How Long Do Tooth Extractions Take

| Updated:
Reading Time: 6 min
0 Comment
Dentist performing a procedure on a patient

If you are someone who is generally anxious about dental visits, a tooth extraction can be an especially unwelcome prospect for you. Naturally, you would want this procedure to be over in the blink of an eye. So, how long does it take to pull a tooth? An extraction can take anywhere from 20 minutes to an hour or more.

In this blog, we will take a look at the extraction process, how long it takes to remove a tooth, factors that affect the extraction time, and why teeth need to be pulled in the first place.

How Long a Tooth Extraction Takes: Step-By-Step Guide

When people ask how long it takes to get a tooth pulled, they are often picturing the entire visit and not just the moment the tooth comes out. So, let’s break down the entire appointment.

Preparation

Your dentist might request X-rays in advance, or they may review them after you arrive for your appointment. Once you are reclined comfortably in the dentist’s chair, a local anesthetic will be administered. It typically takes 10 to 15 minutes for the anesthesia to take full effect. The area must go fully numb before anything else happens. If you are a particularly anxious person, your dental practitioner might apply a topical agent to the site, so you don’t even feel the pain of the anesthesia injection going in.

Extraction

This is the most critical part. If it’s a simple case, the dentist loosens the tooth and removes it within minutes. In these situations, the time it takes to remove a tooth is surprisingly short, sometimes just 5 minutes. If it’s a surgical extraction, it can take up to half an hour or more.

Post-Extraction

After your tooth has been safely and successfully removed, it is time for post-extraction care. A gauze bandage is placed in the empty socket, the site is monitored for bleeding, and instructions are given. Add another 10 minutes for all of this.

If you are on the lookout for practical recovery advice or just dealing with a general toothache, you can check out our guide on how to relieve pain at home for simple, dentist-approved tips.

Factors Affecting Tooth Extraction Time

Under ideal conditions, it should not take long to remove a tooth. But more often than not, extractions are complicated by a variety of factors. The time it takes to pull a tooth is determined by:

Tooth Location

A tooth’s location determines how long a tooth extraction is and how complex the procedure will be. Molars, especially wisdom teeth, have multiple roots and tend to take longer. The shape and number of roots are another complicating factor. If the operation involves curved or fused roots, you can expect things to slow down a fair bit.

Jaw Bone Density

Bone density varies from person to person, and can affect extraction times. The denser the jawbone, the more challenging the procedure and the longer it takes to pull a tooth.

Tooth Condition

If the tooth to be removed is infected or showing signs of inflammation, it adds time to the process, as the surrounding tissue is more fragile.

Patient Differences

Lastly, individual patient factors influence the duration of a tooth extraction as well. If a person is showing signs of anxiety, has difficulty opening the mouth, or is struggling with a gag reflex, all of it can affect how long a tooth extraction takes.

Surprisingly enough, your perception of the time it takes for an extraction can also be shaped by how much pain you felt during the procedure. Irrespective of the actual time, if you were anxious, it might feel as though it took longer than it actually did.

Why Tooth Extractions Are Necessary

Dentists try their best to save natural teeth even if they’re damaged. An artificial tooth is never a perfect substitute for the real one. However, extractions become necessary when a tooth becomes irreparable. The leading reasons behind tooth removal are:

  • Severe decay
  • Advanced gum disease
  • Dental trauma
  • Overcrowding
  • Impacted teeth

In orthodontics, when preparing for a clear aligner treatment, a tooth might be removed to create space so the remaining teeth can move into healthier positions.

When a dentist recommends an extraction, patients immediately jump to one question. How long do tooth extractions take, and will it be over quickly? The short answer is yes, but the long answer depends on several variables, which we will get into below.

Simple vs. Surgical Extractions

Depending on the condition of the tooth being pulled, it could be a simple or a more convoluted operation.

Simple Extraction: A simple extraction involves a tooth that is visible above the gum line. A dentist usually uses forceps to tug it loose and then remove it. This type is the simplest and only takes 20 to 40 minutes.

Surgical Extraction: Surgical extractions are needed for teeth that haven’t properly erupted, sit below the gum line, or are impacted. In those cases, the dentist makes an incision and sections the tooth into pieces for easy removal. This process can take anywhere from 40 minutes to over an hour.

Even so, surgical cases do not have to mean an all-day ordeal in the dentist’s chair. You can expect one to be completed in under an hour, especially if the clinic is well-equipped and the procedure is performed by an experienced dentist.

Recovery after Tooth Extraction

After a tooth has been removed, recovery starts within 24 hours. Tooth extractions are a relatively quick affair when compared to the time it takes to fully heal. Recovery varies from person to person, but you can expect most discomfort and swelling to go away in two to three days.

It will take another week to two weeks for the complete healing of the extraction site. It is all, of course, dependent on how well you follow the aftercare instructions. Dentists often recommend waiting until the gums have healed properly before starting any orthodontic treatment.

Once healing is complete, options such as ALIGNERCO clear aligners are perfect for aligning teeth gradually and comfortably.

Plan Your Smile after Extraction

ALIGNERCO offers personalized and affordable treatment plans for misaligned and overcrowded teeth.

Explore ALIGNERCO Clear Aligner

When to Call Your Dentist after an Extraction

For most patients, bleeding stops soon after tooth extraction with the formation of a blood clot. Provided that it is not disturbed or dislodged by the tongue, there should not be any more bleeding. Mild swelling is common, but it too goes away in due course. However, if the pain starts to worsen after two to three days or the bleeding does not stop, then you should reach out to your dentist.

Do not ignore signs of infection like fever, pus, or a bad taste that won’t go away. If you notice any of these symptoms or have difficulty opening your mouth or swallowing, it’s always better to contact your dental provider.

Tooth Extractions Are Fast and Crucial for Oral Health

How long a tooth extraction takes is determined by the type of tooth being removed, your dental health, and the skill of the dentist performing the procedure. While timelines can vary, you can expect most extractions to be straightforward. Rare complications aside, removing a problematic tooth is often a necessary step toward better oral health. It can relieve pain, prevent infection, and even support future treatments that improve the overall function and appearance of your smile.

FAQs

1. How long does it take for a dentist to pull out a tooth?

You can expect most simple extractions to take between 20 and 40 minutes from start to finish.

2. How painful are tooth extractions?

If proper anesthesia is used at the site, extractions only involve pressure rather than pain. You will experience a manageable soreness afterward, though.

3. How soon after tooth extraction can I eat?

You can usually eat soft foods within a few hours once numbness is gone. Try to eat on the side opposite to the tooth extraction and ensure eating does not disturb the newly-formed blood clot in the socket.

4. What is the hardest tooth to extract?

Impacted wisdom teeth are generally the most challenging because of their awkward positioning in the back of the mouth and unpredictable root structure.

5. How many days of rest are needed after a tooth extraction?

You can resume your normal activities within 24 hours of a tooth removal. However, the extraction site needs several days to a few weeks to properly heal.

Citations:

NHS. (2024, June 12). Wisdom tooth removal.

href="https://www.nhs.uk/tests-and-treatments/wisdom-tooth-removal/">https://www.nhs.uk/tests-and-treatments/wisdom-tooth-removal/

Gadhia, A., & Pepper, T. (2023). Oral Surgery, Extraction of Teeth. In StatPearls.

Treasure Island (FL): StatPearls Publishing. Retrieved from

https://www.ncbi.nlm.nih.gov/books/NBK589654/

Disclaimer: The information on this website is for general informational purposes only and is not a substitute for professional dental advice. Always consult a licensed dentist or orthodontist for personalized care. Treatment results and timelines may vary and are not guaranteed, as outcomes differ by individual. Testimonials reflect personal experiences only. ALIGNERCO is not responsible for third-party links or products.
Back to blog
  • Meredith Barker

    Meredith Barker

    Content Contributor

    Meredith Barker is a renowned health science and public health writer with a proven track record of delivering insightful content for ALIGNERCO....

    Read More
  • Authored by
  • Dr. Anas Athar

    Dr. Anas Athar

    Medical Reviewer

    Dr. Anas Athar is a highly sought-after orthodontist with nearly two decades of experience in dentistry. He is the only dual-trained Oral and Maxillofacial Radiologist...

    Read More
  • Reviewed By