What is the Difference Between Simple and Surgical Extraction?
While saving your natural teeth is always a dental priority, there are still cases when a tooth must be extracted. A tooth extraction may be necessary if a tooth is extremely damaged or decayed and will no longer support a restoration like a crown or filling.
Frequent reasons for a tooth extraction include decay, trauma, crowding, gum disease, and impacted wisdom teeth. Based on the position and condition of the tooth, you will have a simple or surgical extraction.
The Difference between Simple and Surgical Teeth Extractions
When your dentist determines you need a tooth extraction, they will examine your tooth to determine the method of extraction. Common differences between simple and surgical extractions are:
- Procedure- A simple extraction is a common procedure of removing a tooth. A simple extraction is used to remove a tooth that is visible above the gum line. The dentist uses an elevator and forceps to loosen and remove it from the socket.
A surgical extraction is a more complex procedure of removing a tooth below the gum line. The dentist will make an incision through the gum tissue and sometimes even remove a little bone to access the tooth. The tooth might need to be broken into pieces for easier removal.
- Type of anesthesia- Since a tooth extraction can be uncomfortable, the soft tissue will be numbed to prevent any discomfort during the procedure. Simple extractions are quick and straightforward, so they are usually always performed with local anesthesia, which is when your dentist injects a numbing agent into the gums immediately around the tooth.
With a surgical extraction, the dentist might either use a local anesthesia or general anesthesia, based on the expected complexity of the procedure. General anesthesia could be added to help you relax, feel no discomfort, and even put you to sleep. You will not have any recall of what happened during the procedure.
- Recovery- A simple extraction is less invasive, so therefore you will only experience minor side effects like some bleeding, swelling, and a little discomfort after the procedure. By following your aftercare instructions, these side effects will disappear in a few days.
With a surgical extraction, the recovery is longer since the procedure requires an incision and sutures. You might experience some discomfort or swelling around the extraction area for a few days. Following the post-extraction instructions will enhance your speedy recovery and lower the risk of any complications.
- Risk and complications- Due to the nature of a surgical extraction it will carry a higher risk of complications such as infections, pain, damage to adjacent teeth and tissues, inflammation, and bleeding. Simple extractions have fewer risks, like dry mouth and pain.
- Cost- Your extraction cost will depend on the complexity of the procedure. A surgical extraction will cost more than a simple extraction. You can ask your dental office to determine how much your extraction might cost.
Which Extraction is Right for You?
Your dentist will examine your tooth and determine which procedure is best to remove it. Most often, if the tooth is visible and accessible above your gum line, a simple extraction will be the choice. If the tooth is impacted or broken under the gum line, a surgical extraction will be necessary.