Tooth Extraction Explained Step By Step


 We All want to keep our teeth for life. But the following circumstances force us to remove our teeth:

Dental trauma – injury to the teeth and its associated periodontal ligament, gums and the alveolar bone; as well as the nearby soft tissues including the lips and tongue. Irreparable tooth disease – excessive damage to the tooth due to tooth decay or periodontal disease that renders the tooth dead. Dentists will attempt to save the tooth through crown restoration or a root canal procedure. Extraction will only be done if the tooth is beyond saving.The Bryan Dental in Bryan and College Station area is conveniently located near to the Briarcrest Walmart is the dentist office by me.

Dental crowding – refers to inconsistency between tooth size and jaw size. This  results in a misalignment of the row due to large teeth, small jaws or both. Because of this, the patient can always  request for tooth extraction. A tooth that can be seen in the mouth is extracted. First, the tooth  is loosened with an instrument called an elevator. The dentist then uses forceps to remove the tooth.

A surgical extraction

A surgical procedure is necessary if the tooth has not erupted in the mouth or if it broke at the gum line. In this, the dental surgeon makes a small incision into the gum to remove the impacted wisdom tooth or broken tooth. Whether it’s a simple or a surgical extraction, the principles of tooth extraction are essentially the same. 

Depositing of the anaesthetic – after the needle is placed, the anaesthetic solution is released into the tissue. This process looks to numb the tooth and surrounding areas, a necessary step before the tooth is removed.

Extraction of the tooth

When tooth is extracted, what happens is that the tooth is pulled from its socket (in jawbone). The tooth is normally firmly encased in the socket, and held in place by a ligament. To remove the tooth, the doctor enlarges the socket before he can separate the tooth from the ligament, then out of the socket.

The bone that encases the root of the tooth is relatively spongy. Rocking the tooth back and forth against the socket walls therefore causes the bone to compress.

No pain

With the pain transmitters become numb, you should not feel any pain at all. If you feel some pain, don’t hesitate to tell your dentist.  This means your tooth has not been adequately anaesthetised.

Just be honest on what you are feeling during the whole process. But be careful. Do not mistake the feeling of pressure with that of pain. Doing so would have your dentist needlessly giving you additional quantities of anaesthetic. This, in turn, may place you at some risk of medical complications.


Pressure comes from the rocking of the tooth. Unlike pain, you feel this as the anaesthetic does little to the nerves that transmit the feeling of pressure.

Controlling bleeding

The dentist places a folded gauze over the site of tooth extraction and asks you to bite down on it to create firm pressure, which will control bleeding.

Minimising the swelling

Your doctor may give you an ice pack that you will put against your face, if in case he expects post-operative swelling.

Post extraction care

After the extraction, stitches or additional procedures to control the bleeding may be necessary. The dentist or surgeon will place a thick layer of gauze over the extraction site and have the person bite on it to absorb the blood and start the clotting process.

Call us at (979) 985-5505 or visit to schedule your appointment.

Find us at:

3203 Freedom Blvd,
Suite 400 Bryan,
TX 77802.


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