Joe McEnhill

Joe has been working with the team at Belmore Dental since 2005 and has a special interest in oral surgery. In his expert hands even the most complicated extractions become straightforward. Many of our dental extraction patients come to us as referrals from other practices. Talk to your dentist about our referral scheme or if your extraction just cannot wait, we also offer emergency services for serious cases. Contact us now for more information.

There are many reasons why a tooth may need to be removed. Perhaps a baby tooth is in the way of an adult tooth erupting, or it may have been damaged beyond repair, due to an accident or decay. Whatever the reason, you can rest assured, in the safe hands of our expert team at Belmore Dental Implant Clinic.

Although they are one of the most common dental procedures, with millions of them being carried out by dentists every year, it is one of the dental procedures which causes the most dental fear and anxiety amongst our patients.

In the expert hand of our oral surgeon's extractions of all types are extremely quick, painless, and involve only a minimal amount of recovery time if any at all. There really is no reason to worry about having a tooth extracted at Belmore Dental Implant Clinic.

There are two types of tooth extraction - simple and surgical extractions.

A simple extraction is a very straightforward event. Your dentist will numb the area with a local anesthetic and gently probe around the base of the gumline. They will then gently rock the tooth back and forth within its socket to ease in its removal with dental tools known as forceps and elevators. Final removal is usually done with a small tug of the forceps.

Surgical extractions may be needed in some circumstances such as when the crown of the tooth is badly damaged, and the soft tissues around the tooth need some manipulation to allow for the tooth to be removed.

Other situations when a tooth may require a surgical extraction are when:

  • The teeth are very fragile

  • Long or curved roots

  • The teeth are impacted such as with many wisdom teeth

  • High bone density

  • The root tip has fractured

Helpful Advice After an Extraction

Following extraction, the main aim is to allow the socket to form a clot and create a barrier between the bone and the outside world. We hope the following tips help aid in a quick recovery.

  • Take Painkillers at the Right Time

  • Steer Clear of Aspirin

  • Give Your Body a Rest

  • Use Gauze to Control Bleeding

  • Resist the Urge to Panic

  • Always Rinse Very Gently

  • Do not lie flat

  • Use an ice pack if needed

  • Brush around the Extraction Site

  • Eat Soft Foods for 1-2 Days

  • Avoid Picking at or Touching the Wound

  • Avoid Cigarettes and Alcohol for as Long as Possible


How long will it take an extraction to heal?

Everyone is unique, so there is no fixed rule on how long tooth extractions will take to heal. For most people, they will be back to normal within a few days, and the socket will make a full recovery within 3-4 weeks.

My extraction site feels sharp, why?

If you feel a sharp edge in or around the extraction socket, this is usually nothing to worry about. Tiny fragments of the socket can become dislodged during the extraction and make their way to the surface. These should loosen on their own, and you will either safely swallow them or spit them out.

Dry Socket

Some minor pain or discomfort following extraction is entirely normal. However, should you start to experience extreme sensitivity, as opposed to a dull ache or have trouble eating, drinking, and speaking this may indicate that you have a dry socket. This occurs when the blood clot fails to develop, or it dislodges before the wound has healed.

The blood clot forms a protective layer over the underlying bone and nerve endings in the tooth socket. If a blood clot dislodges or fails to form, this exposes the underlying bone and nerves. Resulting in intense pain.

If you do experience a dry socket over the counter medications alone will be unable to treat the condition. You will need to return to your dentist so a medicated dressing can be applied to the socket, and if an infection is present a course of antibiotic may be prescribed.

Symptoms of a dry socket

  • Severe pain after a tooth extraction

  • Blood clot lost from the extraction site

  • Visible bone in the socket

  • Radiating pain from the socket to your ear, eye, temple or neck

  • Bad breath or an unpleasant taste in your mouth

Wisdom Teeth

Wisdom teeth are the last teeth to emerge and are found at the back of your mouth if they come through at all. They normally begin to appear between the ages of 17 to 21 and some can cause issues, because in most cases there isn’t enough room in the mouth for wisdom teeth to grow properly.

If there is a lack of space the teeth may come through at an angle or are only partially able to push through the gum. This is what is known as an impacted wisdom teeth, and in most cases, these impacted wisdom teeth will need to be removed.

If you are experiencing severe pain or discomfort from your wisdom teeth, then you should make an appointment to see your dentists as soon as possible.

Wisdom Teeth Warning Signs - Symptoms that you should visit the dentist include:

  • Pain around the side of the face or jaw

  • Pain when biting or chewing

  • Swollen and tender gums

  • Aching or throbbing pain in the back of your mouth

  • Difficulty opening your mouth

  • Bad breath

  • Headaches

Problems Caused by Impacted Wisdom Teeth

Not all wisdom teeth will cause pain or problems. However, those that have not fully broken through the surface can cause problems with your dental care due to food and bacteria getting trapped around the edges and crevices of the tooth leading to infection and decay.

Problems Causes by Impacted Wisdom Teeth Can Include

  • Gum Disease -Red, swollen and bleeding gums due to toxins begin released from plaque and bacteria build up.

  • Tooth Decay

  • Pericoronitis - The tissues around the tooth because infected due to plaque and bacteria build up.

  • Cellulitis - Bacterial infection of the cheek, tongue or throat

  • Abscesses - Bacterial infections can cause pus to collect around your wisdom tooth or soft tissues.

  • Cysts

After Extractions

After Extractions


"I was given a choice years ago at Belmore Dental whether to get my wisdom tooth out or have a root canal and I chose the root canal. Unfortunately the tooth broke twice after that and then the third time it crumbled completely so I decided it was time to just take it out. My current dentist doesn’t do wisdom tooth extractions at all and they wanted to refer me to Belfast or Altnagelvin hospital which would take 2 appointments. I decide this was a long way to travel so I enquired at Belmore Dental and was pleased to learn they could do the extraction.

Since having the tooth removed it has made a massive difference, I wish I had the wisdom tooth removed years ago and saved a lot of bother. It was very convenient having the extraction done in one appointment in Enniskillen too. My experience at Belmore Dental was excellent, everything was very professional. I worried about getting the wisdom tooth out as everyone told me they are very difficult and normally you need to be under anaesthetic in the hospital. But this wasn’t the case at all, it went really well, hardly felt a thing, it went very smoothly and apart from a little discomfort for a few days, it all healed up really well.

Wisdom teeth extractions aren’t as scary as you would think, and it’s so much relief having them taken out if they are causing problems like mine was.

Top Tip For Others Thinking of Using Belmore Dental - When I enquired at Belmore Dental about the extraction I was told to get a referral letter from my current dentist so I wouldn’t have to pay the new patient consultation fee. I asked at reception at my dentist and they told me categorically they do not give referral letters and this wasn’t possible. However, when I spoke directly to my dentist they wrote me the letter no problem. I would advise people that your current dentist should be able to give a referral letter if it is for a procedure they are not able to deal with and to push for one if they initially say no."


Referral Extraction Patient – JA Co. Fermanagh