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  • Milltown Centre, Bóthar Bhaile an Mhuilinn
    Dublin, Dublin 6

Tooth Extractions

Dental extraction is needed when a severely damaged tooth becomes irreparable. It has two types: simple extraction and surgical extraction.

A simple extraction is performed on a tooth with intact tooth crown above the gum line. It involves loosening of the tooth from the bone with the use of hand instruments to facilitate easy removal of the tooth from the socket.

On the other hand, surgical extraction is necessary when there’s little, or no tooth structure can be seen above the gum line such as having root fragments or impacted tooth. Surgical extraction is a more invasive procedure than a simple extraction. It is a method where a tooth is removed by doing an incision, retracting the gums (flap), and removing part of the bone.  Don’t feel anxious, local anaesthesia or sedation will be administered for this procedure to be painless!

Our Motto

Our Aim is to provide a friendly professional environment where you can avail of the best Dental Treatment in Dublin.

— Dr Thomas Munroe
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Do I need to get my tooth removed?

When do I need a Surgical Extraction?

At Milltown Dental Clinic we always aim to save your teeth and restore them.   Sometimes this is not possible and the tooth needs to be removed.  Here are some cases which may indicate a need for surgical extraction:

  • You have a severely damaged tooth that is non-restorable with a tooth filling, crown, or root canal treatment and has little to no tooth structure left above the gum line.
  • A radiograph revealed that there is a permanent tooth which failed to erupt in the jaw or impacted tooth.
  • Simple extraction can end up with a surgical extraction when a tooth breaks off into parts during the procedure.
  • Tooth ankylosis or a condition wherein the tooth fused to the bone.
  • Tooth with long, curved, or crooked roots. Forcing to remove the tooth with long, curved, or crooked roots through simple extraction can lead to tooth/bone breakage which delays healing.

Tooth that can be saved vs Tooth that needs to be removed

When Removal is more beneficial

The dentist will analyse whether the tooth can be repaired or must be removed using diagnostic tools such as radiographs. A tooth is considered salvageable when there is enough tooth structure to support dental restorations and a healthy bone around it.

For instance, a severely damaged tooth with little tooth structure left is almost impossible to hold a restoration properly. Thus, removal of the tooth is the best option. Another example of a tooth that needs to be removed is a horizontally impacted wisdom tooth that causes severe pain and damage to the tooth beside it. An impacted tooth has no function at all; thus removal is appropriate.

What if nothing is done?

What are the complications if nothing is done?

You might think that problems in the mouth would not affect your overall health. Certain conditions (i.e. Tooth abscess), if left untreated, can cause a negative impact on your overall health. For instance, an abscess from infected upper tooth can cause cheek swelling, brain abscess, or sinus infection while an abscess from infected lower tooth can spread and cause swelling of the lower jaw (Ludwig’s Angina) which can obstruct the airway.

Since each tooth has blood vessels and nerves connected to the main circulatory system, there are higher chances of infection spreading to the heart and lead to a condition called endocarditis.

It’s better to repair damaged or infected tooth when it’s still treatable or remove it if untreatable already than wait for it to worsen and cause life-threatening problems.

Procedure of an Extraction

How a Tooth is removed

The dentist will start by administering local anaesthesia to numb the tooth and gums. In some cases, anxious patients have the option for sedation. Once the local anaesthesia is potent already, the dentist will do an incision in the gums and make a flap or retract it away from the bone. If the tooth to be removed is covered with bone, a minimal amount of bone will be drilled to have access to the infected tooth.

Once the dentist has complete access to the tooth, it will be removed using different hand instruments. After the tooth has been completely removed, the dentist will irrigate the site with a solution to remove debris and infection. And lastly, the dentist will bring back the gums to its normal position and stitch it in place to promote better healing.

  • review rating 5  I got an implant from a Milltown dental. This is a very professional top class operation. I was very happy with the process and outcome. The dentist and staff and good people and easy to get on with. It was also good value as I shopped around. Would recommend.

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  • review rating 5  Just back from a treatment. They are absolutely professionals I was happy with my treatment no pain after will recommend 👍

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  • review rating 5  Excellent service from this clinic from start to finish. Delighted with the outcome. Would highly recommend.

    thumb Laura Mulcahy
  • review rating 5  I've attended Milltown Dental Clinic for a number of years.  Over this time I"ve had fillings, veneers and an implant and I am very happy with the results.  I have full confidence in Dr Tom Munroe. He is professional and always puts me as ease and explains each procedure in advance.  The clinic itself is excellent and the staff are very friendly. I highly recommend Milltown Dental Clinic and Implant Centre.

    thumb Orla Callery
  • review rating 5  Afraid to go to the dentist? Well you shouldn't be, I had been to a couple of dentists before Dr. Tom was recommended to me & I can safely say he is the best dentist I have been to. The care and attention to detail that Dr. Tom provides is second to none. I had been to one dentist, whom had carried out a root canal procedure, this treatment was a disaster, the root was not successfully removed, with Dr. Tom's guidance I had the tooth removed and a bone graph inserted. Since then I have had a dental implant inserted and the attention to detail during that procedure was first class. I have recommended Milltown dental to a customer of mine without a moments hesitation & I will do so in the future. I will use Milltown dental in the future due to the attentiveness from Dr & staff alike.

    thumb Aidan Mceneff

Benefits of Surgical Extraction

After Effects of Dental Crown treatment

After the procedure, a numbing sensation is felt until the local anaesthesia completely wears off. It may take some time to get used to permanent crowns. You might feel something “different” when talking or eating. However, after a little time, the crown should look and feel normal like a regular tooth.

Benefits of Surgical Extraction

Having a tooth removed professionally is important for many reasons.  Also if a tooth is impacting other surrounding teeth, the extraction may be more complicated. Having a tooth removed in a professional surrounding has many benefits.

  • The dentist has a better vision of the surgical site.
  • There is less trauma to the jawbone and soft tissue which speeds up healing.
  • The dentist will be able to remove complicated cases like an ankylosed tooth (fused to bone) with less force and less damage to the bone.
  • The dentist will be able to remove an impacted tooth.

After Care

After Care of Surgical Extraction

With surgical extractions, you’ll have one or more stitches in the surgical site. It is very important for you to follow the dentist’s aftercare instructions such as:

  • Bite down on gauze pad provided by the dentist for 30 minutes after procedure to control bleeding
  • Apply an ice bag to the cheeks of the treated side after the procedure. Apply ice for 10 minutes every hour for the first.
  • Take prescribed antibiotics and pain relievers on time. Do not stop taking antibiotics earlier than the number of days prescribed by the dentist.
  • No strenuous activities are allowed for the next 5-7 days after the surgery.
  • Keep your head elevated using at least two pillows high for the first two nights. Do not sleep on the surgical side.
  • Avoid hot food and beverages.
  • Avoid eating hard and raw food.
  • Do not take any alcoholic beverage while taking medications.
  • Smoking after surgery is prohibited. It may cause delayed wound healing, possible bleeding and infection.
  • Keep up with your home oral hygiene. Brushing is allowed, but avoid scrubbing the surgical site. If you need to gargle, let the fluid flow from side to side and allow it to drip. Do not spit hard.

Possible or Expected Side Effects

Side Effects of a Surgical Extraction

A problem called dry socket develops in 2%-5% of people who had a surgical extraction. Dry socket is when the blood clot at the surgical site fails to develop or dislodges by gargling. Blood clot serves as a protective layer over the underlying bone and nerve endings. Dislodgement of blood clot will expose the surgical site where food debris gets stuck and can cause severe pain and bad odour.

Nerve injury is also an example of a possible complication if the tooth removed is near the surgical site. It is rare, but if it happened, it is usually temporary.

If the tooth removed has an opposing tooth, the tooth above or below will likely move out of the socket after some time. Hence, the importance of replacing an extracted tooth with a prosthesis immediately.

25% of adults only visit their dentist when they have a problem.

  • 25% of adultsonly visit their dentist when they have a problem.
  • Regular Dental visitors

A whopping 74% of all adults have had to have a tooth extracted. (nationalsmilemonth.org)

General Dentistry pricing

Restorative Treatments

  • Extraction
    from €130
  • Surgical Extraction
    from €90
  • Root canal front tooth
    from €300
  • Root canal premolars
    from €400
  • Simple X-ray
  • OPG full mouth scan
  • Dental exam including X-rays

General Dental Treatments

  • Periodontal root planing per arch
    from €90
  • Dental Crown
  • EMax cosmetic crowns (front tooth) from
  • White Filling one surface
  • White Filling two surface
  • Large Filling with core

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  • Our Location

    Dublin 6

    Our State of the art clinic is located in the heart of Dublin, in the Dublin 6 region.  There is ample parking available and the clinic is in a beautiful location.

    For example we are located only 15 minutes from Stephens Green, and 9 minutes from University College Dublin.

  • Opening Times

    • Business Hours

      Monday, Wed, Thursday: 8:30 – 5:30
      Tuesday, Friday: 8:30am – 1pm

    Emergency Dental Service

    As stated above, we are open Monday 8.30am-5.30pm, Tuesday 8.30am-1pm, Wednesday 8.30am-5.30pm, Thursday 8.30am-5.30pm, Friday 8.30am-1pm.  Adding to that, if you have a dental emergency, please call our emergency number on 086-8012940
  • Dental Extraction Dublin

    Tooth Removal Dublin

    Whether you are new to Dublin, just moved to the Dublin 6 area, or have lived here all you life, you are welcome as a new patient at Milltown Dental Clinic.  Getting a tooth pulled can seem like a daunting procedure, but it is very common, and we are here to help.  Our focus is to ensure we do our best to restore and save your teeth, by fillings, root canals, crowns or whatever other method necessary.  If the tooth needs to be removed, we will do it gently and without pain.  If you are nervous about the dentist, we provide sedation to ensure your visit is stress free.  We constantly analyse our prices to make sure that they are affordable for everyone with our family and friend referral schemes.