When it is said...

Tooth Extraction

A straightforward tooth extraction does not place a significant strain on the patient. Local anaesthesia remains effective for some time after the tooth has been removed. Once it wears off, increased soreness may occur, which can be relieved with painkillers. Cold compresses can also help. Pain may persist for several days. If swelling develops, the pain becomes more severe or a raised temperature occurs, it is necessary to consult a dentist.

After an extraction, it is important to follow all of the dentist’s instructions. Do not eat for 3 hours after the procedure.During the first few days of healing, it is also recommended not to smoke, as smoking can impair healing and lead to further complications. When brushing your teeth, take extra care around the extraction wound, and avoid putting pressure on the affected area when eating. If any complications occur, contact your dentist.

Healing of an extraction wound begins with the formation of a blood clot (coagulum), which is then gradually replaced by granulation tissue originating from the surrounding bone. This tissue develops into connective tissue, which is subsequently replaced by bone. From the side of the mucous membrane, the epithelium gradually grows over the granulation tissue and connective tissue.

Healing complications can occur particularly when the blood clot breaks down. The socket is then left empty and may become infected by bacteria from the oral cavity, causing inflammation in the surrounding bone and soft tissues. This may be accompanied by relatively severe pain. This condition is known as dry socket (alveolar osteitis). It is treated with repeated irrigation of the extraction wound.

Another complication of particular concern to patients is pain after tooth extraction. This can usually be managed with standard painkillers, although it is always advisable to consult your dentist about which medication is most appropriate. Pain may persist for several days, but it should generally begin to subside from around the third day onwards. If the pain instead becomes more severe, or if swelling or a raised temperature develops, further professional treatment will be necessary.