Tooth extractions
We decide to remove a tooth when it can no longer be kept safely for the long term, or when keeping it would harm the health of the remaining teeth, the periodontal tissues or the mouth as a whole.
Modern dentistry always strives to keep natural teeth, but in certain cases removal is the best solution. We therefore plan the procedure thoughtfully, gently and with the follow-up care of the space in mind.
Most often we remove teeth that are severely damaged by deep caries, fracture or extensive loss of tooth substance. Extraction may also be the choice for teeth with advanced inflammation at the root that endodontic treatment can no longer resolve.
Advanced periodontal disease is another common reason, where the loss of supporting bone has left a tooth loose. Wisdom teeth, too, are sometimes removed – when they cause pain, repeated inflammation or pressure on the neighbouring teeth, or cannot be cleaned properly because of their position.
An extraction may also form part of a broader orthodontic, prosthetic or implant plan, when it creates better conditions for a lastingly stable, functional solution.
There is no need to be overly afraid of an extraction. The procedure is done under local anaesthesia and is normally painless. You may feel pressure or movement, but no sharp pain.
It matters to us that you understand why the removal is needed, how it will proceed and what to expect afterwards. Before the extraction we explain everything, answer your questions and make sure the procedure runs calmly, safely and with great care.
Before the procedure we examine the tooth and, where needed, take X-rays to assess its position, the shape of the roots and the state of the surrounding bone. On this basis we choose the most suitable way to remove it.
After the local anaesthetic is given, the tooth is gently loosened and removed. Simple extractions are usually short. More demanding cases – heavily damaged teeth, curved roots or an unfavourable position – may call for a more precise surgical approach.
The goal is to remove the tooth as atraumatically as possible, with minimal injury to the surrounding tissue. This helps healing and creates good conditions for any later prosthetic or implant care.
Mild pain, sensitivity or swelling is normal after an extraction, particularly after the more demanding ones. These usually fade over a few days.
You will receive clear instructions on cooling, food, oral hygiene and pain relief if needed. In the first hours it is important not to rinse the wound, not to smoke and to avoid hot food and heavier exertion. This protects the blood clot on which proper healing depends.
Removing a tooth is often not the end of treatment but part of a broader plan. After the extraction we discuss the options for replacing the missing tooth where that is needed.
The space can be restored with an implant, a bridge or a removable prosthetic solution – depending on the state of the mouth, your wishes and the long-term plan.
With planned extractions we think ahead about preserving the best possible conditions for further care. In selected cases it also makes sense to preserve the bone ridge, improving the prospects for a later implant or prosthetic solution.
Mild pain, minor swelling and slight bleeding are expected. Contact us, however, if the pain increases after a few days, if heavier bleeding or marked swelling appears, if you develop a fever, or if an unpleasant smell or taste comes from the wound.
A timely check lets us recognise and treat any complication quickly. With proper care and by following the instructions, most extractions heal without any trouble.