When tooth extraction comes up in Bursa, the most common questions tend to be the same: “Will it hurt a lot? How long does it take? Can dry socket occur? When can I return to work?” As an oral and maxillofacial surgeon, my purpose is to clarify that extraction is always considered the last option, but when necessary, we perform it in the safest and most comfortable way possible. This guide provides a clear roadmap for patients in and around Bursa who are considering tooth extraction—when it is needed, how the procedure works, how we control pain, how to speed up healing, and how to avoid common mistakes.

Why Is Tooth Extraction Necessary?

Our priority is always to preserve every tooth in function. However, in some cases, extraction becomes the most appropriate long-term option for oral health:

1. Advanced decay that cannot be restored
2. Root fractures, especially vertical root fractures
3. Persistent pain or infection due to failed root canal treatment
4. Significant bone loss caused by periodontal (gum) disease
5. Extractions planned for orthodontic space management
6. Wisdom teeth: partially/fully impacted, recurrent pericoronitis, decay or resorption of the adjacent tooth
7. Suspicion of cysts or tumors requiring surgical intervention

The decision is never made from a single symptom. Clinical examination + panoramic X-ray and, when needed, CBCT (3D imaging) guide the process. For lower wisdom teeth, CBCT greatly improves accuracy when assessing proximity to the mandibular canal (inferior alveolar nerve).

The “Oral Surgeon Bursa” Difference: What Do We Do Differently?

The advantage of oral and maxillofacial surgery is the ability to manage complex roots, angled positions, nerve-adjacent wisdom teeth, and sinus-close upper molars using predictable, tissue-friendly techniques.

Our clinical approach:

1. Personalized planning: Medical history (medications, chronic conditions) + imaging
2. Atraumatic technique: Minimal bone removal, planned root sectioning, low-heat instruments, abundant irrigation
3. CBCT-guided surgery: Millimetric assessment of nerve/sinus distance to avoid unnecessary trauma
4. Sedation options: For patients with anxiety, gag reflex, or multiple extractions
5. Written post-op protocol: A clear day-by-day home-care schedule for the first 7 days

“Will It Hurt?” — Pain Control & Sedation

Extractions are performed under local anesthesia. You may feel pressure or vibration, but no pain during the procedure.

For patients with high anxiety, sedation is an option. Sedation does not shorten time, but it makes the entire experience significantly more comfortable.

Post-operative sensitivity in the first 24–72 hours is normal and well-controlled with anti-inflammatory medication, cold application, and elevated head position during sleep.

On the Day of Surgery: Step-by-Step

1. Pre-op check: Review imaging, discuss remaining questions, complete consent
2. Anesthesia / Sedation: Based on your comfort plan
3. Surgery: Atraumatic extraction, root sectioning if needed, minimal bone removal
4. Clot & sutures: To reduce dry socket risk and stabilize healing
5. Written instructions: Ice, medication timing, diet, hygiene, follow-up

Simple extractions typically take 10–15 minutes; complex/impacted wisdom teeth may take longer.

Wisdom Teeth Removal: The Bursa Approach

Wisdom teeth are the most commonly extracted teeth.

Partially erupted wisdom teeth often cause food trapping, bacterial growth, and recurrent pericoronitis.

Completely impacted, symptom-free wisdom teeth may be monitored when appropriate.

If the tooth is close to the nerve, CBCT planning is essential.

In selected high-risk cases, coronectomy (removing only the crown, leaving the roots) may reduce nerve injury risk.

Atraumatic surgery and the use of piezosurgery can reduce swelling and improve healing.

7-Day Post-Extraction Healing Plan

Day 0–1 (First 24 hours)

1. Ice: 20 minutes on / 20 minutes off
2. Head elevated
3. No spitting, no straws
4. Avoid hot/spicy foods
5. Take medications on schedule—do not wait for pain to escalate

Day 2–3

1. Swelling peaks—this is normal
2. Continue soft, cool foods
3. Gentle oral hygiene begins after 24 hours

Day 4–7

1. Sensitivity decreases
2. Bruising fades
3. Sutures removed between days 5–7
4. Gradual return to normal eating

Golden Rules

1. No smoking/nicotine or alcohol for at least 72 hours (ideally 1 week)
2. No strenuous exercise for 7–10 days
3. Avoid small-seeded foods (sesame, rice, nuts)
4. Do not touch the extraction site with your tongue or fingers

Dry Socket: What It Is & How to Prevent It

Dry socket occurs when the blood clot dislodges, leaving bone exposed—causing severe pain between days 2–4.

Symptoms: pain radiating to ear/temple, foul taste/smell.

Risk factors:

1. Smoking/vaping
2. Straw use
3. Forceful spitting
4. Vigorous mouth rinsing in the first 24 hours
5. Touching the area

Prevention: Follow the pıhtı-protecting rules and medication plan strictly.

If it occurs, home remedies rarely help—professional medicated dressings provide fast relief.

“How Long Does It Take? When Can I Return to Work?”

1. Simple extraction: 10–15 minutes
2. Return to work: 1–2 days for office jobs
3. Exercise: Avoid 7–10 days
4. Social activities: Keep first 24–48 hours calm

Antibiotics, Painkillers & Special Situations

1. Antibiotics: Not routine—based on infection risk and clinical findings
2. Pain control: Follow the prescribed regimen; do not adjust doses yourself
3. Blood thinners: Extraction must be coordinated with your physician
4. Diabetes/other systemic conditions: Good medical control improves healing

Frequently Asked Questions

Can all extractions be done in one session?

Yes, depending on imaging and your general health—2–4 teeth may be removed in one visit.

Is bad breath normal after extraction?

Mild odor is common for a few days. Strong, worsening odor with pain may indicate dry socket.

When can I eat foods with seeds?

Usually after 1 week.

Convenience for Bursa & Surrounding Areas

Our clinic offers easy access from Nilüfer, Osmangazi, Yıldırım and nearby districts, with fast appointments and close follow-up. At the first consultation, we evaluate whether extraction is truly necessary and discuss all alternatives and your personalized healing plan.

Right Planning, Comfortable Experience

Tooth extraction does not have to be a painful or stressful procedure. With accurate diagnosis, CBCT-assisted planning, atraumatic surgical techniques, and a clear home-care protocol, the entire process becomes far safer and more comfortable than most patients expect.