An extraction is needed when gum disease has damaged a tooth so badly that there is no other way to prevent the infection from spreading and damaging nearby teeth and bones.

    How Well It Works

    Removing a tooth prevents gum disease from spreading and damaging nearby teeth and bones.

    Risks

    Tooth extraction can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for a severe infection or if infections are particularly dangerous for you. You may need to take antibiotics if you:

    • Have certain heart problems that make it dangerous for you to get a heart infection called endocarditis.
    • Have an impaired immune system.
    • Had recent major surgeries or have man-made body parts, such as an artificial hip or heart valve.

    After an extraction, a blood clot forms in the tooth socket. The clot protects the bone while the healing process takes place. If that blood clot is dislodged, you may have a dry socket, in which the bone is exposed. Dry sockets may last for several days and may cause severe pain that sometimes includes ear pain.

    What To Think About

    If you delay having a damaged tooth removed, your gum disease can spread and cause you to lose more teeth.

    Your dentist or oral surgeon may recommend that a bridge camera.gif or implant be installed after extraction.

    To promote healing, stop all use of tobacco. Smoking or using spit tobacco decreases your ability to fight infection of your gums and delays healing. To learn more, see the topic Quitting Smoking.

    Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.

    ByHealthwise Staff
    Primary Medical ReviewerAdam Husney, MD - Family Medicine
    Specialist Medical ReviewerSteven K. Patterson, BS, DDS, MPH - Dentistry

    Current as ofNovember 14, 2014

    WebMD Medical Reference from Healthwise

    Last Updated: November 14, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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    You are currently

    Only 18.5% of Americans never floss. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Floss removes food trapped between the teeth and removes the film of bacteria that forms there before it turns to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Try flossing just one tooth to get started.

    You are one of 31% of Americans who don't floss daily. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for 3 more days!

    You are one of 31% of Americans who don't floss daily, but you're well on your way to making a positive impact on your teeth and gums. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for all 7 days!

    Only 50.5% of Americans floss daily, and good for you that you are one of them! Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Congratulations on your good oral health habit!

    SOURCES:

    American Dental Association, Healthy People 2010

    This tool is intended only for adults 18 and older.

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