How to Prepare for Tooth Extraction

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Studies show that if your tooth is injured, diseased, or crowded, you may need to get a tooth extraction. Tooth extraction can sound like a frightening operation; however, much of this fear is because people are unclear about what tooth extraction entails. Experts agree that preparing for your procedure, knowing what to expect, and understanding how to recover can make your extraction less painful and allow you to heal quickly. [1]

Part 1
Part 1 of 3:

Preparing for the Tooth Extraction

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  1. There are a variety of reasons why you need tooth extraction surgery. Some of them include: [2]
    • Teeth are blocking others from coming in.
    • Baby teeth have not fallen out to give space for permanent teeth.
    • Tooth has decayed past the point of salvaging.
    • A decayed tooth presents a risk of infection to the rest of the mouth.
    • A need to create space before an orthodontic treatment.
  2. If you are getting your adult teeth pulled, they will not grow back. Your oral surgeon should explain to you why tooth extraction is the best and only way to treat your problem.
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  3. They will need to know all the vitamins, prescriptions, and over-the-counter medications you may be taking. These medications could impact the type of anesthetic they use when prepping you for surgery. [3]
    • Let your doctor know about any allergies or general health issues you may have, in particular any problems relating to your heart or blood.
    • Local anesthetics can sometimes cause reactions with certain medicines.
  4. Your oral surgeon should get local x-rays of the area where they will be operating. This provides them with the best plan to extract your tooth. [4]
    • If you’re having your wisdom teeth taken out, the oral surgeon will take a panoramic x-ray, which takes a picture of all of your teeth. This is especially important if the wisdom teeth are impacted and may require delicate work around the jaw.
  5. Depending on the severity of your tooth extraction, you may be pretty out of it when you come to consciousness. This will severely impair your ability to drive, so it’s important to have transportation arranged beforehand.
    • You may be able to get a friend or family member to drive you. If possible, find someone who can stay with you after the surgery. Getting a ride with a taxi or ride service is probably not the best option.
  6. You will likely need to fast the night before surgery. This reduces the risk of inhaling the contents of the stomach into the lungs while you’re out.
    • The standard amount of time to fast before surgery is eight to 12 hours, but your doctor should let you know how long is necessary. At the very least, you should not drink or eat anything after midnight.
    • If you are diabetic or take any prescribed medicines, follow your normal routine. Verify this with your oral surgeon before doing so.
  7. You may be prescribed antibiotics if you have a weakened immune system or if you have an infection when it’s time for surgery.
    • If you have any illness up to a week prior to the surgery, tell your oral surgeon. They may want to reschedule your appointment until you are better.
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Part 2
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Knowing What to Expect During Surgery

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  1. The oral surgeon will want to make sure everything is ready to go for the tooth extraction. You’ll want to be comfortable and relaxed before your tooth extraction begins.
  2. Your oral surgeon may give you either a local or general anesthetic depending upon the time of tooth extraction. A local anesthetic will numb the place where the tooth extraction will take place, whereas a general anesthetic may put you to sleep. [5]
    • Local anesthetics are used when one tooth needs to be extracted, while general anesthetics are more common when multiple teeth are being removed.
    • The oral surgeon may give you an intravenous anesthetic, so wear short sleeves that can be easily rolled up.
  3. Depending on the severity of your problem, the oral surgeon may perform one of two different types of extractions. Each comes with their own challenges and preparation. [6]
    • A simple extraction can be done by your regular dentist, who removes a tooth that can be seen in the mouth. They will loosen your tooth with a tool called an elevator and remove it with forceps.
    • A surgical extraction is done by an oral surgeon, though it can be done by your regular dentist. In this type of extraction, your tooth is either not above the gum line or has broken off. They cut into your gum and often remove some of the nearby bone to get to the tooth. These teeth sometimes have to be removed in pieces.
  4. Once the tooth has been extracted, a blood clot will form. The oral surgeon will have you bite down on gauze to slow the bleeding. [7]
  5. Your oral surgeon may also give you stitches to stop any bleeding in your mouth. These stitches will likely be dissolvable and go away on their own. [8]
    • If your oral surgeon uses stitches that are not dissolvable, then you will likely have a follow-up appointment where they remove your stitches.
  6. Prevent dry socket . Dry socket is a condition that occurs very rarely, but is where the blood clot becomes dislodged and the bone and nerves underneath are exposed to the mouth. It is more common in the following groups of people: [9]
    • People who smoke.
    • People with bad oral hygiene.
    • People getting their wisdom teeth extracted.
    • People who use birth control.
    • People with a history of dry socket.
    • People who do not follow the surgeon's post-op instructions.
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Part 3
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Recovering From Tooth Extraction

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  1. Give yourself plenty of time to recover immediately after the surgery. You'll still be under the influence of anesthetic and your mouth will be quite sensitive. [10]
  2. Your mouth will bleed quite a bit after extraction. Change your gauze regularly so it can soak up the blood.
  3. This will help your blood clot form. Try to bite down on gauze for roughly 45 minutes to an hour. [11]
    • If heavy bleeding continues after you use the gauze a few times, contact your oral surgeon.
  4. It's important that a blood clot forms to protect your extraction site. Otherwise, you could wind up with a dry socket, which can be extremely painful.
    • When you brush your teeth, be extremely careful around the extraction site. You don't want to dislodge the blood clot and cause dry socket.
    • Also, do not use straws, smoke, or do anything else that causes sucking, since this can also dislodge the blood clot.
  5. These could restart bleeding or possibly cause dry socket. Don't even blow your nose, as the change in air pressure could disrupt the healing process at the extraction site. [12]
    • It's also important to keep your head elevated to help with the healing process. Sleep with your head above your heart, either by using stacked pillows or wedge pillows.
  6. After the first 24 hours, you'll need to clean out the tooth socket with salt water. Don't do this during the first day, since you can dislodge the blood clot.
    • Use 1/4 teaspoon of salt in an 8 oz glass of water. You can do this two to three times daily to help keep your mouth clean.
  7. Some swelling will happen, depending on the severity of your surgery. Apply ice for 20 minutes at a time directly to your face above the affected area.
    • Swelling will likely not be at its worst until two to three days after surgery. Continue to apply ice to the affected area as long as it's needed.
    • Don't worry if you see any bruises in the swollen area. This is absolutely normal and they will go away in a few days.
  8. Your oral surgeon will prescribe you pain medication. Follow their directions and take only as many as is suggested. The worst pain will be in the first 6 hours; it should be significantly less after that.
    • If the pain medication causes nausea, tell your oral surgeon. They may be able to prescribe something different or have an over-the-counter suggestion.
  9. It may be useful to stick to a liquid diet at first, so to avoid irritating the your extraction site. Find meals that are easy to chew and do not tax your teeth. [13]
    • Stay away from hot and foods, since they can also irritate the extraction site. Stick to foods that are room temperature.
    • Small foods, such as rice, nuts, seeds, and popcorn can become lodged in the extraction site as well, so do not eat them while recovering.
  10. Smoking can cause dry socket, which can be extremely painful. Take a few days off from smoking until your oral surgeon says that you will not cause any damage to the extraction site. [14]
  11. If anything unusual occurs, make sure to talk to your oral surgeon immediately. This is especially true if you any of the below problems:
    • Excessive bleeding
    • Swelling after three to four days
    • Persistent numbness
    • Issues with pain medication
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Expert Q&A

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  • Question
    How long does it take for the pain to go away after having a teeth pulled?
    Tu Anh Vu, DMD
    Board Certified Dentist
    Dr. Tu Anh Vu is a Board Certified Dentist and Owner of Tu's Dental, her private practice, in Brooklyn, New York. With over six years of clinical experience, Dr. Vu helps adults and kids of all ages get over their anxiety with dental phobia. Dr. Vu has conducted research related to finding the cure for Kaposi Sarcoma cancer and has presented her research at the Hinman Meeting in Memphis. She received her undergraduate degree from Bryn Mawr College and a DMD from the University of Pennsylvania School of Dental Medicine.
    Tu Anh Vu, DMD
    Board Certified Dentist
    Expert Answer
    It's really important that you talk to your dentist about this, since it depends on the specifics of your procedure and the overall health of your mouth. In general, you shouldn't have a ton of pain after an extraction if you take the medication you're given. If you do have pain and it doesn't go away, contact your dentist since you may have developed a dry pocket.
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      References

      1. ↑ https://www.mouthhealthy.org/en/az-topics/e/extractions
      2. ↑ https://www.healthdirect.gov.au/tooth-extraction
      3. ↑ https://medlineplus.gov/ency/article/007630.htm
      4. ↑ https://my.clevelandclinic.org/health/treatments/22120-tooth-extraction
      5. ↑ https://www.webmd.com/oral-health/guide/pulling-a-tooth-tooth-extraction#1
      6. ↑ https://www.healthdirect.gov.au/tooth-extraction
      7. ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
      8. ↑ https://my.clevelandclinic.org/health/treatments/22120-tooth-extraction
      9. ↑ https://www.nhs.uk/conditions/wisdom-tooth-removal/complications/
      1. ↑ https://www.nhs.uk/conditions/wisdom-tooth-removal/recovery/
      2. ↑ https://www.healthdirect.gov.au/tooth-extraction
      3. ↑ https://medlineplus.gov/ency/article/007630.htm
      4. ↑ https://www.webmd.com/oral-health/guide/pulling-a-tooth-tooth-extraction#1
      5. ↑ https://www.nhs.uk/conditions/wisdom-tooth-removal/recovery/

      About This Article

      Article Summary X

      If you're scheduled to have a tooth extracted, arrange to have someone drive you to and from your surgery since you'll likely be too impaired to drive afterward. You should also fast for 8-12 hours leading up to your surgery, since it can be dangerous to have food in your stomach during an operation. If your dentist prescribed you any antibiotics for a weakened immune system or illness, continue to take them as prescribed. Take any other medications your prescribed, too, but double check with your dentist first just to be sure. For advice from our Dental co-author, like how to recover from a tooth extraction, keep reading!

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        Mar 8, 2017

        "I'm nervous about my tooth extraction in the morning, very scary. My tooth is barely there, just a small ..." more
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