“A complete, patient-friendly guide to tooth extraction: indications, pain control, sedation options, healing timeline, dry socket prevention and postoperative care.”

“Will it hurt?”, “How many days will it take to heal?”, “How can I prevent dry socket?”

Tooth extraction is a procedure that can create anxiety for many patients. However, with proper diagnosis, an individualized treatment plan and gentle surgical techniques, the entire process becomes far more comfortable than expected.

As an oral and maxillofacial surgeon in Bursa, this guide explains when extractions are necessary, what happens on the day of the procedure, how we manage pain, and the most effective ways to support a smooth recovery.

Why Is Tooth Extraction Necessary?

Not every problematic tooth needs to be removed — preserving the natural tooth is always our first goal. However, extraction becomes the most appropriate choice for your long-term oral health in the following conditions:

1. Deep caries (decay) where the tooth can no longer be restored
2. Vertical root fractures
3. Advanced periodontal disease with severe bone loss
4. Persistent infections, abscesses or failed root canal treatments
5. Extraction required for orthodontic space management
6. Teeth positioned incorrectly, causing trauma or hygiene issues
7. Suspected cysts or tumors requiring oncologic/ surgical evaluation

The final decision is made after clinical exam, panoramic X-ray, CBCT (when needed), and an evaluation of your overall health.

Pre-Extraction Preparation: “Good Planning = Easier Procedure”

Proper preparation contributes greatly to a comfortable experience. In our Bursa clinic:

• Medical history review

Systemic conditions, medications (blood thinners, bisphosphonates), allergies.

• Imaging

Panoramic X-ray; CBCT for evaluating root curvature, sinus proximity or nerve distance.

• Medication plan

Preventive analgesics, anti-inflammatories, and antibiotics (only when clinically indicated) — all provided with a written schedule.

• Sedation decision

For high anxiety, gag reflex, multiple extractions or long procedures, sedation may be recommended. If sedation is planned, fasting guidelines and the need for a companion are explained.

• Home preparation

Ice packs, soft foods, postoperative supplies and resting plan for the first 24 hours.

Pain During Extraction: What Should You Expect?

Thanks to effective local anesthesia, you should not feel pain during the extraction — only pressure or vibration.

With minimally traumatic techniques, most patients say:

“It was much easier than I imagined.”

Sedation Options

For anxious patients, strong gag reflex, or multiple surgical extractions, sedation provides additional comfort. Sedation does not “speed up time,” but makes the experience significantly more relaxed.

Surgical Technique: Tissue-Respectful, Atraumatic Approach

A successful extraction depends on protecting surrounding tissues:

1. Minimal bone removal
2. Sectioning (dividing) the roots when necessary
3. Working at low heat to avoid bone trauma
4. Abundant sterile saline irrigation
5. Preserving the blood clot to support healing

Special considerations

1. Lower jaw: If the nerve is close, CBCT-based planning ensures safety.
2. Upper jaw: Techniques are adjusted to reduce the risk of sinus perforation.
3. Infected teeth: Drainage and medication protocols are carefully followed.

Extraction Day: Step-by-Step

1. Medical + radiographic confirmation
2. Local anesthesia or sedation
3. Atraumatic extraction performed as planned
4. Clot protection + stitches if needed
5. Written post-op care instructions and control appointment

Healing Timeline: First 7 Days

Day 1

1. Ice packs: 20 minutes on / 20 minutes off
2. Keep head elevated
3. No smoking, alcohol, hot foods, or vigorous rinsing
4. No straws or spitting (prevents dry socket)

Days 2–3

1. Swelling peaks — this is normal
2. Continue soft/cool diet and medications as directed

Days 4–7

1. Pain reduces significantly
2. Stitches may be removed if necessary
3. Gradual return to normal eating

Golden Rules

1. Do not smoke for at least 72 hours (ideally 7 days)
2. Avoid strong rinsing, spitting or straw use
3. Brush gently after 24 hours
4. Delay heavy exercise for 7–10 days

Call your surgeon immediately if you notice:

1. Persistent bleeding
2. Severe pain with bad odor/taste (dry socket)
3. Fever
4. Difficulty swallowing or breathing
5. Numbness lasting more than expected

Dry Socket: What It Is & How to Prevent It

Dry socket occurs when the protective blood clot dislodges, exposing bone and causing intense pain.

Risk Factors

1. Smoking
2. Straws
3. Spitting or suction
4. Vigorous rinsing
5. Poor oral hygiene
6. Trauma on the site

Prevention

Follow all postoperative guidelines precisely and avoid negative pressure in the mouth (smoking, straw use, spitting).

FAQ

• Can multiple teeth be extracted in one session?

Yes, depending on your treatment plan and overall health.

• Is antibiotic use mandatory?

No. We prescribe antibiotics only when clinically necessary.

• When can I return to work or school?

Most patients return within 1–2 days for desk jobs.

For heavy physical work or sports, 7–10 days is recommended.

Need an Oral Surgery Evaluation in Bursa?

Milim Dental provides safe, modern and patient-focused tooth extraction services with advanced technology and experienced oral surgeons.