A tooth extraction is the removal of a tooth from its socket in the jawbone, done with the area numbed. It's advised when a tooth is too damaged to repair, badly infected, crowded or stuck beneath the gum, and wisdom teeth are the most common example. A tooth that's easy to reach can come out quickly, while a buried one takes longer.
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The word 'extraction' sounds worse than the appointment usually is. What most people notice is pressure, then a sense of the tooth letting go, then gauze. The harder part tends to be the day after, which is why we spend as long on aftercare as on the removal itself. If you can arrange a quiet evening, soft food and an early night, the first day goes better. And where a tooth can still be saved, you'll hear that first, since a root canal and crown may be the better route.
Wisdom teeth are a separate conversation, because the question isn't whether they exist but whether they're causing trouble. Third molars that have come through cleanly and can be brushed are often just watched. The ones that get removed tend to be partly covered by gum and keep getting infected, tilted into the tooth in front, or decayed where no brush can reach. An X-ray decides. If you're about to start braces or aligners, mention it, because removal is occasionally part of that plan. He'll tell you what he sees before anything is booked.
What happens to the gap matters too. A missing molar left empty for years can let its neighbours lean in and the tooth opposite drift, which upsets the bite and makes cleaning harder. An implant is one way to fill it, a bridge another, and dentures a third. A wisdom tooth at the very back usually doesn't need replacing at all. Raise the subject at the same visit as the removal, since it's easier to plan while the tooth is still there, and gaps that are 'left for now' often stay that way for years.
Dr. Mahesh examines the tooth and takes an X-ray to see the shape of the roots and how close they sit to the nerve in the lower jaw or the sinus above. He also asks about your health. Mention blood thinners, diabetes, blood pressure tablets, pregnancy or a recent illness, so the plan can be adjusted before the day.
Local anaesthetic is given, and the dentist checks that the area is properly numb before starting. You might want to close your eyes. If you need a pause, lift a hand and it's respected. A few extra minutes of waiting at this stage often saves discomfort later, so tell Dr. Mahesh if the numbness hasn't reached the tooth and more can be given.
The tooth is gently rocked to widen the socket and lifted out. You'll feel pressure and may hear a crunch, none of which should hurt, and if you feel anything sharp, say so and more numbing will be added. A broken or buried tooth may need a small cut in the gum and a stitch or two, which is what 'surgical' means here. It usually doesn't mean a hospital.
You bite on clean gauze while a blood clot forms in the socket. That clot is the foundation of healing, which is why the next couple of days are mostly about leaving the area alone. Gauze needs firm pressure for at least about ten minutes, and more if bleeding continues. Keep your head up and talk as little as you can for the first hour.
You're told what to eat, what to avoid, which medicines to take and which signs are worth a phone call. If you'll be left with a gap, we'll discuss whether it needs filling and roughly when, so it isn't forgotten once the soreness is over. Ask anything on your mind, because it's easier to explain then than over the phone later.
The tooth is loosened and lifted out without cutting the gum. It's usually quick, and recovery is typically gentle, with soreness for a day or two. This suits teeth that are fully visible and have firm, straight roots.
When a tooth has snapped, has curved roots or hasn't come through, a small opening in the gum gives access. A stitch may be placed, and the site heals like any other socket, though it needs a little more care for a few days afterwards.
Planned from an X-ray, because lower wisdom teeth sit near a nerve and upper ones near the sinus. Dr. Mahesh explains what he sees on the film and what recovery will probably feel like in your case, before you agree.
Infected or stuck baby teeth can be removed when that's the better choice, so the adult tooth can come through properly. Our kids dentistry page describes how younger patients are looked after, including how treatment is explained to them.
Taking out an upper tooth harms your eyesight.
FactFact: There's no established link between removing upper teeth and vision, and dentists remove them routinely. If you ever notice a change in your sight after any procedure, see a doctor, but the tooth itself isn't the cause.
Wisdom tooth surgery means a hospital stay.
FactFact: It's usually a day-care procedure with the area numbed, and most people go home afterwards. A few complicated cases are planned differently, and if yours is one of them you'd be told well before the day.
A white or yellow patch in the socket always means infection.
FactFact: Often it's simply healing tissue forming over the socket, and it can look pale or yellowish for some days. What deserves a call is severe pain, a bad taste or smell, visible bone, or pain that is climbing instead of fading.
Because you'll want to go home and rest afterwards, many people book wisdom tooth removal for the earlier part of the day. The Goregaon West clinic is on Navjyoti Society Road, off Mahatma Gandhi Road in Unnat Nagar 2, and is open Monday to Saturday from 10 AM to 4 PM. It's an easy trip from Goregaon East or Jogeshwari. Eat something light beforehand, since you won't feel like chewing for a few hours.
An evening appointment at the Malad East clinic, open Monday to Saturday from 6 to 9 PM in Sunshine Co-op Housing Society, Subhash Lane, off B. L. Murarka Marg in Shivaji Nagar, means the numbness wears off at home. Malad West is close. If you're anxious, bring someone with you. You can drop in at either clinic, though booking by call or WhatsApp spares you the queue. Bring old X-rays and a full medicine list, especially blood thinners.
8/60, Navjyoti Society Rd, off Mahatma Gandhi Road, Unnat Nagar 2, Goregaon West, Mumbai 400104
Mon–Sat · 10:00 AM – 4:00 PM
Get directions →Shop No. A/4, Sunshine Co-operative Housing Society, Subhash Lane, Shri. B. L. Murarka Marg, Shivaji Nagar, Malad East, Mumbai 400097
Mon–Sat · 6:00 PM – 9:00 PM
Get directions →A throbbing or cracked tooth? Find out whether it can be saved and why a crown often follows.
Read more →Replace a lost tooth, root and all, with a post placed by a certified implantologist.
Read more →Caps for cracked or root-treated teeth, and bridges to close a gap.
Read more →Book at Goregaon West in the daytime or Malad East in the evening. Dr. Mahesh will look at the X-ray and explain your choices before anything is done.