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There are plenty of situations where multiple teeth may need to be extracted at the same time. A person may have multiple decayed teeth due to neglect and poor oral hygiene, or a number of teeth may be affected by periodontitis leading to a hopeless prognosis, or a person may have suffered irreversible damage to multiple teeth in an accident. More commonly, all four wisdom teeth are extracted together routinely.

Is there a maximum number of teeth that can be removed in one sitting?

Technically speaking, there is no maximum limit to the number of teeth that can be extracted at one time. The decision has to be taken by the dentist on the basis of the condition of the teeth, the difficulty of the extraction, the systemic condition of the patient, and the likelihood of complications.

Very often, the dentist will prefer to limit the extraction to a few teeth or all on the same side so that the patient can eat without any discomfort from the other side. In some cases, though, the infection may be so severe that the dentist has no choice but to extract multiple teeth on both sides of the jaw.

What are the precautions that must be taken after the extraction of multiple teeth?

The aftercare steps for patients are very similar regardless of the number of teeth that are extracted. Patients must avoid any kind of food that is too hot, too spicy, aerated drinks, or anything that may irritate the healing wound.

Food that is soft in consistency and cold in temperature will be easy to eat.

Care should be taken to avoid spitting after the extractions have been performed because that can lead to a loss of the blood clot at the site of healing. Such an occurrence will lead to the development of a condition called as dry socket.

Dry socket can be very painful and is slow to heal. Patients that are diabetic or smokers or both are at the highest risk of developing a dry socket.

Your dentist may also choose to put you on antibiotics after the procedure has been completed. In such a case, alcohol may be restricted during the healing period after extractions have been performed.

Often, multiple extractions are carried out in people that are to get dentures. Ideally, the patient should wait for a period of four weeks after the extractions have been carried out before wearing a denture. In some cases, though, an immediate denture has to be fabricated.

In such a case, the patient must visit the dentist after a few days to ensure that no denture sores are developing. Denture sores can be acutely painful and make the healing after extractions a very unpleasant experience.

Some amount of swelling is expected after undergoing multiple extractions. The dentist will likely ask the patient to use a cold pack on the face after the extractions to minimize the swelling. The use of a cold pack is most effective within the first half an hour of the extractions.

Conclusion

Undergoing multiple extractions may sound gruesome but it is not that difficult for a single extraction. Once the anesthesia has taken place the patient will not feel much different. Trust your dentist to make the right call about the number of teeth to be extracted based on various clinical factors.  

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