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Difficult Tooth Extractions

What are difficult tooth extractions?

Complex tooth extractions involve teeth that have not yet come to the surface of the gums, teeth with curved roots, teeth with multiple sources, or impacted teeth. Extractions may also be difficult if the tooth is tightly attached to the surrounding bone or the jaw is too small to remove the entire root. Additionally, some conditions, such as radiation to the jaw where the tooth is located, can increase the difficulty of extraction.


For both young and old, tooth extraction is performed similarly. The dentist will inject a local anesthetic into the gums to numb the area. Once the area is numb, the dentist will use special dental tools to remove the tooth. If the tooth is impacted, it may need to be released in pieces. Once the tooth is removed, the dentist will ensure the area is cleaned and may place gauze or packing material in the socket to help heal.

Difficult Tooth Extractions Made Easy

Tooth Extraction FAQs

Yes, a dentist can extract a tooth if it is deemed necessary. The extraction procedure is usually done by a dentist or an oral surgeon.

Yes, a tooth extraction can be a surgical procedure depending on the complexity of the extraction. In some cases a dentist may only use a few local anesthetic injections to numbing the area around the tooth and then use a special tool to gently rock and loosen the tooth from its socket. In other cases, an oral surgeon may require more complex, surgical methods to remove the tooth, including incisions, sutures, and bone grafting.

Most tooth extractions, especially simple extractions, will not cause much pain at all. The process is often done with the help of local anesthetic injections and other techniques to make sure the patient is comfortable throughout the procedure.

Yes, after a tooth extraction, there may be some bleeding. This is normal and should cease within a few hours. If bleeding does not stop after a few hours, contact your dentist.

After a tooth extraction, gauze should be placed over the extraction site. The gauze should be firmly pressed over the socket and held in place for a minimum of 45 minutes, or until the bleeding has stopped. It is important to not remove the gauze until the bleeding has completely stopped. It is also important to not use aspitting technique as this will cause the clot to be dislodged. If the bleeding does not stop after 45 minutes, you should contact a doctor or dentist.

Unfortunately, complex tooth extractions can never be entirelyeasy,” as they involve delicate surgical procedures and recovery time. However, modern dental technologies have been designed to make them as safe and straightforward as possible, with minimally intrusive techniques and shorter healing times than in the past.

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Examples of Complicated Tooth Extraction Procedures

A qualified oral surgeon should perform complex tooth extractions to protect the mouth from further injury.


  • Broken tooth
  • Cracked or fragile teeth
  • Teeth with long or curved roots
  • Impacted teeth
  • Inelastic and dense bone

First, proper anesthesia must be determined and administered to ensure a successful and comfortable procedure. Local anesthesia should be used to numb the area around the tooth and provide some degree of relaxation. A sedative could also be administered if necessary to calm the patient further. Next, an exploratory examination should take place to determine the best approach for the extraction. Specialized tools and instruments should be used to remove the tooth while avoiding damaging delicate surrounding structures. Pressure should be applied and exerted even to ensure a successful extraction. Finally, atraumatic extraction techniques should be followed to ensure the patients comfort and safety.

Oral Surgery of Extracting a Complex Wisdom Tooth

When performing a complex tooth extraction, it is essential to have a well-defined plan of action.
Many people may require oral surgery for various reasons, like experiencing facial pain, being diagnosed with TMJ (temporomandibular joint) or TMD (temporomandibular disorder), having a misaligned jaw, wisdom teeth issues, cleft lip or palate repairs, cancer, or obstructive sleep apnea. An oral surgeon is best suited to handle such oral issues, making them the ideal option for dental patients.
If tooth extractions are determined to be complicated, it is recommended to see an oral surgeon for the procedure. Cases such as entangled roots, impacted teeth, large sinuses, and mouth infections should be handled by an expert. Furthermore, if one or more teeth are already fractured, a skilled oral surgeon is needed to prevent further breakage during extraction. In addition to being qualified to perform the extraction, an oral surgeon is also trained and licensed in administering general anesthesia and IV sedation. They will also provide instructions on how to properly care for the surgical area, to ensure optimal results.