Saving a tooth is always the first choice, but sometimes an extraction is the best option. This may be because of severe decay, a crack, advanced gum disease, or crowding.
What happens during an extraction
The area is numbed with local anaesthetic, so you’ll feel pressure but not pain. The tooth is loosened gently and removed. Teeth that are broken or have curved roots may need a surgical extraction, where a small cut is made in the gum.
The first 24 hours
- Bite firmly on the gauze for 30 to 45 minutes to help a clot form.
- Don’t rinse, spit forcefully or use a straw.
- Don’t smoke, as it greatly increases the risk of dry socket.
- Rest, and keep your head raised.
- Eat soft, cool foods and chew on the other side.
- Take pain relief as advised.
From the second day
- Rinse gently with warm salt water after meals, several times a day.
- Brush your other teeth normally, avoiding the socket.
- Gradually return to normal food as you feel comfortable.
What is dry socket?
Dry socket happens when the blood clot is lost from the socket, exposing the bone. It causes severe, throbbing pain two to four days after the extraction, often with a bad taste. Contact us if this happens, as it can be treated.
Replacing the tooth
Ask us about options to replace a missing tooth, such as an implant, bridge or denture.
Cost
Simple extractions at Dr H.B Mohamed’s practice start from R500 for cash patients, and surgical wisdom tooth extractions from R1 000. See our fees.

