When a tooth is experiencing decay, infection or trauma that is past the point of repair, it may become necessary for a dentist to perform an extraction. In some cases, tooth extraction may also be recommended if crowding of the teeth is occurring. When the tooth is above the gum line, a simple extraction is performed using local anesthesia, forceps and a lifter. This method is minimally invasive with a short recovery period. Patients undergoing this procedure can expect slight bleeding and clotting at the site of the extraction. Mild symptoms that occur will generally subside within 24 hours. Gauze is provided for the patient with postoperative instructions. In the event that a tooth is not visible, broken beneath the gum line or a wisdom tooth becomes impacted, a surgical extraction will be performed. This type of extraction is more complicated and requires invasive removal of the tooth by making an incision on the gum. A dental surgeon will administer local anesthesia often accompanied by a topical anesthesia at the injection site. While uncommon, more difficult extractions may be treated with general anesthesia. The soft tissue is then cut down to the bone, which allows for the tooth to be sectioned and divided. After the tooth is elevated and removed, the socket will be free of tooth and bone fragment and extensively irrigated with saline solution. The patient will require stitches following a surgical extraction, and some bleeding will occur. A gauze pack is placed in the socket to stop the bleeding in order for a clot to be formed. It is recommended that a patient rest the day of undergoing a tooth extraction. Postoperative instructions and information are provided to ensure a successful recovery.
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