Tooth extraction and 7 common concerns

Having a tooth extraction in adulthood sometimes is necessary. 

Why do we need tooth extraction ? 

Although many adults have their wisdom teeth out, there are a few circumstances where tooth extraction is needed. Dental extraction is required when there is serious tooth decay, infection, or crowding.

When people acquire orthodontics, one or two teeth may need to be pulled to create room for other teeth to be repositioned. Furthermore, damaged teeth may need to be extracted in order to maintain oral health in chemotherapy patients or preparing for an organ transplant.

A tooth extraction is a quick outpatient procedure performed by a dentist or oral surgeon under local, general, intravenous, or a combination of anesthesia. A simple extraction is the removal of visible teeth. More extensive surgery is required for broken, subsurface, or impacted teeth.

A tooth extraction 
A tooth extraction

Tooth extraction cost 

The cost of removing a tooth is determined on whether it is affected. Simple extractions typically cost 100.000 VND to 800.000 VND per tooth, however this may vary based on the kind of anesthetic required.

The cost of extracting an impacted tooth might range between 1.500.000 VND and 5.000.000 VND. Because many services are dependent on the cost of living in a certain place, the location of your residence may impact the cost of the treatment.

Preparation for the tooth extraction

Your dentist will take an X-ray of your tooth before proceeding with the operation. Make sure to tell your dentist everything about any vitamins, nutritional supplements, over-the-counter medicines, herbal therapies, and prescription and non-prescription medications you’re using.

Inform your dentist if you will be undergoing intravenous therapy for another medical condition that requires the use of a bisphosphonate. To avoid jaw osteonecrosis (bone death), the extraction should be performed before beginning any therapy .

Informing your doctor
Informing your doctor

Inform your dentist if you have any of the following issues:

  • A congenital heart defect
  • Diabetes
  • Liver disease
  • Thyroid disease
  • Renal disease
  • Hypertension
  • An artificial joint
  • Damaged heart valves
  • Adrenal disease
  • An impaired immune system
  • A history of bacterial endocarditis

Your dentist may want to be sure that all symptoms have been treated or cured before performing the tooth extraction. If necessary, antibiotics may be provided in the days preceding surgery:

  • Your surgery is expected to be long
  • You have an infection or a weakened immune system
  • You have a specific medical condition

Keep the following items in mind to achieve a successful operation on the day of the tooth extraction:

  • Wear a short-sleeved shirt or loose clothing and avoid eating or drinking for six to eight hours before your visit if you will be getting intravenous (IV) anesthetic.
  • Don’t smoke before treatment.
  • If you have a cold, let your dentist know since you might need to reschedule.
  • If you have nausea or vomiting the night before, let your dentist know. This may call for a different anesthetic or a change in appointment time.
  • Have a driver with you if you’re getting general anesthesia so they can take you home.

Tooth extraction procedure

Your tooth extraction will be simple or complex depending on whether your tooth is obvious or impacted.

  • Straightforward extraction

The area around your teeth will be anesthetized so that you don’t feel the pain

You will be given a local anesthetic, which will numb the region surrounding your tooth, allowing you to feel just pressure rather than pain during the treatment. After loosening the tooth using an elevator, the dentist pulled it with forceps.

  • Complicated extraction

You will most likely be given both intravenous and local anesthetics; the latter will most likely soothe and comfort you. Depending on your medical history and other considerations, you may require general anesthesia. You will be asleep during the operation if you are given general anesthetic.

A very little incision will be made into your gum by the regular dentist or oral surgeon. They may need to cut your tooth, remove the bone around it, or both before extracting it.

Risks and complications 

There are certain dangers to having a tooth pulled, but if your dentist recommends treatment, the benefits are likely to outweigh the drawbacks. If the blood clot does not form or dislodges, the bone inside the socket may be exposed, resulting in a “dry socket.”

After a tooth extraction, the hole in the bone where the tooth was taken usually has thrombosis. However, if the thrombus does not form or dislodges, the bone inside the socket can be exposed — referred to as a “dry socket.”

Dry socket
Dry socket

Dry socket

If this happens, the dentist will protect the area with a sedative dressing for a few days. Throughout this time, a new clot will form.

Other risks include:

  • Bleeding for over 12 hours
  • Severe fever and chills, signs of being infected
  • Nausea or vomiting
  • Chest pain and breath struggle
  • Swelling and redness at the surgical site

Call your dentist as soon as possible if you notice any of these signs.


Recovery from a tooth extraction normally takes a few days. Follow the following advice to recover quickly:

  • Place an ice pack on your cheek to minimize swelling. Apply the ice pack for 10 minutes each time.
  • Bite down to stop bleeding and promote clot formation when the dentist applies the gauze pad to the afflicted region. Keep the gauze in place for three to four hours, or until the blood has completely saturated the pad.
  • All medications, including over-the-counter painkillers, should be used with a prescription.
  • For the first 24 hours, take it easy and rest. The next day, don’t start your routine instantly.
  • For the first 24 hours, refrain from using a straw.
  • Don’t smoke.
  • After the tooth extraction, do not rinse for 24 hours, and only softly spit.
  • Use pillows to lift your head up when you lie down.
  • Brush and floss your teeth, but avoid the extraction area.
  • Eat soft meals the day following the surgery, such as yogurt, pudding, and soup.
  • After 24 hours, dilute a half-teaspoon of salt to eight ounces of warm water to rinse your mouth.
  • As you recover over the next few days, you can progressively add more nutrients to your diet.

Make an appointment to see your dentist as soon as possible if you have discomfort that doesn’t go away after several days or symptoms of an infection, such as fever, pain, or pus or drainage coming from the incision.


Is having a tooth pulled painfully?

Not all of the time. The extraction may hurt if you use nitrous oxide, but it should not be terribly painful. Stronger medications, such as oral sedatives or anesthetics, will be required.

Is having a tooth pulled painful?
Is having a tooth pulled painfully?

What if you get a tooth extracted but do not replace it?

After having a tooth pulled, you’ll need to replace the missing tooth or teeth. If your teeth are not replaced, the bones in your mouth may deteriorate and lose density. Other teeth may also shift, complicating chewing. There are various possibilities for tooth replacement.

How long do tooth extractions take?

You’d be amazed at how fast this procedure runs. From start to end, a tooth extraction typically takes 20 to 40 minutes, including the time required to apply bandages if necessary. However, if you require more than one tooth pulled, the procedure will take longer.

How long does it take for a tooth extraction to recover?

After surgery, your orthodontist would normally advise you to rest for at least 48 to 72 hours so that the treated spot can clot. The patient should thereafter be able to continue normal physical activities. In most cases, the soft tissue heals in 3 to 4 weeks.

When does the most pain occur following a tooth extraction?

You may have discomfort and irritation for three to seven days after having a tooth removal, especially if it was a molar. Make an appointment with your dentist if you are still in severe pain after five days.

How do you sleep after having a tooth extracted?

During the earliest stages of healing, the extraction site may bleed. So, at least, sleep on your side the first night. Furthermore, if you lie flat on your back, the swelling may worsen. This might aggravate your discomfort and make it more difficult for you to sleep.

Can I drink coffee after tooth extraction?

Even though each patient heals at a different rate, the majority of patients can resume modest coffee drinking five days after an extraction. If everything goes as planned, your mouth should be mostly healed and any swelling should go away in two weeks. You can then resume drinking your usual amount of coffee.



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