When is a tooth extraction necessary?

Last updated on: 5 Aug, 2026

Although modern dentistry offers numerous treatment options for saving damaged teeth, sometimes tooth extraction is the only sensible solution. 

At Dentatime Clinic, we understand our patients’ concerns and ensure that every procedure is carried out comfortably and with the utmost care for your health.

What is a tooth extraction?

What is a tooth extraction and why is it necessary? It is a surgical procedure in which the tooth is completely removed from the jawbone, along with its roots. A tooth extraction procedure can be a simple extraction, where the tooth is visible and accessible, or a surgical one – in more complex cases, such as the removal of wisdom teeth or partially erupted teeth.

Modern techniques and the use of anaesthesia during tooth extraction make the procedure painless. The aim is always to prevent the spread of infection, relieve pain or create conditions for further treatment, such as implant restoration.

Image: freepik

When is a tooth extraction necessary?

Experienced dental professionals strive to preserve every tooth that can be treated. Tooth extraction is recommended only when all other treatment options have been exhausted or when preserving the tooth threatens the health of surrounding structures. There are situations in which extraction becomes necessary.

Tooth decay and dental infections

When deep caries has destroyed a significant portion of the tooth structure and reached the pulp chamber or root canals, restoration may prove impossible. 

Dental infections that do not respond to antibiotic treatment and endodontic therapy pose a serious risk of the bacteria spreading to surrounding tissues and even into the bloodstream. In such cases, to prevent the development of an abscess or osteomyelitis, the tooth must be removed.

Periodontitis

Advanced stages of periodontal disease lead to the destruction of the bone tissue that supports the teeth. When bone loss is so severe that the tooth becomes loose and unstable, preserving it is no longer functional and may damage neighbouring teeth. 

At Dentatime Clinic, we also offer the option of subsequent implant-supported restoration using basal implants, even in cases of advanced periodontitis.

Teeth that do not erupt

Impacted or partially impacted teeth, most commonly wisdom teeth, can cause problems. They remain trapped in the bone or gum, putting pressure on neighbouring teeth, causing pain, inflammation and a risk of infection. They can also lead to the formation of cysts. Preventive removal of problematic wisdom teeth is a recommended practice.

Teeth that interfere with orthodontic treatment

When planning orthodontic treatment, it is sometimes necessary to create space in the dental arch. Supernumerary teeth, severely crowded teeth, or those that are in the wrong position and cannot be moved may require extraction to achieve a correct bite and an aesthetically pleasing alignment.

How does the diagnosis work?

Before a decision is made, the specialist carries out a detailed diagnosis. At Dentatime Clinic, this process includes a clinical examination, an assessment of symptoms and the mandatory taking of an X-ray or dental scan. 

Imaging diagnostics allows the shape of the roots, their depth, proximity to nerve structures and sinuses, as well as the condition of the surrounding bone tissue to be visualised.

The dentist discusses all options with the patient and answers any questions regarding tooth extraction. Potential contraindications for tooth extraction are also assessed, such as active infections in the oral cavity, uncontrolled systemic diseases, or the use of anticoagulants, which increase the risk of bleeding.

Image: freepik

How does preparation for the procedure take place?

When preparing for a tooth extraction, follow your dentist’s recommendations. How should I prepare for a tooth extraction? Firstly, inform your dentist of any health issues, allergies and medications you are taking. 

It is recommended that you eat a light meal before the procedure, unless sedation is planned. Avoid taking aspirin and other blood-thinning medication for a few days prior to the procedure, after consulting your doctor. 

What happens at the Dentatime clinic?

At Dentatime Clinic, we perform painless tooth extraction. The procedure begins with a precisely administered local anaesthetic, which completely blocks any sensation of pain in the area. The patient may feel pressure, but no pain.

Once the area is numb, the specialist carefully separates the soft tissues around the tooth. In a simple extraction, the tooth is loosened using dental instruments and removed. 

In more complex cases, it may be necessary to split the tooth into pieces or to slightly reshape the bone. After removal, the wound is thoroughly cleaned, treated with antiseptic solutions and, if necessary, sutures are applied.

The entire process usually takes between 15 and 30 minutes, depending on the complexity. The specific cost of a tooth extraction varies depending on the type of tooth and the complexity of the case; please contact our clinic for exact information.

Post-operative care and recovery period

In the first few hours after the procedure, once the anaesthetic has worn off, it is normal to feel some discomfort.  The pain experienced after a tooth extraction is usually moderate and manageable. Your dentist will prescribe suitable painkillers.

The most common symptoms following a tooth extraction may include slight swelling, minor bleeding in the first few hours, and tenderness in the area. The specific recovery time varies, but full healing of the bone tissue takes around 2–3 months, although the discomfort usually subsides within a few days.

Proper care is key to a smooth recovery, and it is therefore advisable to follow your dentist’s instructions.

A few key recommendations following a tooth extraction:

• Bite down on the sterile gauze placed over the wound for 30–45 minutes to allow a blood clot to form.
• Apply a cold compress to the outside of your face for the first 24 hours, if necessary.
• Do not rinse your mouth vigorously for the first 24 hours.
• Avoid foods and drinks at extreme temperatures.
• Do not touch the wound with your fingers or tongue.
• Do not smoke after the procedure.

As for your diet, it is recommended that you stick to soft foods and those in the form of porridge – soups, purées, yoghurt and smoothies. Avoid hard, sticky, spicy and hot foods. How to care for your teeth after extraction is a matter that also involves carefully brushing the remaining teeth without disturbing the wound.

Complications following a tooth extraction are rare, but it is important to recognise the warning signs. Seek urgent medical attention if you experience prolonged bleeding, increasing pain after the third day, a high temperature, severe swelling of the face and neck, or signs of infection following a tooth extraction, such as an unpleasant odour or pus.

Conclusion

Tooth extraction may sound daunting, but in the hands of experienced specialists it is a routine, safe and painless procedure. With proper preparation, precise execution and responsible post-operative care, recovery is smooth and quick.

If you have a tooth that is causing you trouble, or your dentist has recommended extraction, do not delay your visit to the clinic. Modern methods allow the procedure to be carried out without unnecessary stress or discomfort. 

Dentatime Clinic is equipped with state-of-the-art technology and has experienced specialists in the field of oral surgery. The patient’s health and comfort are always our priority.

For more information or to book an appointment, please contact us on +359 892 600 602.

Frequently asked questions

Can I go to work the day after a tooth extraction?

With a simple extraction, you can return to your daily routine the next day, although it is advisable to avoid heavy physical work for the first 24–48 hours. In more complex cases, a rest period of 2–3 days may be necessary.

When can I brush my teeth normally after an extraction?

You can brush your remaining teeth gently on the same day, but avoid the area of the wound for the first 24 hours. After that, continue with gentle brushing, without rubbing the wound directly. 

Do I need to take antibiotics after every tooth extraction?

No. Antibiotics are prescribed in the presence of an infection, for surgical extractions, for patients with a compromised immune system, or in cases with an increased risk of complications. Your dentist will assess whether antibiotic treatment is necessary.