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Most people only go to the dentist when their toothache is so bad that painkillers and home remedies don’t help anymore. Though the patient may experience pain relief for a while, it is important to know that once the tooth starts to hurt, it does not go away on its own. Therefore, we strongly recommend booking an appointment with your dentist as soon as possible so that it can be examined. Ultimately, tooth extraction is the solution.

Why may teeth need to be removed? When is tooth extraction necessary?

If dental diseases are recognized in time (e.g. inflammation in the teeth, periapical inflammation) can be cured in many cases. Over time, however, a damaged, inflamed tooth can often no longer be saved by dental specialists, leaving no choice but to remove teeth.

Teeth extraction is most important when:

• If there is extensive inflammation or a loose tooth occurs

• In case the tooth root is damaged, and cannot be saved by other treatment.

• If the tooth crown is broken due to a greater degree of tooth decay and no fillings or other dental treatments can be used.

• If root canal treatment wouldn’t help

• If aesthetically and functionally detrimental teeth are present in the oral cavity (e.g. protruding teeth or crooked teeth)

Dental removal is always preceded by a thorough dental examination and x-ray. Based on the x-ray, the dental specialist will decide if a simple tooth extraction or surgery is necessary for the permanent removal of the tooth.

TIP: It is important for the patient to eat before the treatment, as after the anesthetic injection they should not eat for as long as the numbness lasts (about 3-4 hours).

Simple tooth extraction

A simple tooth extraction is performed under local anesthesia. The doctor will first loosen the tooth and then remove it by using forceps. If an inflamed tooth needs to be pulled out, the inflamed tissue in the wound cavity should also be removed. After that, you need to keep gauze on the area with some pressure (biting) for approximately 30 minutes. 

Surgical tooth extraction

In many cases, teeth cannot be removed by a simple tooth extraction. Such cases include:

• broken roots

• in case of impacted teeth

• if the X-ray shows that the root of the tooth is strongly curved,

• if in an upper tooth the root tips are too close to the sinus, and there’s a possibility of the sinuses being harmed

In the above cases, surgical tooth extraction needs to be applied. The procedure is performed under local anesthesia. After opening the area, the doctor will remove the tooth, and after removing the inflamed tissue and thoroughly cleaning the wound, he will close the surgical area with stitches.

Then the doctor will place gauze over the extraction site to control bleeding. After this, the patient can go home. Swelling of the face may occur after major interventions, in which case antibiotics and pain medication will be prescribed. 

The sinus is located in the upper jaw, above the teeth. A sinus closure is required when the sinus opens. This may occur when an opening between the mouth and sinus occurs during the removal of the big upper molar.

During the sinus closure incisions must be made in the gum at the place of the extracted tooth, with which a lobe is formed. Then it is joined by sutures above the wound, so that the opening can be closed. The sutures can be removed within 1-2 weeks.

If the nasal cavity is not closed, the food and drink you eat, as well as various bacteria can get into it, which can lead to inflammation. Sinusitis should be treated in otolaryngology.

Root apex resection is the truncation of the root apex. If inflammation occurs at the root apex as a result of root canal treatment, this can be applied to save the tooth.

The operation is performed under local anesthesia. The procedure is carried out by making a small incision in the gums, through which the inflamed area of the bone and the tip of the tooth root are removed. The surgical gingival wound is sutured. The sutures are removed after one week. You may need painkillers after surgery, and some patients may develop cheek swelling. Using an ice or cold pack on your face can reduce puffiness in two to three days.