We know the terms ‘tooth extraction’ and ‘dental extraction’ can make patients squirm – even patients like you who claim to not be concerned at all.

This fear generally stems from a story you may heard from a friend, family member or colleague, or maybe you have had a tooth extracted some years ago that left you with a fear of the procedure.

At a basic level, a dental extraction, also commonly referred to as a tooth extraction, involves the removal of a tooth, most often under local anaesthetic, as a result of a deep infection, gum disease, a broken tooth, crowded teeth or other issues in the mouth.

Whilst we as dentists work hard to retain your teeth through other preventative measures, a tooth extraction may be the best option for your dental problems.

Reasons Why You May Need a Tooth Extraction

As we mentioned, a tooth extraction may be necessary for a number of reasons, but an extraction is always the last resort if no other procedures can improve the tooth as required.

Some common reasons for tooth extractions include:

  • Advanced tooth decay;
  • Having crowded teeth;
  • People getting braces who require additional room in their mouth for the teeth to move;
  • When baby teeth don’t fall out at the right time to allow permanent teeth to settle in;
  • Patients who have undergone radiation to their neck and head, as they may require their teeth in the field of radiation to be removed;
  • Individuals who received drugs for cancer have a chance to develop infected teeth, which need to be extracted to avoid weakening of the immune system.
  • After an organ transplant, some teeth might need to be extracted as they can become a source for infection.
  • Third molars or wisdom teeth are usually extracted before they come out. They most commonly develop when patients are in their late teens or early 20s. These will have to be removed if they become decayed or start to impact other teeth, as they can become a source of pain, infection or a cyst.

How Tooth Extraction Works


Before performing a tooth extraction, your dentist at Balmain Dentist will often take an x-ray of the extraction area to better understand how they can remove the tooth.

This step is particularly crucial in wisdom tooth extractions, where a panoramic x-ray can capture the formation of your teeth as well as the relationship your teeth have with nerves, your sinuses and other bones in the body.

In order to safely remove the tooth or teeth that require extracting during your procedure, you will most commonly be administered local anaesthetic to numb the site.

If requested, IV sedation may be used during the tooth extraction to improve your comfort and stress levels during the procedure. If you do opt to have IV sedation, it is important to know that the procedure will require a second dentist to be present, which will increase the overall cost of the treatment.


There are two types of extractions that may be performed – a simple extraction or a surgical extraction.

Simple extractions are performed when a tooth can be seen – this means the tooth can be easily loosened and removed by the dentist.

In more complex cases, such as a broken off tooth or a tooth under the gumline, a surgical extraction is required to remove the tooth. During a surgical extraction, a small incision is made into the gum to allow the dentist access to the tooth. In some cases, a section of the bone surrounding the tooth may need to be removed to allow the tooth to be extracted.


Depending on the reason you had your tooth extraction, your dentist may prescribe antibiotics to combat infection before and after the surgery. It is important to rest post-extraction and to follow any instructions and after care procedures provided by your dentist.

How Balmain Dentist Can Help with Dental Extractions

Removing a tooth or multiple teeth requires careful consideration and professional advice from a trained and experienced dentist.

During a consultation, we perform a thorough examination of your mouth and teeth, including any necessary x-rays, to understand the full picture. From there, we detail any options you may have available as an alternative to a tooth extraction, such as a root canal treatment.

If you are experiencing pain in one of your teeth or believe you may have wisdom teeth appearing, book an appointment with Dr Flora Galoustian at Balmain Dentist to discuss your options for tooth extraction today. 

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