Risks and Considerations of a Tooth Extraction: What You Need to Know

While often a last resort, dental extractions are sometimes necessary to remove a tooth that is severely damaged, infected, or causing overcrowding. The procedure is generally safe, but like any surgical intervention, it comes with potential risks and complications that patients should be aware of.

One of the most common issues is "dry socket," a painful condition that can occur after a tooth is pulled. It happens when the protective blood clot that forms in the empty socket either dissolves prematurely or is dislodged, leaving the underlying bone and nerves exposed. This can cause intense, throbbing pain that radiates to your ear and may be accompanied by a bad taste or odor. Smokers and people with poor oral hygiene are at a higher risk of developing a dry socket.

Another risk is infection at the extraction site. While dentists take precautions to prevent this, bacteria in the mouth can sometimes cause an infection, leading to increased pain, swelling, fever, or pus. If you notice these symptoms in the days following the procedure, it's crucial to contact your dentist immediately, as antibiotics may be necessary.

In some cases, especially with the removal of upper teeth, there's a small chance of a connection forming between the mouth and the maxillary sinus, which can lead to sinus problems. Nerve damage is another rare but possible complication, which could cause temporary or, in extremely rare instances, permanent numbness or tingling in the lips, tongue, or chin.

Lastly, bleeding, especially among those who take medication to thin the blood, is a possibility. However, stitching the socket after the procedure and providing spare gauze and post operative instructions, helps minimise this risk.

Ultimately, a dental extraction is a highly effective way to resolve serious dental issues and prevent further health problems. By following your dentist's post-operative instructions carefully, you can significantly reduce the risk of complications and ensure a smooth, swift recovery.