What to Expect With Tooth Extraction
“Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed. If you are having more than one tooth pulled or if a tooth is impacted, your dentist may use a strong general anesthetic. This will prevent pain throughout your body and make you sleep through the procedure.
If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.
Once the tooth has been pulled, a blood clot usually forms in the socket. The dentist will pack a gauze pad into the socket and have you bite down on it to help stop the bleeding. Sometimes the dentist will place a few stitches — usually self-dissolving — to close the gum edges over the extraction site.
Sometimes, the blood clot in the socket breaks loose, exposing the bone in the socket. This is a painful condition called dry socket. If this happens, your dentist will likely place a sedative dressing over the socket for a few days to protect it as a new clot forms.”
via Having a Tooth Pulled: What to Expect, Causes For Extraction, and More.
A toothache is a pain in or around a tooth that may be caused by:
Symptoms of a toothache may include:
- Tooth pain that may be sharp, throbbing, or constant. In some people, pain results only when pressure is applied to the tooth.
- Swelling around the tooth
- Fever or headache
- Foul-tasting drainage from the infected tooth
When Should I See a Dentist About a Toothache?
See your dentist as soon as possible about your toothache if:
- You have a toothache that lasts longer than 1 or 2 days
- Your toothache is severe
- You have a fever, earache, or pain upon opening your mouth wide
Proper identification and treatment of dental infections is important to prevent its spread to other parts of the face and skull and possibly even to the bloodstream.
What Happens When I Go to the Dentist for a Toothache?
To treat your toothache, your dentist will first obtain your medical history and conduct a physical exam. He or she will ask you questions about the pain, such as when the pain started, how severe it is, where the pain is located, what makes the pain worse, and what makes it better. Your dentist will examine your mouth, teeth, gums, jaws, tongue, throat, sinuses, ears, nose, and neck. X-rays may be taken as well as other tests, depending on what your dentist suspects is causing your toothache.
What Treatments Are Available for a Toothache?
Treatment for a toothache depends on the cause. If a cavity is causing the toothache, your dentist will fill the cavity or possibly extract the tooth, if necessary. A root canal might be needed if the cause of the toothache is determined to be an infection of the tooth’s nerve. Bacteria that have worked their way into the inner aspects of the tooth cause such an infection. An antibiotic may be prescribed if there is fever or swelling of the jaw. Phototherapy with a cold laser may be used to reduce the pain and inflammation associated with the toothache.
How Can Toothaches Be Prevented?
Since most toothaches are the result of tooth decay, following good oral hygiene practices can prevent toothaches. Good oral hygiene practices consist of brushing regularly with a fluoride-containing toothpaste, flossing once daily, and seeing your dentist twice a year for professional cleaning. In addition to these practices, eat foods low in sugar and ask your dentist about sealants and fluoride applications.
via Toothaches: Causes, Treatments, and Prevention.