Signs You Need a Tooth Extraction

Tooth extraction can be daunting but necessary for a variety of reasons.

7 minute read

Tooth extraction, a common dental procedure, involves removing a tooth from its socket in the bone. While the idea of having a tooth pulled can be daunting, understanding the signs that indicate a tooth extraction is necessary can help you make informed decisions about your oral health.

This blog will guide you through the various signs that may signal the need for a tooth extraction, the procedure itself, associated costs, and available tooth replacement options. We aim to provide you with comprehensive information to help you navigate this aspect of dental care confidently.

Think you might need a tooth extraction? Get in touch with our team on (08) 9470 3944 or book an appointment online.

Book online

Severe Tooth Pain

One of the most unmistakable signs that you might need a tooth extraction is severe tooth pain. This pain can be persistent or intermittent, often intensifying when you chew or apply pressure to the affected area. Severe tooth pain can be caused by:

• Advanced Tooth Decay: When cavities penetrate deeply into the tooth, they can reach the nerve, causing intense pain. If the decay is too extensive to be treated with a filling or crown, extraction may be necessary.
• Cracked or Fractured Tooth: A crack or fracture that extends below the gum line or into the tooth's root can cause severe pain. In cases where the tooth cannot be saved, extraction is often the best solution.
• Infection or Abscess: Infections or abscesses in the tooth can cause throbbing pain, swelling, and sometimes fever. If antibiotics and root canal treatment are ineffective, extraction may be required to prevent the spread of infection.

Infection or Abscess

Infections and abscesses are serious dental issues that can necessitate tooth extraction. An abscess is a pocket of pus caused by a bacterial infection, and it can occur in different parts of the tooth or gums. Signs of an infection or abscess include:

• Severe Toothache: This pain may radiate to the ear, jawbone, and neck.
• Swelling: Swelling of the face, cheek, or neck can occur.
• Sensitivity: Sensitivity to hot and cold temperatures.
• Fever: In some cases, a fever may develop.
• Swollen Lymph Nodes: Swollen lymph nodes under your jaw or in your neck can indicate an infection.

If left untreated, an abscess can lead to serious complications, including the spread of infection to other parts of the body. Extraction may be necessary to eliminate the source of infection and prevent further health issues.

Crowding or Impacted Teeth

Crowding or impacted teeth are common reasons for tooth extraction, particularly in cases involving wisdom teeth or orthodontic treatment. Impacted teeth are those that cannot emerge properly due to lack of space or obstruction by other teeth. This can lead to:

• Pain and Discomfort: Impacted teeth can cause pain, swelling, and infection.
• Damage to Adjacent Teeth: Impacted teeth can push against adjacent teeth, causing misalignment or damage.
• Infection: Partially erupted teeth can trap food and bacteria, leading to infection.

In planning for orthodontic treatment, a tooth extraction may be necessary to create space for proper alignment of the remaining teeth. Similarly, when planning for dental implants, extraction of problematic teeth may be needed to ensure the success of the treatment.

Advanced Gum Disease

Advanced gum disease, also known as periodontitis, can severely affect the supporting structures of the teeth, including the gums, bone, and ligaments. Signs of advanced gum disease include:

• Loose Teeth: As the supporting structures are damaged, teeth may become loose.
• Receding Gums: Gums may pull away from the teeth, creating pockets that can become infected.
• Persistent Bad Breath: Caused by bacteria in the mouth.
• Changes in Bite: Changes in the way your teeth fit together when you bite.

In cases of severe periodontitis, extraction of affected teeth may be necessary to prevent the spread of infection and protect the health of the surrounding teeth and tissues.

Book an appointment with one of our dentists to explore your options for tooth extraction today.

Book online

Procedure Overview

Tooth extraction can be categorised into two main types: simple and surgical extractions.

• Simple Extraction: This is performed on a tooth that is visible in the mouth. The dentist loosens the tooth with an instrument called an elevator and then removes it with forceps.
• Surgical Extraction: This is a more complex procedure used for teeth that are not easily accessible, such as impacted teeth. It involves making an incision in the gum to access the tooth, and in some cases, the tooth may need to be sectioned into pieces for removal.

Pre-Operative Requirements

Before a tooth extraction, your dentist will:

• Conduct a Thorough Examination: This may include X-rays to assess the position of the tooth and surrounding structures.
• Discuss Medical History: To ensure safe and effective treatment, your dentist will review your medical history, including any medications or conditions that may affect the procedure.
• Provide Pre-Operative Instructions: Instructions may include fasting if sedation will be used, as well as guidelines for medication adjustments.

Sedation Options

To ensure your comfort during the procedure, several sedation options are available:

• Local Anaesthesia: Numbs the area around the tooth, ensuring you don't feel pain during the extraction.
• Nitrous Oxide (Happy Gas): A mild sedative inhaled through a mask, helping you feel relaxed and calm.
• IV Sedation: Administered intravenously, providing a deeper level of sedation.
• General Anaesthesia: Used in more complex cases or for patients with specific needs, general anaesthesia can be administered in day surgery. This sedation option ensures you are completely asleep during the procedure.

Post-Operative Care and Recovery

After the extraction, it's essential to follow your dentist's post-operative care instructions to ensure a smooth recovery. This may include:

• Managing Pain and Swelling: Over-the-counter pain relievers and ice packs can help manage discomfort and swelling.
• Diet: Stick to soft foods and avoid hot liquids for the first few days.
• Oral Hygiene: Maintain oral hygiene by gently rinsing your mouth with salt water and avoiding the extraction site when brushing.
• Activity Restrictions: Avoid strenuous activities for a few days to prevent bleeding or dislodging the blood clot forming in the extraction site.
• Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure proper healing.

Cost of Tooth Extraction

The cost of tooth extraction can vary based on several factors, including the complexity of the procedure and the type of anaesthesia used.

Simple Extraction

A simple extraction is generally less expensive, as it involves a straightforward removal of a visible tooth. Costs start from $195 per tooth (item code #311), depending on the complexity and the dentist's fees.

Surgical Extraction

Surgical extractions are more complex and typically more expensive. The cost starts from $427 per tooth (item code #324), depending on factors such as the tooth's position, the difficulty of the procedure, and the type of anaesthesia used.

With and Without Private Health Insurance

If you have private health insurance with dental coverage, your plan may cover some or all of the costs associated with tooth extraction. The extent of coverage varies depending on your specific plan and provider. It's advisable to check with your insurance company to understand your benefits and any out-of-pocket expenses you may incur.

Tooth Extraction for Dental Implants

Tooth extraction may be necessary as a preparatory step for dental implants, a popular solution for replacing missing teeth.

Treatment with Full Arch Implants

In cases where multiple teeth need to be replaced, full arch implants can provide a stable and long-lasting solution. This treatment involves extracting all remaining teeth in the arch and replacing them with a set of fixed prosthetic teeth supported by dental implants. This approach offers excellent stability, aesthetics, and function.

Immediate Implants

Immediate implants involve removing a tooth and placing a dental implant in the same surgical session. This approach can be advantageous, as it reduces the number of surgeries and accelerates the treatment timeline. A temporary crown is placed on the implant during the healing period, providing an immediate restoration while the implant integrates with the bone.

Tooth Replacement Options

After a tooth extraction, replacing the missing tooth is crucial for maintaining oral health and function. Here are some common tooth replacement options:

Dental Implants

Dental implants are a popular and effective solution for replacing missing teeth. They involve placing a titanium post in the jawbone, which acts as a replacement tooth root. An abutment and crown are then attached to the implant, providing a natural-looking and functional replacement. Dental implants can replace a single tooth, support a dental bridge, or anchor a full arch of prosthetic teeth.

Dental Bridge

A dental bridge is a fixed appliance that replaces one or more missing teeth. It consists of a pontic (false tooth) supported by crowns on the adjacent teeth. Bridges can restore function and aesthetics but require healthy adjacent teeth to support the structure.

Removable Full/Partial Denture

Dentures are removable appliances that can replace some or all missing teeth. Partial dentures are used when some natural teeth remain, while full dentures replace an entire arch of teeth. While dentures are less expensive than implants or bridges, they may require adjustments and do not provide the same level of stability and comfort.

Emergency Tooth Extraction in East Victoria Park

Dental emergencies can arise suddenly, causing pain and discomfort that require prompt attention. Whether it's due to severe tooth pain, infection, or trauma, emergency tooth extraction may be necessary to alleviate symptoms and prevent further complications. At EVP Dental, we offer emergency tooth extraction services in East Victoria Park, ensuring you receive the care you need when you need it most.

Contact us

Conclusion

Recognising the signs that you may need a tooth extraction and understanding the procedure can help you make informed decisions about your dental health. Whether it's due to severe tooth pain, infection, crowding, or advanced gum disease, tooth extraction can be a crucial step in maintaining oral health and preventing further complications. It's essential to consult with a dentist to discuss your symptoms and explore your options for treatment and tooth replacement.

Book online

Frequently Asked Questions

Should I replace an extracted tooth?

Yes, replacing an extracted tooth is important to maintain oral health and function. Options include dental implants, bridges, and dentures, each offering different benefits depending on your needs and budget.

What can I eat and drink after tooth extraction?

After a tooth extraction, it's best to stick to soft foods and avoid hot liquids for the first few days. Foods like yogurt, custard, mashed potatoes, and smoothies are good options. Avoid chewing on the extraction site and steer clear of crunchy, hard, or spicy foods.

Is tooth extraction painful, and how can I manage the pain?

Tooth extraction is typically performed under local anaesthesia, which numbs the area and prevents pain during the procedure. Post-operative pain can be managed with over-the-counter pain relievers, ice packs, and following your dentist's care instructions. If you experience severe pain or other complications, contact your dentist immediately.

Tooth extraction is a common dental procedure that can be necessary for various reasons, from alleviating pain and infection to preparing for orthodontic treatment or dental implants. By understanding the signs that indicate the need for extraction and exploring your options for replacement, you can make informed decisions that support your long-term oral health. At EVP Dental, we're here to provide expert care and guidance every step of the way.