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Tooth Extraction

In which cases is tooth extraction performed? Expert physician information about the painless and atraumatic tooth extraction process, surgical extraction, and the recovery period.

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Pediatric dentist · Prepared by the dentist

Tooth Extraction and Surgical Approaches

In modern dentistry, our fundamental clinical principle is to use all restorative and endodontic treatment options (fillings, root canal treatment) to the fullest in order to keep natural teeth in the mouth. However, in some specific clinical situations, removing the relevant tooth from the oral environment becomes a medical necessity in order to protect the surrounding tissues, the jawbone, and the patient’s overall systemic health.

At our clinic, tooth extraction procedures are performed with the principles of "atraumatic surgery," which does not damage the surrounding bone tissue, while ensuring maximum comfort for our patients and considering the foundation for future prosthetic/implant treatments.

In Which Clinical Situations Do We Perform It?

  • In deep caries that have caused extensive tissue loss and extend below the root level, where the tooth cannot be saved with root canal treatment or a filling,

  • In teeth that have completely lost jawbone support due to advanced periodontal (gum) infection and are excessively mobile (wobbly),

  • In infected teeth that have developed at the root tip and do not heal through endodontic methods, causing apical cysts or chronic abscesses,

  • In teeth that have been damaged beyond repair as a result of a vertical root fracture or severe trauma,

  • In healthy teeth that the physician considers medically necessary to extract during orthodontic treatment (braces) planning in order to create space in the jaw arch (usually premolars).

What Are Our Clinical Approach and Its Advantages?

  • Atraumatic Extraction Technique: Preserving the bone walls surrounding the tooth during the procedure is vital for the success of future implant treatment in that area. For this reason, we use tissue-friendly, minimally invasive surgical instruments (periotomes).

  • Painless Procedure: With up-to-date and effective local anesthesia techniques, the treatment area is completely numbed. During the procedure, our patient feels only a slight "pressure," and definitely does not feel any pain or discomfort.

  • Clot Stabilization and Healing: Preserving the blood clot is essential for the healthy closure of the extraction socket. When necessary, sutures are placed in the extraction site to accelerate tissue healing and minimize the risk of infection (alveolitis).

Successful healing of the wound site after extraction is directly dependent on strictly following post-operative rules such as the sterile gauze pressure recommended by your physician, not spitting out the slight bleeding in the first 24 hours, and avoiding hot foods.

Frequently asked questions

It is enough to have them bite on the gauze for 30–45 minutes. On the first day, avoid very hot and hard foods, using a straw, and poking at the extraction site. Be careful not to bite their lip until the numbness wears off.

After the numbness wears off, warm or cold, soft foods (yogurt, soup, puree) are ideal.

A space maintainer is a small appliance that preserves the gap left by an early lost baby tooth until the permanent tooth erupts. Whether it is needed depends on the tooth, age, and the condition of the permanent tooth.

This is a common situation. If the baby tooth does not loosen and fall out on its own, extraction may be necessary; we recommend bringing them in for an examination.

A baby tooth that is naturally very loose can often be removed by the child themselves; it is important not to force it. If the tooth remains loose but does not fall out for a long time, or if there is pain or swelling, or if the permanent tooth has come in behind it, bring them in for an examination.

They may continue brushing that same evening; it is enough to gently clean around the extraction site and avoid brushing the area forcefully on the first day.

Pain after baby tooth extractions is usually mild and short-lived. If needed, you may use a pain reliever appropriate for your child’s age and weight, as recommended by your doctor.

The information on this page is for general guidance only and does not replace an examination. Please talk to your dentist for advice specific to your child.