What are the Indications for tooth removal?

  • Wisdom or Impacted teeth
  • Severe caries (cavity) that cannot be restored through fillings
  • Pulpal damage to a tooth which cannot be treated through root canal treatment
  • Failed root canal therapy
  • Excessive bone loss and tooth mobility leading to periodontal disease
  • For orthodontic treatment (braces) where there is severe crowding
  • Patients receiving chemotherapy or having an organ transplant and there is a high risk of infection
  • Trauma due to a fall or accident and tooth cannot be saved
  • Broken or cracked teeth where repair is not possible
  • Teeth involved in jaw fractures
  • Retained baby teeth
  • Super-numerary or extra teeth causing problem in the development of other teeth

What are the post-operative instructions?

  • Some bleeding is normal following extractions; bite down firmly over gauze pads for half an hour
  • Some swelling is also normal; place an ice pack from outside (cheek) for the first few hours to reduce the amount of swelling
  • Follow your dentist’s prescription for pain management
  • Avoid excessive spitting for the first 24 hours
  • Eat soft and liquid diet like mashed potatoes, pudding, yogurt etc for the first 24 hours and progress to other easy to chew foods after two days
  • Have cold food-stuffs for the first 24 hours like cold milk, juices, ice-creams etc. Avoid using a straw
  • Chew with teeth that are far from the extraction site
  • Brush and floss the other teeth as usual and keep the extraction site clean. Use mouth-rinses
  • Do not smoke for the first 36 hours. Smoking will delay healing and can cause a very uncomfortable and painful condition known as “dry socket”
  • Start warm saline gargles from the next day
  • Avoid rubbing the area with your tongue or finger
  • Do not bite on the lower lip or other numb areas of the mouth (especially in children)
  • Avoid strenuous exercise during the first 24 hours

When are wisdom teeth removed?

If the tooth is not causing problems, your dentist will not want to remove it. Wisdom teeth removal is indicated when:

  • It is clear that they there is not enough room for them to erupt into the oral cavity in the correct position and causing pain or discomfort
  • These teeth are decayed and maintaining oral hygiene is difficult
  • Causing decay of the tooth in front of it due to the incorrect position in the jaw