Tooth extraction for gum disease

Surgery Overview

Tooth extraction is done when gum disease has loosened or severely damaged a tooth. In most cases, a dentist can pull (extract) your tooth. However, 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.
• 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.
• 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 necessary 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 developing a severe infection, such as:

• Damaged or man-made heart valves.
• A congenital heart defect.
• An impaired immune system.
• Liver disease (cirrhosis).
• An artificial joint, such as a hip replacement.
• A history of bacterial endocarditis.

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 or implant be installed after extraction.

To promote healing, stop all use of tobacco. It decreases your ability to fight infection of your gums and delays healing. For more information, see the topic Quitting Tobacco Use.

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

Author:	Jeannette Curtis	Last Updated August 24, 2007
Medical Review:	Kathleen Romito, MD - Family Medicine Steven K. Patterson, BSc, DDS, MPH - Dentist
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