Tooth Extraction

At Dr. Preeti’s TOTAL SMILECARE, we believe in preserving the natural tooth structure as much as possible, and avoid having to extract a tooth unless it is unavoidable or has a poor long term prognosis.

This is usually when :

  • The tooth has broken extensively, and therefore not enough tooth structure is left to build a dental crown
  • A root canal treatment has failed and the tooth is infected and second time root canal is not an option
  • As an alternative solution to root canal treatment for an infected tooth with extensive decay and poor remaining tooth structure.
  • Need for orthodontic spacing.
  • Impacted wisdom tooth.

Tooth extractions at Dr. Preeti's TOTAL SMILECARE are carried out under local anaesthetic to make extractions as painless as possible. We use periotomes and luxators and a gentleextraction technique to preserve as much jaw bone as possible. This is important as this will ensure minimal post operative pain and swelling, and will also help bone retention for future implant work. Bone retention is also important aesthetically as it avoids the “sunken in appearance” that people with dental bone loss have.

Please be aware that it is common to experience some post operative discomfort and swelling and occasional bleeding after extractions, but we use techniques to keep these side effects as low as possible. On rare occasions, nerve damage and sinus involvement is possible but your dentist will warn you if this is a risk in your case.

Some guidelines for after surgery care include : 

  • Do not eat hot food for the first 24 hours, and it is also best to avoid smoking and drinking.
  • Try not to move any clots that may have occurred in the gap.
  • Avoid rinsing your mouth out for 24 hours. Following this you should use a salty, warm glass of water to gently rinse the mouth. Half a teaspoon of salt is more than enough.
  • Maintain a normal oral hygiene routine for the rest of your mouth
  • If you find tiny pieces of bone in the socket do not be alarmed as this is normal.
  • Painkillers can be taken to ease the pain, but do not let the tablets touch the location of the surgery site.
  • If you experience pain in the socket a few days after the extraction visit your dentist.

 Impacted Tooth :An impacted tooth gets blocked on the way into your mouth. Wisdom teeth or third molars often are impacted.

Wisdom teeth usually begin to come in between the ages of 17 and 21. Dentists call these teeth third molars. They may become impacted because there's not enough room in your mouth for them. A wisdom tooth also might be trying to come in sideways. Or, it might be tilted in your jaw. An impacted tooth can be painless. You may not even realize it's there. However, when an impacted wisdom tooth tries to come in, the flap of gum on top of it can swell. This can hurt. You might feel pain in nearby teeth, or in the ear on that side of your face. Plus, food particles can get stuck near the gum flap. This can lead to an infection called pericoronitis or operculitis. If untreated, this infection can spread to the throat or into the neck.

Impacted teeth can get cavities. An impacted tooth can push on the neighboring molar. This can lead to tooth movement, decay or gum disease. It also can change the way your teeth come together. Rarely, impacted teeth can cause cysts or other growths in the jaw.

Symptoms include :

  • Swelling of the gum in the back of your mouth
  • Difficulty opening your jaw
  • Bad breath
  • A bad taste in the mouth
  • Pain when you open your mouth
  • Pain when chewing or biting
  • Repeated cheek biting
  • Pain can occur for several days and then disappear. It can come back weeks or months later.
  • A digital dental X-ray is always helpful. If removal of wisdom tooth is needed then, this X ray will be helpful.

Treatment :

You can sometimes relieve minor irritation by rinsing with warm salt water (1/2 teaspoon of salt in 8 ounces of water). Over-the-counter pain relievers also may help.

If the tooth continues to cause pain, is infected or interferes with nearby teeth, the usual treatment is to take it out. At this centre, special precautions are taken to ensure that the removal of wisdom tooth is painless procedure. This usually lasts for 15-30 minutes.

Our surgeon will perform a painless surgery under local anesthesia, and some simple post-operative instructions are given to you.

You will not be able to eat for six hours before surgery. If you take any medications, keep on schedule with them. Someone should drive you to the appointment and drive you home.


After the surgery, you may have slight swelling of the cheeks and jaw. Hard foods are best avoided.