Tooth Extractions - Elite Dental Group
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What is an extraction?


A tooth extraction is the removal of the tooth entirely from its socket in the bone.



When does a tooth need to be extracted?


When a tooth is severely damaged, it may not be possible to repair it and it may also not be possible to treat any internal (root canal) or external (gum) problems with any level of predictable success.

Such teeth are deemed to have hopeless prognosis.



Here are some examples of conditions whereby a tooth extraction maybe necessary:


  • Crack/split that runs under the gum
  • Extremely large cavities
  • Severe gum disease with extensive bone loss
  • Root resorption



These teeth may have a poor prognosis even if restorative treatment is attempted. And it maybe better to have the tooth extracted and replaced for a more predictable long term outcome.



It is interesting to note that sometimes healthy teeth are also indicated for extractions. This is usually part of an orthodontic treatment plan to correct severe dental crowding with braces.



Lastly, we also very often extract baby teeth that are wobbly in our pediatric patients.



Are all extractions the same?


There are two types of extractions:



Simple extractions


This is performed on a tooth that is fully erupted out of the gum and not impacted. Most simple extractions can be done under local anaesthetic. The entire tooth, including the roots are removed whole.




Surgical extractions


A surgical extraction is required to remove a tooth/root that may have broken off at the gum line or is impacted (incomplete eruption). Singaporeans/Singapore PRs can use Medisave to cover part of the surgical fees.


Simple Extraction


Surgical Extraction

Anxiety Management for Extractions


We understand that you may often experience some anxiety about dentistry, especially when extractions and injections are involved. If you are very nervous and fearful, IV sedation administered by an anaesthesiologist will guarantee a smooth, anxiety free and pain free procedure. Please read here for more information about what we can do to help you manage your dental anxiety.





Snoring - Has anyone ever mentioned you snore loudly?

Tired - Do you often feel tired, fatigued or sleepy during the daytime?
Observation - Has anyone ever observed you stop breathing during your sleep?
Blood Pressure - Have you got high blood pressure?
BMI - Are you overweight?
Age - Are you over 50 years old?
Neck - Is your neck circumference greater than 40cm?
Gender - Are you male?


Do you feel refreshed when you wake after 7 hours sleep?

Has anyone in your family ever been diagnosed with Obstructive Sleep Apnea?
Have you been diagnosed or are you being treated for depression?
Have you been diagnosed with type 2 diabetes?
Do you wake often during the night to go to the bathroom?
Do you suffer with headaches upon waking?


For each situation listed below, circle a number from 0 to 3 that best reflects how likely you are to fall asleep. Be as realistic as you can.

0 – No chance of falling asleep 1 – Slight chance of falling asleep     2 –Good Chance of falling asleep 3 – High chance of falling asleep

Sitting and reading
Watching TV
As a passenger in a car for an hour
Lying down in the afternoon
Sitting and talking to someone
Sitting quietly after lunch without alcohol
In a car stopped while in traffic

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