Tooth Extraction

Tooth extraction is the process of completely removing a tooth from the mouth and is usually performed for reasons such as decay, trauma, fracture or lack of space in the mouth. Considered a last resort in dentistry, this procedure is now much more comfortable and painless with the use of modern dental techniques and anesthesia.

However, not all tooth extractions are simple and without complications. For this reason, the general health condition of the patient, the position of the tooth and possible complications that may occur after extraction are evaluated in detail. Points to be considered and precautions to be taken after tooth extraction are also very important.

Below, you can find detailed information about the tooth extraction process, things to consider and frequently asked questions.

In which cases is tooth extraction performed?

Tooth extraction is sometimes necessary to maintain dental health in the mouth or to accommodate orthodontic treatment plans. Here are some common conditions that require tooth extraction:

  1. Advanced Decay: Extraction may be necessary for advanced decay that affects a large portion of the tooth and cannot be saved by restoration or filling.
  2. Periodontal Disease: Extraction may be necessary in advanced periodontal disease, when the stability of the tooth is reduced due to loss of bone and gum supporting the tooth.
  3. Tooth Fractures: Especially in fractures that occur at the root level of the tooth, it becomes difficult to save the tooth and extraction may be required.
  4. Space Constriction: During orthodontic treatment, some teeth may sometimes need to be extracted to ensure the correct alignment of the teeth.
  5. Wisdom Teeth: Wisdom teeth (wisdom teeth) are often extracted, usually because they don't have enough space or come in at the wrong angle.
  6. Trauma: Traumatic damage to the mouth can result in teeth that are too damaged to be saved.
  7. Radiation Therapy: In patients who need to undergo radiation therapy during cancer treatment, teeth in the radiation field are sometimes extracted.
  8. Some Systemic Diseases: Some systemic diseases or medical treatments that carry a risk of infection of the teeth and gums may sometimes require extraction.

These are just some of the common reasons why a tooth extraction may be necessary. When deciding whether or not to extract a tooth, a thorough assessment by the dentist and the overall health of the patient is taken into account.

Is Tooth Extraction a Painful Procedure?

Tooth extraction is usually a painless procedure thanks to modern anesthesia methods. Here's what you need to know about pain during and after tooth extraction:

  1. During the Procedure: Before tooth extraction, regional anesthesia is applied to numb the tooth and surrounding tissues. In this way, the patient does not feel pain or sharp pain during the procedure. However, sometimes there may be a feeling of pressure or a slight pulling sensation. If you feel pain at any time, you should inform your dentist immediately.
  2. After the Procedure: After the local anesthetic wears off, you may feel mild to moderate pain. This pain can usually be controlled with over-the-counter painkillers or prescription medications recommended by your doctor.
  3. Swelling and Bruising: After tooth extraction, mild swelling and bruising may occur at the extraction site. This is especially common after the extraction of large teeth, such as wisdom teeth. Cold compresses can help reduce such swelling for the first 24 hours.
  4. Duration of Pain: Pain after tooth extraction usually subsides within a few days. However, in some cases this may take longer. If the pain worsens or lasts for more than a week, you should contact your dentist.

In conclusion, tooth extraction is usually a painless procedure with modern dental techniques and the correct use of anesthesia. However, each patient has a different pain threshold and it is important to be careful after the procedure and to use the recommended painkillers correctly.

How Long Should I Not Eat After Tooth Extraction?

The duration and type of eating after tooth extraction may vary depending on the patient's general health, the location of the extracted tooth and the complexity of the extraction procedure. However, in general, the following recommendations should be considered regarding eating after tooth extraction:

  • First Hour: It is recommended that you do not eat anything in the first hour after tooth extraction. During this time, it is important to wait for the clot formed at the extraction site to stabilize.
  • First 24 Hours: Hot foods, drinks and acidic, spicy or hard foods should be avoided for the first 24 hours as the clot needs to be protected. Liquid or soft foods should be preferred during this period. For example, yogurt, pudding, soup or fruit puree are suitable for this period.
  • The Following Days: As the pain and swelling decreases after the extraction, you can slowly return to your normal diet. However, hard, grainy or sticky foods should be avoided for a while to protect the extraction site.
  • Chewing: If possible, you should try to eat on the side opposite the extraction site. This can speed up the healing of the extraction site.
  • Temperature: Hot drinks (e.g. tea or coffee) should be avoided in the first 24 hours, as the heat can cause the clot to melt.
  • Continuous chewing: Continuous chewing movements, such as chewing gum, should be avoided, as this can cause the clot to move.

Paying attention to your eating habits after tooth extraction can speed up the healing process and reduce the risk of complications. However, each individual's healing process is different, so you should take your dentist's recommendations into account.
Can a new tooth be made to replace an extracted tooth?

Yes, a new tooth can be made to replace the extracted tooth. There are various treatment methods that can be applied to replace the extracted tooth. Here are the main methods used to replace the extracted tooth:

  • Dental Implants (Dental Implants): Dental implants are titanium screws that replace the root of the extracted tooth. After these screws are integrated into the jawbone, a dental crown (veneer) is attached. Implants provide the closest function and aesthetic result to a natural tooth.
  • Bridges: A dental bridge consists of one or more artificial teeth that are placed on either side of the missing tooth to support the healthy teeth. The bridge is fixed to the neighboring teeth or implants, restoring the function and aesthetics of the missing tooth.
  • Removable Prostheses (Removable Prostheses): Removable dentures are removable artificial teeth used to replace missing teeth. They can be complete or partial. Full dentures are used when all teeth are missing; partial dentures are preferred when only a few teeth are missing.
  • Adhesive Bridges (Adhesive Bridges): This type of bridge is usually used on the front teeth and is bonded to the adjacent teeth with minimal or no shaping. Adhesive bridges are a less invasive option.

Many factors are taken into consideration when deciding which treatment method to use, such as the location of the missing tooth, the condition of the jawbone, patient preferences and costs. It is best to consult a dentist to determine the ideal treatment option.

What is the healing process after tooth extraction?

The healing process after tooth extraction may vary depending on the complexity of the extraction procedure, the general health status of the individual and compliance with the care instructions applied. However, in general, the healing process after tooth extraction is as follows:

  1. First 24 Hours: In the first hours after extraction, bleeding may occur at the extraction site. For this reason, it is generally recommended to bite the gauze placed by the dentist firmly and keep it in the same position for several hours. During the first 24 hours, mouthwash should not be used and acidic, hot or hard foods should be avoided.
  2. First few days: Swelling, pain and bruising may occur at the extraction site. These symptoms usually subside within a few days. Cold compresses can help reduce swelling.
  3. Oral Hygiene: To speed healing and reduce the risk of infection, attention should be paid to oral hygiene. After the first 24 hours, it may be helpful to gargle gently with salt water.
  4. Nutrient Intake: In the first days, it is useful to eat soft foods. Foods such as yogurt, pudding, soup are ideal. You can switch to harder foods over time.
  5. Activities: It is generally recommended to limit physical activities and rest for the first 24-48 hours after tooth extraction.
  6. Smoking and Alcohol: Smoking can slow the healing process and increase the risk of a complication called “dry socket”. Alcohol can increase bleeding. Therefore, smoking and alcohol should be avoided for at least the first 72 hours after tooth extraction.
  7. Medication Use: It is important to take the painkillers and antibiotics recommended by your dentist in the correct dose and on time.

You should consult your dentist if the pain worsens after extraction, swelling increases or if you develop a bad taste or bad breath. These can be signs of a possible infection. In general, however, if you follow the instructions, recovery after tooth extraction is uneventful


Is tooth extraction a painful procedure?

Thanks to modern anesthesia techniques, there is no pain during tooth extraction. After the procedure, painkillers may be given to control the pain.

How long should I not eat after tooth extraction?

It is best to eat liquid or soft foods for the first few hours after tooth extraction. After the anesthesia wears off, you can start eating light and soft foods.

Can I smoke after tooth extraction?

It is recommended not to smoke for at least 48 hours after tooth extraction. Smoking can slow down the healing process and increase the risk of complications.

Is it normal to have swelling after tooth extraction?

Yes, swelling may sometimes occur after tooth extraction. It may be useful to apply a cold compress to reduce this swelling.

Can a new tooth be made to replace the extracted tooth?

Yes, a new tooth can be replaced by various treatment methods such as implants, bridges or prostheses.

How should I pay attention to oral hygiene after tooth extraction?

Do not gargle directly on the area for the first 24 hours. However, you can keep the area clean the next day by gargling lightly with salt water.

Can I do sports after tooth extraction?

Heavy physical activities should be avoided in the first 48-72 hours after tooth extraction. You should act according to your physician's recommendations.


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