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Tooth Extractions

The need for a tooth extraction can come unexpectedly for some patients resulting in the need for last minute appointments and after hours care. Paramount Dental Sydney offers an emergency after-hours service for patients requiring immediate tooth removals. At other times, the need for an extraction will be detected during your general checkup and taken care of immediately.

Even the thought of having your tooth out can cause great to distress to many people but please don’t be alarmed, we only extract your tooth if absolutely necessary and with your approval. All of our practitioners at Paramount Dental Sydney are committed to providing the best dental care in Sydney, with a focus on what is best for your ongoing dental health.

Tooth Extractions



Many factors can influence the need to extract a tooth or several teeth; here are the main reasons.

Tooth Decay

Bacteria, sugary food and drinks as well as poor dental hygiene can result in advanced tooth decay. This happens when the nerves and blood vessels in the tooth have been infected.

Orthodontics (Braces)

During teeth straightening treatments teeth can erupt unexpectedly. Occasionally this requires an extraction to allow your other teeth to align correctly.

Periodontal disease

Gum disease that has advanced in to periodontal disease results in infection under the gums. Over time the disease worsens and causes the bone anchoring the tooth to the jaw to dissolve and teeth to loosen.

Impacted Wisdom Teeth

Sometimes wisdom teeth just don't fit in our mouths and become stuck, causing infection and pain.

Medical Conditions & Treatments

  • Radiation to the upper body can cause infection which may result in the need for an extraction of teeth to avoid further complications.

  • Chemotherapy increases the risk of oral infection as the immune system weakens during treatment.

  • Medications prescribed after organ transplant increase the likelihood of tooth infection. Teeth may need to be extracted prior to the organ transplant.


When you visit our surgery we do a thorough examination as well as taking x-rays to determine the best way to extract your teeth. There are two possible procedures: simple extractions and those requiring surgery.

Simple Extractions

When the tooth can easily be removed. Here is what happens:

  1. We give you a local anaesthetic to numb the tooth and gums.

  2. The tooth or teeth are removed with forceps. You will feel pressure but no pain.

  3. A swab or gauze is placed where the tooth was extracted to stop any bleeding.


Surgical Extractions

When a tooth is impacted (or stuck) below the gum or when a simple extraction has resulted in complications, such as a tooth fracturing in to smaller pieces requiring a surgical procedure. 

  1. A local anaesthetic is given.

  2. An incision is made in to the gum in order for it to be pulled back and expose the tooth or roots.

  3. The tooth is then extracted.

  4. A swab or gauze is placed where the tooth was extracted to stop any bleeding.



  • Be careful not to bite your tongue or cheek while the anaesthetic is wearing off.

  • Try not to touch the area with your tongue or hands.

  • Don’t consume alcohol or smoke for at least 24 hours to allow healing and prevent dry socket.

  • Avoid rigorous activity for several days, and any cleaning should be done gently.

  • Avoid hot drinks and foods, crunchy foods, seeds, small grains and soft drink for at least three days.


  • If bleeding re-occurs place a clean tissue in the area and bite down gently to apply pressure and stop the bleeding.

  • Take a gentle pain reliever if pain returns but please don't take aspirin as this will cause bleeding.

  • If you experience prolonged pain you may have developed dry socket and should contact us for follow-up treatment.

After Procedure Care factsheet for
Tooth Extractions


  1. Please follow our after procedure care tips to avoid developing dry socket or other complications.

  2. Good oral hygiene is the best way to prevent infection from tooth decay and periodontal disease.


From $200
Several factors can vary and increase the cost of treatment, including:

  • The position of tooth in your mouth

  • The amount of nerves in the tooth

  • The curvature of the roots of the teeth

  • The degree of difficulty during the procedure

  • If decay or infection is worse than first thought; there are some things we cannot see until we take a look inside