Tooth Extraction in Malvern East
A tooth extraction is the removal of a tooth from its socket. Preserving a natural tooth is generally considered where appropriate, but removal may be recommended when a tooth cannot be predictably restored or when retaining it would create ongoing problems.
At The Tooth Doctor, we examine the tooth, review relevant radiographs and explain the reason for any recommendation. You will have an opportunity to discuss alternatives, expected recovery, material risks and options for replacing the tooth.
CALL (03) 9569 3221
Why might a tooth need to be removed?
Extensive decay or loss of tooth structure
A severe crack or fracture
Advanced gum disease and inadequate support
Persistent infection where other treatment is unsuitable or has not succeeded
Impacted, infected or problematic wisdom teeth
A retained baby tooth or tooth obstructing planned treatment
Orthodontic or prosthetic treatment planning
Assessment and consent
Your dentist will ask about your medical history, allergies and medicines, including anticoagulants, antiplatelet medicines, osteoporosis medicines and supplements. Do not stop prescribed medication unless instructed by the clinician who manages it.
The tooth and surrounding tissues
Root shape and position
Nearby teeth, nerves and sinus anatomy
Infection, swelling and mouth opening
Whether a simple or surgical approach may be needed
Whether referral to an oral surgeon or specialist is appropriate
What happens during an extraction?
Local anaesthetic is commonly used to numb the area. The tooth is loosened and removed using instruments appropriate to its position and condition. A surgical extraction may involve a small incision, removal of some surrounding bone or dividing the tooth into sections. Stitches may be placed where required.
You may feel pressure and movement, but tell the clinician if you feel sharp pain.
The length and complexity of treatment vary.
Sedation or hospital-based treatment may be discussed or referred when clinically appropriate.
Risks and possible complications
Your individual risks will be explained before treatment. Possible complications include pain, swelling, bruising, bleeding, infection, delayed healing, dry socket, damage to nearby teeth or restorations, retained root fragments, sinus communication and altered sensation where nerves are nearby. Further treatment or referral is occasionally required.
Aftercare
Bite firmly on the gauze for the period advised.
Avoid vigorous rinsing, spitting, smoking, vaping, alcohol and strenuous exercise during the initial healing period.
Choose cool or lukewarm soft foods and avoid disturbing the socket.
Use pain relief only as directed and check suitability with your dentist, doctor or pharmacist.
Begin gentle cleaning as instructed and attend any recommended review.
When to contact us
Contact the practice if bleeding does not settle with firm pressure, pain is severe or increasing, swelling worsens after the expected early period, you develop fever or feel unwell, or you are concerned about healing. Call emergency services for difficulty breathing, rapidly spreading swelling or another medical emergency.
Frequently asked questions
Can a tooth be saved instead?
Sometimes. Depending on the diagnosis, alternatives may include a filling, crown, periodontal treatment, root canal treatment or specialist assessment.
How long does healing take?
Early soft-tissue healing commonly occurs over the following weeks, while deeper bone remodelling continues for longer. Healing varies with the procedure, site, health and smoking status.
Do I need to replace the tooth?
Not every space must be replaced. The effect on chewing, appearance, bite and neighbouring teeth should be considered. Options may include an implant, bridge or denture.
Can I drive after an extraction?
After local anaesthetic alone, many people can drive, but this depends on how you feel and the complexity of treatment. You must not drive after sedation until the stated restriction has passed and a responsible adult may be required.
Should I stop blood-thinning medication?
Do not stop it on your own. Your dentist will assess bleeding risk and may liaise with your prescribing clinician.
Arrange an assessment
Visit The Tooth Doctor at 221 Waverley Road, Malvern East VIC 3145. Call (03) 9569 3221 to arrange an appointment. Treatment recommendations and fees are provided after an individual assessment.
Related treatments
This information is general and does not replace an individual dental assessment. Suitability, risks, alternatives and treatment recommendations depend on your examination, health history and diagnosis.
Clinically reviewed by Dr Jim Androutsopoulos - July 2026.