Tooth Extractions

When does a tooth need to be extracted?

A tooth may need to be removed when it cannot be saved by other treatments. Common reasons include:

• Severe decay that has destroyed too much of the tooth structure
• Advanced gum disease causing significant bone loss and a loose tooth
• A badly cracked or fractured tooth that cannot be repaired
• An impacted wisdom tooth that is unable to erupt properly
• Orthodontic treatment that requires space to be created
• A baby tooth that has not fallen out and is blocking the adult tooth

Your dentist will always explore whether the tooth can be saved before recommending extraction.

Will I be awake? Does it hurt?

Yes — tooth extractions are routinely performed under local anaesthesia, which numbs the area completely. You will feel pressure during the procedure but you should not feel sharp pain. If at any point you do feel pain, let your dentist know immediately — more anaesthesia can be given.

After the anaesthesia wears off — usually within a few hours — some soreness and tenderness is normal. This is well managed with standard over-the-counter pain relief such as paracetamol or ibuprofen taken as directed. Most patients find the recovery more straightforward than they expected.

If you feel anxious about dental procedures, speak with us beforehand. We can discuss ways to help you feel more at ease.

What is the difference between a simple and surgical extraction?

Simple extraction — Performed on a tooth that is fully visible above the gum line. The dentist loosens the tooth using a dental instrument, then removes it with forceps. Done under local anaesthesia and typically straightforward.
Surgical extraction — Required when a tooth has not fully erupted, is broken at the gum line, or has curved roots that make simple removal difficult. A small incision is made in the gum and, in some cases, a small amount of bone is removed or the tooth divided into sections. Wisdom tooth surgery is the most common example of a surgical extraction..

What to do after an extraction

Do not smoke for at least 24 to 48 hours — smoking is the main risk factor for dry socket and significantly slows healing.
Do not drink through a straw for the first 24 hours.
Do not rinse vigorously or spit forcefully on the day of the extraction.
Avoid hot food and drinks on the day of the procedure.
Avoid vigorous exercise for the first 24 to 48 hours, as increased blood flow can promote bleeding.
Do not poke the socket with your tongue or fingers — allow it to heal undisturbed.
Bite firmly on the gauze pad placed over the socket for at leas t60 minutes to help a blood clot form.

How Much Does a Tooth Extraction Cost?

The cost depends on whether the extraction is simple or surgical, and the complexity involved. Surgical extractions such as impacted wisdom tooth removal are more involved and priced accordingly. We provide a written quotation at your consultation. Please contact us to arrange an assessment.

Surgical wisdom tooth removal is claimable under MediSave for eligible Singaporeans and Permanent Residents. Simple extractions and non-surgical removals are generally not MediSave claimable. Contact us to find out more about your eligibility.