Teeth may need to be removed for a variety of reasons. This is one area of dentistry that tends to cause a great deal of anxiety among patients. After all, a nasty extraction can often leave a person with a life-long phobia of dental treatment.

Here at Colm Smith Dental in Cootehill, we have developed a great practice strategy for the management of patients that require removal of a tooth or several teeth. All patients requiring extractions can be assured of an experience that is minimally traumatic for them, as well as receiving comprehensive after care.

For more challenging extractions and wisdom teeth, Chris Bell our Oral Surgeon, visits the practice on a regular basis and is happy to perform even the most difficult of extractions with the minimum amount of trauma to the patient.

For nervous patients or those requiring more extensive surgery, Intravenous Sedation is also offered at the practice. This helps to relax the patient and allows extraction(s) to be carried out with a minimal amount of anxiety to the patient.

Our oral surgery team are happy to accept referrals from colleagues in the surrounding counties, for patients who are nervous or require more challenging extractions.

Post-Operative Care:

Eating & Drinking.

We advise a soft diet after having a tooth removed. Take care to ensure that food does not become trapped in the socket where the tooth was. Please avoid consuming any alcohol or hot after the extraction, especially if the local anesthetic effect is still present.


Do NOT repeatedly rinse your mouth out after your extraction. A blood clot forms in the socket where the tooth was; frequent rinsing will tend to dislodge this clot and the socket will start bleeding.
24 hours following the extraction, you should rinse your mouth with warm salty water (a half teaspoon of salt in a warm glass of water). Repeat this 3-4 times a day after meals


Please continue to brush your teeth as normal. Take care not to disturb the healing socket.


If bleeding occurs after leaving the surgery, please do the following:
– Roll a handkerchief / tissue into a small pad (about the thickness of your finger).
– Place it over the bleeding socket and bite down on it for 20-25 minutes. If after this period, bleeding is still occurring, please contact the surgery immediately.
(Bear in mind that minor oozing from the extraction site can occur for up to 24 hours after having the tooth removed.)


You should expect to have some swelling after the extraction. This can take upto 10 days to resolve in some cases.


We strongly recommend that you avoid cigarettes and other tobacco products for the 24 hours following the extraction. Cigarette smoke can delay or prolong the healing of the extraction site, and in some cases, can increase the risk of post operative pain (Dry Socket).

Pain Control.

You should expect to have some discomfort following an extraction. If you think you may require pain killers, please ask one of the dentists at the practice.


If you have had stitches (sutures) placed after an extraction, please do not touch them or pull at them. You should return to us one week after the extraction to have these stitches removed unless dissolvable stitches were placed. Your dentist will tell you this.

Local Anaesthetic.

The type of anaesthetic used by dentists can leave your lip and other soft tissues numb for up to 4 hours. Please be extremely careful not to bite your lip or cheek during this time period. (This is especially important for parents to take note of if their child has had local anaesthetic.)
In addition, take care not to burn yourself with very hot drinks – you will not realise what has happened until after the anaesthetic effect has worn off.

Wisdom Teeth

Wisdom teeth are known as the third molars. They are the last molar teeth to develop which usually grow at the very back of the upper and lower jaw bones, one at each ‘corner’ of the mouth.

Sometimes there may not be room in your mouth for your wisdom teeth and, as they start to come through, they push against the teeth already there or may start to come through at an angle. These teeth may become infected or damage adjacent teeth and in these cases will require extraction. When this happens, you might feel some pain or discomfort, so the best thing to do is to visit your dentist.

The dentist may take an x-ray of your mouth to see how, or if, your wisdom teeth are coming through. From this, they will be able to make a judgement on whether or not to take them out, and how easy or difficult it might be. Extractions can also be done under sedation. These extractions are carried out under Intravenous Sedation by our Specialist Oral Surgeon, Mr.Chris Bell.