Dental Emergencies

Tooth Extraction: Cost, Procedure, and Risks

Tooth extraction is a common dental procedure that involves the removal of a tooth from its socket in the jawbone. While it may sound intimidating, tooth extraction is often necessary to maintain oral health and prevent further complications. In this comprehensive guide, we will explore the ins and outs of tooth extraction, including the procedure, risks, recovery, and cost.

Why is Tooth Extraction Necessary?

There are several reasons why a dentist may recommend tooth extraction. The most common reasons include:

  • Tooth Decay: When tooth decay becomes severe and affects the inner layers of the tooth, it may not be salvageable through other dental treatments such as fillings or root canals. In such cases, tooth extraction may be necessary to prevent the spread of infection.
  • Tooth Infection: A tooth infection, also known as an abscess, can cause severe pain and swelling. If the infection cannot be controlled with antibiotics or a root canal, tooth extraction may be the only solution to alleviate the pain and prevent the infection from spreading.
  • Crowding: In some cases, tooth extraction may be necessary to create space for orthodontic treatment. When a patient undergoes braces or other orthodontic procedures, removing one or more teeth may be required to allow the remaining teeth to shift into their proper positions.
  • Impacted Teeth: Wisdom teeth, also known as third molars, often become impacted due to lack of space in the jaw. Impacted wisdom teeth can cause various problems, including pain, infection, and damage to surrounding teeth. In such cases, tooth extraction is often recommended to alleviate discomfort and prevent further complications.

The Tooth Extraction Procedure

The tooth extraction procedure can be categorized into two types: simple extraction and surgical extraction. The type of extraction required depends on the condition of the tooth and its position in the mouth.

1. Simple Extraction

Simple extraction is typically performed when the tooth is visible and easily accessible. The dentist will administer a local anesthetic to numb the area around the tooth, ensuring that you only feel pressure, not pain. Using an instrument called an elevator, the dentist will gently loosen the tooth before using forceps to remove it.

2. Surgical Extraction

In cases where the tooth is broken, impacted, or below the gumline, surgical extraction is necessary. This procedure requires a combination of local anesthesia, intravenous anesthesia, or general anesthesia to ensure your comfort throughout the surgery. The dentist or oral surgeon will make a small incision in the gum tissue to access the tooth. In some instances, it may be necessary to remove bone around the tooth or divide it into smaller pieces for easier extraction.

Risks and Complications

While tooth extraction is generally a safe procedure, there are potential risks and complications to be aware of. These can include:

  • Dry Socket: Dry socket occurs when the blood clot that forms after the extraction becomes dislodged or dissolves prematurely. This can expose the underlying bone and cause severe pain. To prevent dry socket, it is important to follow your dentist’s instructions for aftercare and avoid activities that could dislodge the blood clot.
  • Infection: Infection is a risk with any surgical procedure, including tooth extraction. Signs of infection may include severe pain, swelling, fever, and pus or discharge from the extraction site. If you experience any of these symptoms, it is crucial to contact your dentist immediately for appropriate treatment.
  • Bleeding: Some bleeding is normal after a tooth extraction, but if the bleeding persists or becomes excessive, it may indicate a problem. Applying gentle pressure to the extraction site using a clean gauze pad can help control bleeding. If bleeding continues for more than 12 hours, contact your dentist.
  • Damage to Surrounding Structures: In rare cases, tooth extraction can cause damage to nearby structures such as neighboring teeth, nerves, or sinus cavities. Your dentist will take precautions to minimize these risks, but it is important to be aware of the potential for complications.

Recovery and Aftercare

Recovery after a tooth extraction typically takes a few days, but the healing process can vary from person to person. Following your dentist’s post-extraction instructions is crucial for a smooth recovery. Here are some general guidelines to promote healing:

  1. Apply Ice: Immediately after the procedure, applying an ice pack to your cheek can help reduce swelling. Use the ice pack for 10 minutes at a time, with short breaks in between.
  2. Bite on Gauze: Your dentist will place a gauze pad over the extraction site to control bleeding. Bite down gently on the gauze pad for three to four hours or until the bleeding subsides.
  3. Take Medications as Prescribed: Your dentist may prescribe pain medication or antibiotics to prevent infection. It is important to take these medications as directed and complete the full course of antibiotics, if prescribed.
  4. Rest and Avoid Strenuous Activities: Resting for the first 24 hours after the extraction is crucial for proper healing. Avoid vigorous activities, heavy lifting, or exercise during this time.
  5. Avoid Certain Habits: Smoking and using a straw can dislodge the blood clot and delay the healing process. It is best to avoid these habits for at least 24 hours after the procedure.
  6. Practice Good Oral Hygiene: While it is important to avoid rinsing your mouth for the first 24 hours, you can resume gentle brushing and flossing on the second day after the extraction. However, be cautious around the extraction site to avoid causing irritation.
  7. Soft Foods and Proper Nutrition: Stick to soft foods such as yogurt, pudding, and applesauce for the first day after the extraction. Gradually introduce other foods back into your diet as you feel comfortable. Stay hydrated and ensure you are getting proper nutrition to aid in the healing process.
  8. Attend Follow-up Appointments: Your dentist may schedule a follow-up appointment to monitor your progress and ensure proper healing. It is important to attend these appointments and address any concerns or complications that may arise.

Cost of Tooth Extraction

The cost of tooth extraction can vary depending on various factors such as the complexity of the extraction, the location of the tooth, and the type of anesthesia required. Simple extractions typically range from $75 to $200 per tooth, while surgical extractions can cost significantly more, ranging from $800 to $4,000. Additionally, the cost may vary based on the geographical location and the specific dental clinic.

Factors Affecting Cost:

  • Complexity of the extraction: Simple extractions are generally less expensive than surgical extractions.
  • Type of anesthesia: General anesthesia or intravenous anesthesia may incur additional costs compared to local anesthesia.
  • Geographic location: Dental services can vary in price based on the cost of living in a particular area.

It is important to consult with your dentist and discuss the cost of the procedure before undergoing tooth extraction. Dental insurance may cover a portion of the cost, so it is advisable to check with your insurance provider to determine the level of coverage.

Preparation for Tooth Extraction

Prior to the tooth extraction procedure, your dentist will conduct a thorough evaluation and take an X-ray of the affected tooth. It is essential to inform your dentist about any medications, vitamins, supplements, or over-the-counter drugs you are currently taking. Additionally, disclose any pre-existing medical conditions, such as congenital heart defects, diabetes, liver or renal disease, hypertension, or an impaired immune system. Your dentist may want to ensure that these conditions are stable or adequately managed before proceeding with the extraction.

If you will be undergoing intravenous drug treatment for another medical condition, such as chemotherapy or an organ transplant, it is important to inform your dentist. Tooth extraction should ideally be performed prior to the drug treatment to minimize the risk of complications.

When to Seek Medical Attention

While the recovery period after a tooth extraction is generally smooth, there are instances when you should seek immediate medical attention. Contact your dentist if you experience any of the following symptoms:

  • Excessive bleeding that persists for more than 12 hours.
  • Severe fever and chills, which may indicate an infection.
  • Persistent nausea or vomiting.
  • Chest pain, shortness of breath, or difficulty breathing.
  • Swelling, redness, or pus at the surgical site.

Promptly addressing these symptoms can help prevent further complications and ensure a successful recovery.

Frequently Asked Questions about Tooth Extraction

1. How long does it take to recover from a tooth extraction?

The recovery time after a tooth extraction can vary from person to person. Generally, it takes about one to two weeks for the gum tissue to heal completely. However, the initial healing process usually takes about 24 to 48 hours. It’s important to follow the aftercare instructions provided by your dentist to promote proper healing and reduce the risk of complications.

2. Is a tooth extraction painful?

During a tooth extraction, your dentist will administer local anesthesia to numb the area, ensuring that you don’t feel any pain during the procedure. However, it is common to experience some discomfort and mild pain after the anesthesia wears off. Your dentist may prescribe pain medication or recommend over-the-counter pain relievers to manage any post-extraction pain.

3. How bad does a tooth need to be to be extracted?

A tooth may need to be extracted if it is severely decayed, fractured, infected, or impacted. Additionally, teeth may need to be extracted as part of orthodontic treatment or if there is overcrowding in the mouth. Your dentist will evaluate the condition of your tooth and determine if extraction is necessary. They will also consider alternatives, such as root canal treatment, if appropriate.

4. What is the most painful tooth to extract?

The level of pain experienced during a tooth extraction can vary depending on factors such as the tooth’s position, the complexity of the extraction, and the individual’s pain tolerance. Generally, wisdom teeth (third molars) can be more challenging to extract due to their location at the back of the mouth and their potential for impaction. However, with the use of local anesthesia and appropriate pain management techniques, the procedure can be made relatively comfortable.

5. Should I take a day off work after tooth extraction?

Taking a day off work after a tooth extraction is recommended, especially if the extraction was more complex or if you experience significant pain or swelling. This allows you to rest, recover, and minimize the risk of complications. If the extraction was straightforward and you feel comfortable, you may choose to return to work the following day. It’s best to consult with your dentist and evaluate your own comfort level before making a decision.

6. Can you eat after tooth extraction?

After a tooth extraction, it’s important to be cautious about what you eat to promote proper healing. For the first 24 hours, it is generally recommended to stick to a soft or liquid diet to avoid irritating the extraction site. This can include foods like mashed potatoes, yogurt, smoothies, and soups. It’s best to avoid hot, spicy, or hard foods that may disrupt the healing process or cause discomfort.

7. Can I eat 3 hours after tooth extraction?

It is generally not recommended to eat within the first three hours after a tooth extraction. It’s important to give the blood clot that forms in the extraction site enough time to stabilize and promote healing. Eating too soon can dislodge the blood clot, leading to a painful condition called dry socket. It’s best to follow your dentist’s instructions and wait until you are advised it is safe to eat.

8. What hurts more, top or bottom tooth extraction?

The level of pain experienced during a tooth extraction is not directly related to whether it is a top or bottom tooth. The pain experienced is more dependent on factors such as the complexity of the extraction, the tooth’s condition, and your individual pain tolerance. Your dentist will administer local anesthesia to numb the area, regardless of whether it is a top or bottom tooth, to ensure that you are comfortable during the procedure.

9. Does the nerve come out when a tooth is pulled?

During a tooth extraction, the goal is to remove the tooth while preserving the surrounding tissues, including nerves. The dentist carefully separates the tooth from the surrounding ligaments and gently extracts it. In some cases, the tooth may be tightly connected to a nerve, but the dentist will exercise caution to minimize any damage to the nerve. However, there is a possibility of nerve damage in rare cases, and your dentist will discuss potential risks and complications with you before the procedure.

10. Why can’t a dentist pull an infected tooth?

In some cases, a dentist may delay or avoid extracting an infected tooth to prevent the spread of infection. The infection can weaken the local immune response, making it difficult for the body to heal properly after extraction. Your dentist may prescribe antibiotics to control the infection and reduce inflammation before proceeding with the extraction. It’s important to consult with your dentist to determine the best course of action for your specific situation.

11. What not to do after removing a tooth?

After a tooth extraction, it’s important to follow your dentist’s post-operative instructions to promote proper healing and minimize complications. Some common guidelines include avoiding rinsing or spitting forcefully, not smoking or using tobacco products, avoiding drinking through a straw, and avoiding hot or spicy foods. It’s also recommended to avoid strenuous activities, such as exercising, for the first 24 to 48 hours to allow the blood clot to stabilize in the extraction site.


Tooth extraction is a common dental procedure that may be necessary to address tooth decay, infection, crowding, or impacted wisdom teeth. While the procedure may seem daunting, it is typically a quick outpatient process performed by a dentist or oral surgeon. By understanding the procedure, risks, recovery process, and cost associated with tooth extraction, you can approach the treatment with confidence and ensure a smooth recovery. If you have any concerns or questions about tooth extraction, consult with your dentist, who can provide personalized guidance based on your specific needs.

For quality dental care and professional tooth extraction services, contact Capital Dentistry, a trusted dental clinic serving the Ottawa and Gatineau regions. Our experienced team is dedicated to providing exceptional dental care in a comfortable and compassionate environment. Schedule an appointment with us today to discuss your dental needs and explore the best treatment options for you.