Understanding Tooth Extractions: When and Why They’re Necessary

Tooth extractions may sound intimidating, but they are often necessary to protect your overall oral health. At Alaska Oral & Facial Surgery Center, we specialize in performing tooth extraction safely, efficiently, and with the highest level of care. Whether you’re dealing with impacted wisdom teeth or a tooth damaged beyond repair, understanding the reasons and process behind an extraction can help ease any anxiety. In this blog post, we’ll explain why tooth extractions may be necessary, the most common types of extractions, and what you can expect before, during, and after the procedure.

What Is a Tooth Extraction?

A tooth extraction is a procedure in which a dentist or oral surgeon removes a tooth from its socket in the jaw. While our goal is always to save your natural teeth whenever possible, there are situations where extraction becomes the best option for your long-term oral health.
 

There are two main types of extractions:

Simple Extraction

This is performed on a tooth that is visible in the mouth. It typically involves loosening the tooth with a dental instrument called an elevator, then removing it with forceps. Local anesthetic may be used for pain management.

Surgical Extraction

This is a more complex procedure, used for teeth that have not fully erupted (such as impacted wisdom teeth) or teeth broken at the gum line. Surgical extractions are often performed under sedation or anesthesia for patient comfort.

When Is a Tooth Extraction Necessary?

While every patient is different, here are some of the most common reasons we recommend a tooth extraction:

1. Impacted Wisdom Teeth

Wisdom teeth, or third molars, often don’t have enough room to emerge properly. They can grow in at odd angles, become stuck (impacted) in the gums, or press against nearby teeth causing them to shift position. Left untreated, impacted wisdom teeth can lead to pain, infection, and damage to surrounding teeth.

2. Severe Tooth Decay or Infection

When decay reaches the pulp at the center of a tooth and root canal therapy is not an option, an extraction may be necessary to prevent the infection from spreading.

3. Gum Disease

Advanced periodontal (gum) disease can loosen teeth and damage the surrounding bone structure. In some cases, the best way to restore oral health is by removing the affected teeth.

4. Tooth Damage from Trauma

An accident or injury can break or crack a tooth beyond repair. If the damage is too extensive to be fixed with a crown or other restorative treatment, extraction may be required. If you experience dental trauma, it is key to be seen by a dental professional as soon as possible.

5. Preparation for Orthodontics

In certain cases, teeth may need to be removed prior to or during orthodontic therapy to create space for proper alignment.

What to Expect Before a Tooth Extraction

At Alaska Oral & Facial Surgery Center, we begin with a comprehensive consultation and exam. We’ll take digital X-rays and review your medical history to determine the safest and most effective treatment plan. We will ensure that you have all the information to make an informed decision for your dental health.

Preparing for the Procedure

Before your tooth extraction, our team will provide pre-operative instructions, which may include:
  • Fasting from food and drink before surgery (if sedation will be used)
  • Arranging for a ride home if you’re undergoing sedation or general anesthesia
  • Taking prescribed medications including an antibiotic if indicated
We are always available to answer any questions you may have about the procedure.

What Happens During a Tooth Extraction?

Depending on the complexity of your case, we may use local anesthesia, IV sedation, or general anesthesia to keep you comfortable. For simple extractions, the tooth is loosened and gently removed. For surgical extractions, a small incision is made in the gum and the tooth may be divided into sections for easier removal. The site is then cleaned, and stitches may be placed to aid healing.
The procedure typically takes between 20 minutes and an hour.

Recovery and Aftercare

Healing after a tooth extraction is usually quick, especially when you follow the post-operative instructions we provide.

Immediate Aftercare Tips

  • Bite down on gauze using gentle pressure to control bleeding
  • Apply an ice pack to reduce inflammation. Never put an ice pack directly on the skin without a barrier.
  • Rest and avoid strenuous activities for 24 hours
  • Over-the-counter medication may be used as directed for pain management
**If you notice signs of infection (fever, increased swelling, pus), severe pain, or uncontrolled bleeding, call your healthcare provider immediately.

Eating and Drinking

Stick to soft foods like yogurt, soup, applesauce, or mashed potatoes for the first few days. Avoid using straws or eating hard, crunchy foods until you’re fully healed.

Oral Hygiene

Keep your mouth clean by gently rinsing with warm salt water after 24 hours. Brush carefully, avoiding the extraction site.

Long-Term Considerations

After the tooth is removed, you may be wondering what comes next. At Alaska Oral & Facial Surgery Center, we offer tooth replacement options including dental implants to help restore your smile and function.

Benefits of Replacing an Extracted Tooth

  • Maintains proper alignment of surrounding teeth
  • Supports jawbone health
  • Improves chewing and speaking
Our team will work with you to develop a personalized plan for replacement if needed.

Say Goodbye to Tooth Pain and Hello to Relief!

If you’re experiencing tooth pain or think you might need an extraction, don’t wait. Schedule a consultation with Dr. Clay Van Leeuwen today by calling us at (907-802-4098). We’ll guide you every step of the way and ensure your experience is as comfortable and stress-free as possible. Your smile is our priority—let us help you protect it!