Tooth extraction is a common dental procedure that may be necessary when a tooth is too damaged to be saved. At Tøyen Tannlegevakt, we always aim to preserve your natural teeth, but in some cases extraction is the best option. The procedure is performed under local anaesthesia so that you do not feel pain during the extraction.
Reasons for tooth extraction
There are several situations where extraction may be the recommended treatment:
- Severe decay: When a cavity is so extensive that the tooth cannot be restored with a filling, crown or root canal.
- Advanced gum disease: When periodontitis has destroyed so much bone around the tooth that it can no longer be supported.
- Broken tooth: When a tooth is fractured below the gum line or the root is split and repair is not possible.
- Dental abscess: When a severe infection cannot be resolved with root canal treatment or antibiotics.
- Wisdom teeth: When wisdom teeth cause pain, infection or damage to neighbouring teeth.
- Orthodontic reasons: Sometimes teeth need to be removed to create space for orthodontic treatment.
Does it hurt?
Tooth extraction is always performed with local anaesthesia. The anaesthetic numbs the area completely, so you will not feel pain during the procedure. You may feel pressure and a pulling sensation when the dentist loosens and removes the tooth, but this should not be painful.
If you are anxious about the procedure, let us know. We can take extra time and provide additional support to make you as comfortable as possible.
Surgical vs. simple extraction
There are two main types of tooth extraction:
- Simple extraction: Used when the tooth is visible in the mouth and can be loosened and removed with dental instruments. This is the most common type and is a straightforward procedure.
- Surgical extraction: Required when a tooth is impacted (not fully erupted), broken off at the gum line, or has curved roots. The dentist may need to make a small incision in the gum and sometimes remove a small amount of bone to access the tooth. This is more common with wisdom teeth.
Available appointments
Choose a time that suits you
Prices
Prices for tooth extraction at Tøyen Tannlegevakt:
- Simple extraction: from 1,100,- to 1,900,-
- Surgical extraction: from 2,200,- to 4,500,-
- Emergency examination: 799,-
Helfo covers 30-40% of the cost for surgical extraction of wisdom teeth. See our complete price list for more information.
Aftercare
Proper aftercare is important for smooth healing after a tooth extraction. Here is what you need to know:
Painkillers
We recommend taking painkillers before the anaesthesia wears off. A combination of ibuprofen 400 mg and paracetamol 1 g provides effective pain relief. Take them regularly for the first 2-3 days, following the dosage instructions on the packaging.
Antibiotics
Antibiotics are not always necessary after extraction. The dentist will prescribe antibiotics if there was a significant infection present or if you are at increased risk of complications. Always complete the full course as prescribed.
Stitches
Some extractions, particularly surgical ones, require stitches to help the wound heal. These are usually removed after 7-10 days. Some dentists use dissolvable stitches that disappear on their own.
Smoking
Avoid smoking for at least 48 hours after extraction, preferably longer. Smoking significantly increases the risk of dry socket (a painful condition where the blood clot is lost) and slows down healing.
Dry socket
Dry socket (alveolar osteitis) occurs when the blood clot in the extraction site is dislodged or dissolves too early, exposing the bone underneath. This typically causes severe, throbbing pain 2-4 days after extraction. To prevent dry socket:
- Do not spit forcefully or use a straw for the first 24 hours
- Do not smoke
- Avoid vigorous rinsing of the mouth
- Follow all aftercare instructions carefully
If you suspect dry socket, contact the dentist. Treatment involves cleaning the socket and placing a medicated dressing to relieve pain and promote healing.
Eating
Eat soft, cool foods for the first 2-3 days. Good options include yoghurt, smoothies, lukewarm soup and mashed foods. Avoid hot food and drinks for the first 24 hours. Do not chew on the side of the extraction.
Bleeding
Some bleeding is normal for the first few hours. Bite firmly on a gauze pad for 20-30 minutes to help the blood clot form. If bleeding continues, replace the gauze and continue applying pressure. Avoid spitting, as this can dislodge the clot.
Snus (tobacco pouches)
Avoid using snus for at least 48 hours after extraction. Snus contains substances that can irritate the wound, increase the risk of infection and delay healing.
Alcohol
Avoid alcohol for at least 24 hours after extraction, and longer if you are taking painkillers or antibiotics. Alcohol can increase bleeding and interact with medications.
Signs of infection
Contact the dentist if you notice any of the following signs of infection:
- Increasing pain or swelling after 2-3 days
- Fever
- Foul-smelling discharge or pus from the extraction site
- Difficulty swallowing or opening the mouth
- Numbness that does not subside after 24 hours