Dental Extractions

A dental extraction Mexico is the removal of a tooth. There are a couple reasons why extractions might be needed. The most common are wisdom teeth extraction or is the removal of a tooth from the mouth. Extractions are performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to render the tooth non-restorable. Extractions of impacted or problematic wisdom teeth are routinely performed, as are extractions of some permanent teeth to make space for orthodontic treatment.

There are two types of extractions simple extractions and surgical extractions. The prices on dental extractions in Cancun Mexico depends on the tooth needed to be extracted contact us for a quote.

Why would I need an Extraction

The primary reason for needing an extraction is

  • The nerve is dying
  • An abscess/apical infection
  • Significant sensitivity
  • Wisdom teeth trouble
  • Un-restorable tooth
  • Roots
  • Really loose teeth
  • Un-opposed wisdom tooth
  • Failed root canal treatment
  • Orthodontic reasons
  • Baby teeth
  • Impacted teeth
  • One tooth
  • Cracked/fractured tooth
  • Fractured roots/ fractured post crown
  • Before major surgery
  • Associated disease
  • Stable solution

What are the Signs and Symptoms you would need an Extraction

I guess some of the discussion above is relevant here but in a nutshell, if your tooth has died, or is dying then you either need root canal treatment to save it, or an extraction.

Thus, the signs and symptoms you need a root canal are basically the same as for an extraction, so click the link to read about them. A common exception is for teeth that are seriously loose and painful from gum disease. In these circumstances, a root canal won’t achieve anything, and extraction is commonly the only option. Where teeth have broken off under the gum, you should also brace yourself for having the tooth removed

Types of Extraction

Simple extraction

The dentist is able to remove the tooth in a single piece- that is the whole tooth, the crown and all of the roots. This is by far the most common extraction procedure.

Sectional extraction

This type of extraction only relates to teeth that have more than one root- that’s all upper and lower molars and the upper 1st premolar. Sometimes the tooth will not come out all in one piece because of the shape or directions of the roots, or because of the amount of decay in the tooth. In these circumstances, the roots of the tooth can be separated by cutting in between them with a bur. This allows each root to be taken out individually.

Surgical extraction

If the tooth to be removed is particularly difficult, then a surgical approach may be needed. This is the case, if the tooth either hasn’t come fully through the gum yet (i.e. impacted), or has broken off below the gum line and the dentist can’t remove it by normal methods. The procedure involves reflecting your gum (raising a flap) to expose the bone that is holding in your tooth or root.

The dentist will inform you after looking at the X-ray and examining your mouth, which approach is most likely and the anticipated cost of the extraction. Bear in mind, that sometimes, it is not until we (the dentist) make a start that we know the approach that is going to be necessary, and should the tooth awkwardly fracture when attempting a simple extraction, we might need to progress to a sectional or surgical extraction to remove it.

Diagnosis for Dental Extraction

When you first present with symptoms, you may have an inkling that an extraction is necessary but you won’t really know until you have been assessed fully by the dentist. The tooth may just need a filling; it may need a crown or it may be able to be saved with a root canal treatment. The examination/consultation procedure below will help in determining if an extraction is needed.

Your dentist is a master of filtering information to rapidly to diagnose your problem. Some diagnoses are obvious, others are not, so it may not be necessary to ask or do all of the things listed below- it will just depend on the case and what pieces of the puzzle are needed to identify the issue.

  • Take a full medical history or check your records.
  •  Take a full history of your problem (the ‘presenting complaint’)
  • Look in your mouth at the problem tooth or area (clinical assessment) for any of the following
  • Perform any special tests to confirm or disprove the potential diagnosis

Procedure for Dental Extraction

To remove a tooth, it is necessary to break the ligament that is holding the tooth in and expand the bony socket just enough to deliver the tooth out.

Of course the first thing you are going to need is some anaesthetic to make the tooth numb. Which tooth it is will dictate which injections are required. If it is a top tooth, this will require an injection into the gum on the outside of your teeth known as a ‘buccal infiltration’ and one on the inside known as a ‘palatal injection’.

The outside injection can be given virtually painlessly (with topical cream) but the injection in the roof of your mouth where the mucosa is tightly bound down, because there isn’t a lot of space for anaesthetic, can be quite sharp.

This is how I describe it to my patients “OK, so I need to pop a few drops of anaesthetic in the roof of your mouth. I’m not going to tell you it doesn’t hurt because it does- you will feel a sharp little scratch, but by the time you think… he wasn’t kidding (about one second), it is all over with.”

dental extraction cancun

On the bottom jaw, most of the time the dentist will give an injection at the back of your mouth called an ID block (that’s the one that makes your lip go numb) and in doing so, will also, as part of the same injection, reposition the needle to numb the nerve that supplies the gum on the inside and side of your tongue. You will feel this one a little, because it is slightly deeper, so the cream that numbs the outer surface of your gum has less of an effect.

For back teeth, the dentist will need to put an extra injection into the gum on the outside of the tooth. We call this a ‘long buccal infiltration’ because it targets the long buccal nerve. Whilst the cream can help, this tends to be a bit sharp for a couple of seconds too.

How much you feel the anaesthetic will depend on how good your dentist is at giving the injection, the temperature of the anaesthetic and how sensitive or nervous you are. Remember to breath, nice and slowly, big deep tummy breathes and focus on twiddling your toes or making a little circle with your foot.

Aftercare Extraction

Below is a combination from various sources of the best and most common advice aimed at obtaining a good blood clot, preventing damage and infection and creating the speediest recovery possible.

If your lip is numb be careful not to bite it. The anaesthetic will take a few hours to wear off, during this time, be careful and take it really easy. You will not be able tell temperature, so- ‘NO HOT’ foods or liquids today (only lukewarm) and the control of your mouth when eating and drinking will, as you know be significantly effected until the anaesthetic has fully worn off. If you are unsure of the temperature, test it with a finger. If you are in public, you may find you are dribbling or spilling your drink without knowing… you have been warned.

Avoid physical exercise or anything that raises your blood pressure for at least 24 hours. We are trying to get a nice clot to form and this can burst the clot and start the socket bleeding. The more extensive and difficult the extraction, the more you will need to rest -(luckily for us, the more you will want to…) so go home and put your feet up. Plan time off work, your dentist can advise you if this is likely to be needed. If work involves ‘manual labour’ or ‘exertion’ of some sort, it is best to take the rest of the day off.

No alcohol should be consumed on the day of your extraction either before or after the extraction procedure, as this will make you prone to bleeding. Alcohol causes your blood vessels to open up (dilate), so if you are planning a big night out ,or celebration make sure you take this into account.

  • Head up

Sleep or rest with your head raised and a towel on your pillow as some blood in your saliva is common. Lying down will make you more likely to bleed.

  • Diet

Eat a soft diet for a couple of days and chew on the other side of your mouth where possible.

This will wash away the top layer of blood and start the socket bleeding again. You can drink, that is fine but don’t purposefully swill over the socket we want a good clot to form and stay in place.

For at least 3 days after your procedure and up to a week if you can. Do what is necessary- patches etc. to get you through this time. You must tone it down as much as possible, as smoking is the main cause of getting a painful dry socket and it may cause delayed healing, wound breakdown, and leave you prone to infection.

If the socket bleeds heavily, place a gauze pack (this should be provided by your dentist, but is also available from your pharmacy), or if you run out, a clean handkerchief over the socket and bite firmly down for 15 minutes. This is essentially what the dentist will have asked you to do right after removing the tooth and the pressure should stop the bleeding. Do not use tissue- it will dislodge the clot when you try to remove it and avoid putting gauze in and out repeatedly- this will actually be disturbing the clot rather than letting it heal.

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Avoid brushing the area of the extraction, but you can brush all your other teeth normally. Sometimes if you have had a nasty surgical procedure, I may advise dipping a cotton bud in Savacol and gently wiping this around the wound, as you are unable to brush. This will help stop/slow plaque formation around the site.

  • Pain

I generally advise taking a Paracetamol or Nurofen as directed on the packet, after an hour of leaving the surgery. This means you have something to kick in, as the anesthetic is wearing off. Some pain and soreness is to be expected and is quite normal. If you take medication from your doctor, check with your pharmacist which painkillers or analgesics are suitable.

  • Swelling

This will depend on if you have had bone removed and how traumatic the surgical procedure was. A hamster like appearance is common after difficult impacted wisdom teeth extractions particularly if you have had general anaesthetic. The application of ice packs to the sides of the face for the first 8 hours (20 minutes on the face – 20 minutes off the face) may help to reduce the swelling. The dentist may also provide you with anti-inflammatories at the time of the procedure or for afterwards.

See below. It has been reported that certain antibiotics may make the contraceptive pill ineffective so take extra precautions.

Dental Extraction Complications

There are many potential complications with having a tooth out, but the ‘vast’ majority of dental extractions are simple and uneventful.

It is important that the dentist takes a history of not only medical conditions you suffer from that could complicate things, but assess the tooth and root, both clinically in the mouth and by an X-ray in order to approach the extraction in the most suitable way. This will help in predicting potential issues that may arise.

An extraction may be best avoided in some circumstances where delayed healing and infection is likely- such as previous radiotherapy to the head and neck region or leukaemia. All efforts should be placed on treatments to save your tooth or teeth. There are far too many conditions for me to cover here, but suffice to say, that it is really important that your dentist has an up to date medical history for you.

We can divide our risks into those that occur during the procedure and those that occur afterwards. Some of these are exceedingly rare and I have just included them for completion. Having examined you fully, the dentist will draw your attention to anything in this list they feel is particularly relevant to your situation.

  • Fractured tooth
  • Fractured socket
  • Damage to your gum, tongue, cheek, or lip 
  • Damage to other teeth
  • Oro-antral communication
  • Fractured tuberosity
  • Nerve damage 
  • Fractured jaw
  • Infection
  • Pain and soreness
  • Bruising and swelling
  • Delayed healing
  • Difficulty opening (trismus)or TMJD
  • Sensitivity 
  • Osteo-Necrosis of the Jaw (ONJ) or Osteomyelitis 
  • Infective endocarditis

Dental Extraction FAQ

The basic options for restoring a space are a bridge, an implant or a partial denture. There are different types of each and the decision is based on many factors.
For a good overview, see  the options for restoring missing teeth. You can also read about each of them in detail in the treatments section of the website.

An un-erupted tooth is a term used to describe a tooth that hasn’t yet come through the gum into its normal position. An impacted tooth, suggests the un-erupted tooth isn’t going to come through normally on its own because of the position of the tooth, the angle, or an obstacle preventing it from doing so.

The most common un-erupted and impacted teeth are your wisdom teeth or third molars, followed by your canines which can get lost and frequently require exposure and bringing down into line with orthodontic treatment. After this, your second lower premolars are the teeth next likely to hide or go walkabouts.

The dentist will ensure the tooth and gum is really numb before starting, so you won’t feel any pain, only the pushing and pressure I have already described. If you do feel pain, put your hand up and tell the dentist where and what you are feeling. It is a strange experience that is difficult to put into words but it should not hurt.

Sometimes fractures are unavoidable because of the decay in the tooth, or shape of the roots, meaning it’s simply not possible for the tooth to come out in one piece. Most of the time a rather scary ‘crack’ will be heard (not felt, because you are numb) that can make you jump a little. It’s normal!

The dentist will continue the procedure and remove the root, sometimes the remaining tooth fragment comes out easily and other times it can be very stubborn- it just depends. The dentist may need sometimes need to take an X-ray to see how much is left and sometimes a surgical approach will be necessary to remove it.

Not on the day of the extraction- the rise in blood pressure will start you bleeding. One day off training isn’t going to set you back too much. You can exercise the next day if you feel up to it, again this will vary from person to person and on the type and difficulty of the extraction.

Eat whatever your feel like, but be careful of temperature while you are still numb. A soft diet for a couple of days is sensible because your jaw has often been pulled around a bit during the extraction, so chewing itself can be a bit sore. I recommend mashed potato, eggs, soups… all the food your mum cooks, or used to cook when you were ill- that sort of thing!



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