Tooth extraction / having a tooth removed

The anaesthetic is administered by infiltration. Lidocaine or articaine is used to block nerve signals in the targeted area. The injection is given slowly into the periodontal tissues. Once the area is numb, the procedure can begin without causing the patient pain.

There are two distinct types of extraction :

Simple extraction

A simple extraction is suitable for visible teeth with a well-formed crown and accessible roots. Performed under local anaesthetic, the procedure uses elevators and forceps to loosen the tooth and remove it gently. It generally takes between 10 and 20 minutes.

Surgical extraction

A surgical extraction is required when a tooth is impacted or fragmented, when a wisdom tooth must be removed, or when an associated cyst needs to be treated. After making an incision in the gum, the surgeon may need to divide the crown or roots to facilitate removal, before closing the area with sutures. Depending on the complexity of the case, the operation may take between 30 and 60 minutes.

Note : a tooth can also be removed under conscious sedation. This technique combines a sedative, often administered by inhalation or intravenously, with a local anaesthetic. The patient remains awake but relaxed, without experiencing pain or anxiety during the extraction. Commonly used for anxious patients or complex procedures, it provides optimum comfort while allowing a swift recovery.

The socket is cleaned by gentle curettage and any debris is removed. Thorough irrigation with saline solution clears the remaining residue. Dissolvable sutures may be placed. Closing the tissues promotes swift healing and reduces the risk of complications.