Tooth Extraction

Why is a tooth extraction necessary?

• Tooth decay: If teeth are severely decayed or broken down, it may not be possible or advisable to restore them with a filling, root canal, or crown.
• Periodontal disease: Advanced gum disease can destroy the bone around the teeth so that they become loose. This damage is irreversible and teeth often need to be extracted because of it.
• Root infection or abscess that cannot be treated with a root canal.
• Fractured, cracked, or split teeth that cannot be repaired may need to be extracted.
• Partially erupted teeth, often wisdom teeth, can cause problems due to recurring infections and may need to be removed.
• Lack of space: Sometimes teeth are removed as part of orthodontic treatment if there isn’t enough room to straighten the teeth otherwise.

Your dentist will assess each case individually to determine the best course of action. This requires a thorough examination and X-rays.

How much does a tooth extraction cost?

The cost of a tooth extraction varies depending on the difficulty of the procedure. A simple extraction is less expensive than a more complex one. You can view an example of costs in our price list. Your dentist can provide an estimate in advance. Note: The cost of the consultation and X-rays is not included in the price. Local anesthesia, follow-up care, and suture removal (if necessary) are included. Health insurance covers the full cost of extractions for children and a large portion of the cost for the elderly and disabled.

Preparing for a Tooth Extraction

• Before the procedure, your dentist will carefully review your medical history and any medications you’re taking. If antibiotics are recommended beforehand, it's important to take them exactly as prescribed.
• Tooth extraction is done under local anesthesia. Talk to your dentist if you’ve had discomfort with anesthesia in the past.
• Let your dentist know if you feel anxious about the procedure. We can provide mild anti-anxiety medication if needed.
• A tooth extraction usually takes 20–40 minutes, but if a surgical procedure is required to remove the tooth, it can take longer and have more noticeable aftereffects. See our section on wisdom tooth surgery, those instructions also apply to surgical extractions.

What to expect after a simple tooth extraction

• There may be slight bleeding during the first 24 hours. Note: even a small amount of blood can tint saliva and make it look like there's more bleeding than there actually is.
• Swelling and pain are common for the first few days but will gradually subside.
• If stitches were used, they may need to be removed about a week later. However, dissolvable stitches are often used, which don’t require removal.
• After the procedure, it’s important to carefully follow post-op instructions.

Aftercare Tips for a Simple Tooth Extraction

• Take it easy for the first two days and avoid physical exertion.
• Eat liquid or soft foods for at least two days, possibly longer. Do not drink through a straw, suction can dislodge the blood clot.
• Take any medications prescribed or recommended by your dentist.
• If bleeding occurs, it’s good to have gauze on hand. Moisten a piece of gauze, place it over the wound, and bite down. Keep pressure for about 30 minutes, lying down during this time helps.
• Use cold compresses if swelling or pain starts to develop.
• Over-the-counter pain relievers like ibuprofen (Ibufen) and paracetamol (Paratabs) work well together. Your dentist will advise you on what’s best for your situation.
• Use antibacterial mouthwash for two weeks if your dentist recommends it.
• Maintain good oral hygiene, but avoid brushing directly on the extraction site for the first few days. Brush away from the wound.
• Smoking and vaping delay healing and significantly increase the risk of complications. Avoid both for the first few days after the procedure.

Contact your dentist if:

• Bleeding continues or a blood clot is forming improperly.
• You experience severe pain that doesn’t subside with painkillers.
• You notice signs of infection, such as fever, pus, or renewed swelling.
• Pain increases 3–5 days after the procedure.
• You experience numbness in the area.
• You have difficulty swallowing or breathing.

Most people recover in 7–10 days after a tooth extraction. The likelihood of complications is greatly reduced if aftercare instructions are followed carefully.

Do you have a toothache or questions about tooth extraction?

At Tannlæknaþjónustan, we are eager to help you, whether you're thinking about your dental health or planning a tooth extraction. Contact us for personalized advice and guidance.