HOW TO SET UP FOR EXTRACTIONS

How to Set Up for a Tooth Extraction Procedure

A tooth extraction is a dental procedure in which a tooth is removed from its socket in the jawbone. Proper setup ensures the procedure is done safely, efficiently, and with minimal complications. Below are the steps to prepare for a tooth extraction.

1. Patient Preparation

✅ Medical History Review:

• Check for medical conditions like diabetes, heart disease, or bleeding disorders.

• Ask about medications (especially blood thinners).

• Note any allergies to anesthesia or antibiotics.

✅ Pre-Procedure Instructions:

• Fasting: If sedation is used, the patient may need to avoid eating for 6-8 hours before the procedure.

• Pain Management: The dentist may prescribe painkillers or antibiotics beforehand if necessary.

• X-rays: Take recent dental X-rays to assess the tooth’s position and root structure.

2. Sterile Setup & Equipment Preparation

Basic Dental Tools:

• Mouth mirror

• Explorer (probe)

• Cotton pliers

Extraction Instruments:

• Elevators: To loosen the tooth (e.g., Periosteal Elevator, Straight Elevator)

• Forceps: To grip and remove the tooth (types vary based on tooth location)

• Surgical Curette: To clean out the socket after extraction

Surgical Tools (if needed):

• Scalpel and blades (for surgical extractions)

• Bone file or rongeur (to remove bone if needed)

• Sutures and needle holder (if stitches are required)

Anesthetic & Medications:

• Local anesthesia (e.g., Lidocaine, Articaine)

• Hemostatic agents (to control bleeding)

• Gauze and cotton rolls

• Saline or antiseptic solution

Additional Equipment:

• Suction device

• Retractors (for better visibility)

• Sterile gloves and masks

3. Setting Up the Operatory (Treatment Room)

✔ Chair Positioning:

• Adjust the dental chair reclined at 45-60 degrees.

• Ensure proper head and neck support for the patient.

✔ Lighting:

• Overhead light should be directly focused on the mouth.

✔ Sterile Field:

• All instruments should be sterilized and laid out on a clean tray.

• Use barrier protection (gloves, masks, disposable covers).

✔ Emergency Preparedness:

• Keep oxygen and emergency medications (epinephrine, antihistamines) nearby in case of allergic reactions.

4. During the Procedure

• Apply Local Anesthetic: Numb the area around the tooth.

• Loosen the Tooth: Use elevators to separate the tooth from surrounding tissues.

• Extract the Tooth: Use forceps to gently remove the tooth.

• Control Bleeding: Place sterile gauze on the extraction site.

• Suture (if needed): If an incision was made, use dissolvable stitches.

5. Post-Extraction Care & Cleanup

Patient Aftercare Instructions:

• Bite down on gauze for 30-45 minutes to stop bleeding.

• Avoid rinsing, spitting, or using a straw for 24 hours.

• Apply ice packs for swelling.

• Eat soft foods (soups, yogurt) for a few days.

• Avoid smoking or alcohol to prevent dry socket.

Clean Up & Disinfect:

• Dispose of used materials properly.

• Sanitize instruments and dental chair.

• Document the procedure and patient’s response.