Understand tooth extraction, the options to discuss with a qualified clinician and what to confirm before planning a visit to Shiraz.

Key points
- Discuss your individual suitability, alternatives and risks with the treating clinician.
- Ask for written preparation and recovery instructions, including your medicines and follow-up.
- Confirm the healthcare facility, full costs and arrangements before booking travel.
On this page
Tooth extraction is a simple procedure to get rid of your dental pains and headache for damaged or untreatable teeth.
Teeth have aesthetic purposes and masticatory function. However, many reasons cause the teeth to be untreatable and become a source of pain and discomfort. When the dentist cannot treat the tooth, the last solution would be tooth extraction. Please continue reading to have a full understanding about this dentistry treatment and the benefits of having tooth extraction in Iran.
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Tooth extraction causes
The main causes for tooth extraction include:
- Excessive tooth damage that cannot be treated as a result of severe decays
- A mobile tooth due to periodontal cause or periapical abscess of the tooth, whose treatment has failed.
- Overcrowding teeth, which deform the alignment of the teeth or according to orthodontist request (tooth extraction for brace).
- Milk teeth.
Many secondary factors require tooth extraction such as malposed teeth, supernumerary teeth, the teeth near a tumor, some cases of radiation treatments, jaw fractures, etc.
The tooth extraction procedure
The steps of tooth extraction are generally as follows:
- The evaluation of the case of the tooth and if it can be repaired or not. If the decision is to extract the tooth, the dentist evaluates the patient’s health and asks whether he/she has any high-risk disease that requires the approval of their diseases specialist. This is mostly the case of tooth extraction in cancer patients or patients of cardiac diseases who may need special consultations, while some tests may be needed for the diabetes patients such as (blood glucose rate).
- Local anesthetic: Tooth extraction under local anesthetic is sufficient for most of the patients, while some special cases may need tooth extraction under sedation or tooth extraction under anesthesia. However, the special anesthetic can be used for patients of cardiac disease, hypertension or pregnant women.
- The assistance prepares the instruments for extraction and suture in a tray. After that, the dentist strip the tooth of the gingival tissues, and luxate the tooth with an elevator, then he/she applies the forceps on the crown of the tooth, and continues to luxate the tooth with buccal and lingual movement until the tooth is removed of its socket.
Most non-surgical extractions need no stitches, and tooth extraction medication may be only over counter painkillers. However, tooth extraction hurts more at night because more blood comes to the site of extraction when the patient is sleeping or leaning down.
Tooth extraction for kids may need some preparation by their parents and the dentist. However, in a tooth extraction and implant, the dentist may put the dental implant directly after the procedure, while the tooth extraction membrane aims to replace the vacuum of the extracted tooth by bone tissue instead of a tooth extraction with bone graft.
Contraindication for tooth extraction
There are many local contraindications related to the site of extraction such as non-treated infection, nearness of malignant tumor, severely exposed area to radiation, proximity to the site of jaw fracture.
Tooth extraction systemic contraindication may include pregnancy during the first and last trimester, uncontrolled diabetes, bleeding disorders, cardiac dysrhythmias, hypertension, cerebrovascular accidents, lymphoma, uncontrolled leukemia, some kind of chemotherapy and radiation for tumor treatments, etc.
Complications and risks during and after tooth extraction
Some pain, bleeding, oozing, swelling, is expected, but, most of tooth extraction complications are temporary ones and diminish within a few days.
Infection is the most common complication after the process. Tooth extraction care and medicines are necessary to lessen and control it.
Some tooth extraction risks are accompanying the procedure as a result of ankylosis and applying an excessive force. These risks include:
- Injury to the soft tissue
- Maxillary tuberosity fractures that often happen through the removal of some difficult third upper molar
- Opening through the maxillary sinus
- Nerve injury might happen if the needle passes through the nerve during anesthetic or during bone removal, which may sometimes cause paresthesia in the lips.
A practical point for your care
Before an operation, the pre-assessment team should review your health, previous tests and all medicines and supplements. Ask for written instructions on medicines, eating, drinking and aftercare that apply to your planned procedure.[1]
Planning treatment in Shiraz
Ask SanaMedTour about the appropriate specialty, appointment arrangements and practical support for your visit. The treating clinician confirms the diagnosis, treatment options, suitability and follow-up after assessment.
Request an itemised written quote identifying the clinician, facility, tests, treatment, medicines, reviews and any accommodation or transfers included.
Sources
[1] NHS: Preparing for surgery — supports the individual-care planning note above. ↑ Back to text
Editorial adaptation: 25 October 2026. General information for planning and discussion; your clinician’s individual instructions take priority.