Risks of Tooth Extraction
This information serves to help you come to an informed decision in regards to your dental treatment.
Extraction of a tooth is an irreversible procedure and whether routine, or difficult, it is a surgical procedure. As in any surgery, there are some risks. Please note side effects and complications are uncommon to rare and we at Smile Cliniq would hope our rate is even less than the norm, due to the techniques and materials we choose to use. Also bear in mind the complications are no different to any extraction you may have had previously, it’s just you are now aware of them.
The risks include, but are not limited to:
- Swelling and or bruising and discomfort in the extraction site
- Dry socket – localised infection and pain in the tooth socket beginning a few days after the extraction. It is more common from extraction of lower teeth especially wisdom teeth. It is also more common in smokers, patients with poor oral hygiene and diabetic patients.
- Possible damage of the teeth adjacent to the one being extracted especially ones with large fillings or crowns
- With lower wisdom teeth removal, numbness or altered sensation in the teeth, lip, tongue and chin due to the proximity of the roots of the tooth to the inferior alveolar nerve which can be bruised or injured. Altered sensation after an extraction is usually reversible but in very few instances can be permanent (around 1%).
- Trismus – limited jaw opening due to inflammation or swelling. This is most common after wisdom tooth extraction. Sometimes it can result in jaw discomfort especially where there is pre-existing TMJ disease.
- Bleeding – It is not common to get significant bleeding after tooth extraction but persistent oozing of the extraction site can occur
- Sharp ridges or bone splinters may form at the edge of the socket sometime after the extraction of the tooth. These may need to be removed.
- Incomplete extraction of tooth fragments. Sometimes small root tips can be left in place in order to avoid injury to vital structures such as nerves or sinuses.
- Sinus involvement – The roots of the upper back teeth are often close to the maxillary sinus and sometimes a piece of root can be displaced into the sinus, or an opening may occur into the mouth which may require additional treatment.
- Jaw fracture – This is extremely rare but possible in difficult or deeply impacted teeth.
Most extractions are routine and serious complications are not expected. Those which do occur are most often minor and can be easily treated. To ensure efficient healing and to avoid complications it is recommended that you adhere strictly to the instructions given by your dentist.