How Many Teeth Should I Have Pulled At One Time? Complete Extraction Guide

How Many Teeth Should I Have Pulled At One Time

We, human beings, are so indifferent about our regular dental care. As a result, we end up having a couple of bad teeth. Avoiding regular dental check-up, and oral hygiene not only causes bad teeth but also affects our overall health. So, I was asked several times, “how many teeth should I have pulled at one time?” What do you think? One tooth? Two or maybe Four? Or all of them?

Okay, don’t be confused. Here, in this article, I’ll be discussing how many teeth can be pulled safely at one time, and a complete teeth extraction guide. Stick with me to learn about pulling teeth and many more.

Why Don’t Dentists Like to Pull Teeth?

Usually, dentists don’t like to pull off teeth without any competent reason. Because they work to save teeth. Not to destroy! Of course, pulling teeth is much easier and cheaper than any other procedure. But, is it a good idea to have a problem and get rid of that instead of treating? Do you ever cut off your broken finger instead of treating it? 

You have to understand how valuable those pearly whites are to maintain a beautiful smile. To have meals chewing properly. Most of the patients with traditional dentures hate their dentures as much as they loved their natural ones! And they all wanted them back at any cost!

Why Should You Have Tooth Pulled Off?

Usually, a person has two types of natural teeth. One is Milk teeth, also called Primary teeth and the other one is Permanent teeth, also called secondary teeth. The very first teeth that are erupted are called milk teeth. Generally, a newborn baby has 20 milk teeth. When they age over 10, these milk teeth get replaced by secondary teeth. 

Permanent or secondary teeth are supposed to last for a lifetime. But there are some reasons why you might need oral surgery. The most common reason is a badly damaged tooth that can’t be repaired. Let me explain all other reasons here;

Severe Tooth Decay Causing Irreparable Damage

If decay reaches the pulp, the bacteria that develops from decay can affect the pulp. In such cases, root canal is the best option to save your teeth. But if the pulp is also damaged severely then the root canal won’t benefit you.

If the pulp is infected severely it is possible that infection will spread to other teeth causing intolerable pain. So, it’s better to extract severely infected teeth. 

In such cases, dentists always prefer root canal instead of extraction. Because an artificial tooth will never be as strong as a natural tooth. But, they will inspect your teeth first and discuss the available options that suit you. Most importantly, they will ensure your highest comfortability during the procedure.

Prevent Periodontal Disease

Usually gum disease, also called periodontal disease, spreads infections to the gum tissue, alveolar bone, periodontal ligaments, and other surrounding structures of the teeth. Primarily periodontitis infects the gums, which is called ‘Gingivitis’. An intensive disease affects the alveolar bone and the periodontal ligaments.

Generally, food particles that stick with your teeth because of not brushing regularly lead to dental plaque. This plaque spreads bacteria causing periodontitis and other oral diseases.  

In some cases, periodontitis loosen your teeth and requires extraction. And also a severe periodontitis can possibly cause unbearable pain that you don’t want to go through.

At the office, dentists will examine your gums if there are minor or severe infections. They will discuss the best possible options for you whether it is a therapy or an extraction.

Helping An Impacted Tooth

If a tooth can’t come out perfectly because of insufficient space, then it becomes an impacted tooth. When a tooth is not erupted at all, it’s a full impaction. However, if the tip of a tooth can be seen over the jaw line but doesn’t erupt fully then it’s a partial impaction. 

If the impacted teeth aren’t treated in time they can cause cysts, or damage to the bone that supports other teeth. Even leaving them untreated can cause infections to the gums and surrounding area. They can cause malocclusion as well.  

Braces can be an option for an impacted tooth. Braces or retainers will help to create some space for the tooth to be erected on it’s own. Or else you can go for an extraction. Because, an extraction will save you from future problems like infections or overcrowding. 

Dentists are always committed to provide affordable yet high quality treatment for their patients. They will examine your teeth thoroughly and discuss the available best option for yourself.

Eliminate Teeth Overcrowding And Impaction

overcrowding and impaction

When there’s not enough room inside your mouth to grow permanent teeth straightly, this is called teeth overcrowding. In such cases, you don’t need full mouth extractions. Instead, you’ve to have one or several teeth to be pulled off to eliminate overcrowding.

If you don’t treat crowded teeth, your teeth will be misaligned and you will face bite problems. And also you will not be able to floss and brush properly. Because of misaligned teeth, your floss may get stuck and be ripped apart. Thus food particles might remain where they don’t belong.

The same goes for brushing also. In spite of brushing every day, there might be certain spots inside your mouth where your brush can’t reach because of overcrowding. As you can’t floss and brush properly you might face periodontitis and bad breath as well. 

To avoid crowded teeth there’s no other way except extraction. Dentists examine the patients’ overall health and location and then discuss with you how many teeth need to be extracted, and other precautions.

Required After An Accident

If an accident occurs and your mouth gets tainted, your teeth get damaged, you might need full mouth extractions. Firstly, dentists always want to save your teeth instead of pulling. Dental crowns, bridges, veneers and bondings are recommended primarily. If any of these doesn’t work then you are in need of an extraction.

How Many Teeth Should I Have Pulled At One Time?

Dentists  Opinion:

Many dental specialists have come to this decision that, when it comes to extraction in one visit, there’s no limit to the number of teeth. You can have only one tooth extracted off, or if you want you can have all of them extracted in one visit.

However, there’s limitations that must be followed before you decide to have numerous tooth extractions or full mouth extractions. This limit depends on how difficult it would be to perform the extraction and the physical condition of the patient. It also depends on the location of your teeth that are about to be pulled off. Above all, how many teeth can be pulled at a time depends on the capability of your dentist who will be performing the extraction. Because complications might arise while performing full mouth extractions. An expert doctor can handle any complicated issues very well.

Sometimes dentists suggest not to have more than two teeth pulled off because of some practical reasons. They explain it’s better to extract teeth part by part instead of extracting all at once. Because losing all of your teeth simultaneously will be very hard for you to have food. 

Is It Safe To Have Multiple Tooth Extractions?

It’s absolutely fine to have more that one teeth removed. Usually, the main reason behind an extraction is to ensure oral hygiene. If you have multiple teeth affected, there’s no point in pulling only one or two teeth, leaving the rest of the affected teeth as it was. Because the one that was affected yet not treated can spread infections to other teeth. So, the best idea to ensure better dental health is either treating affected teeth or having them pulled off. And as I mentioned earlier, dentists have declared that there’s not any fixed number of teeth to be pulled in one visit. Even it’s recommended to go for full mouth extractions if it’s required.

But one thing you need to keep in mind is that pulling off multiplex teeth at once can cause different complications if you don’t maintain your aftercare plan. Once a tooth is removed there’s a possibility that the neighbouring teeth can move towards the empty place. You might face issues with your jaw joint as well. As I mentioned earlier if you have more than one teeth uprooted at once you might face problems while chewing. It can also cause major dental problems such as periodontitis.

Whether you have pulled off one, or multiple teeth at once, to be safe I advise you to discuss with your dentist the aftercare procedure. And make sure to be clear about that.

How Long Does It Take To Get A Tooth Pulled?

Numbing the Tooth

Pulling teeth starts after applying a mild anaesthetic. Depending on different situations dentists would choose either local anaesthesia or something stronger than that. As an effect of stronger anaesthesia, you might sleep for a while.

It’s a very easy procedure that will cause no pain. Depending on which anaesthetic was used and when it was used, this step requires anywhere from 5 minutes to 30 minutes. Let me explain the entire process below.

Extraction Procedure

Oftentimes, a tooth is planted firmly in the jawbone and held in place by a ligament. The extraction operation starts by expanding the socket. Usually, dentists stretch the ligament so the teeth can move freely and thus they loosen the socket as well as loose tooth. They sway the tooth back and forth until there is enough flexibility in the socket. 

You won’t feel any pain during this step. However, you possibly will feel a sensation of compression in your mouth as the tooth was swayed in the socket since the extraction. This action typically needs anywhere from 10 to 30 minutes. And obviously, it depends on the individual characteristics of the tooth.

Closing the Space

When the tooth is pulled, the dentist will close up the socket. Removing any unneeded tissue. And soothing the socket is a part of this process. The dentist will use gauze to make sure the area remains clean while sutured. 

They will handle the process of closing the area based on how much work he/she had to accomplish during the extraction. This can last anywhere from 10 minutes to 30 minutes. But in general, the longer the extraction steps takes, the longer it’ll take to cover up the extraction area.

Finishing Up

Even though the extraction is accomplished and cleaning is done, it’s better to wait for a while to subside the effects of anaesthetic after an oral surgery. This requires around 15 to 45 minutes, depending on the characteristics of the anaesthetic that was applied initially. When the effect is diminished, it will be better to discuss the post-extraction steps with your doctor.

How Long It Will Take To Recover From an Extraction?

People often ask me, “when can I eat normal food after tooth extraction?” This specific question is very hard to answer. Because individuals have different genetics and they react differently to any treatment. Besides, the time to recover an extraction depends on some other factors like the location of your teeth, the size of your teeth, and the physical activities you do. As well as your other teeth and the overall condition of your oral health. On top of everything, this recovery process depends on how you maintain your aftercare instructions. Let me tell  you an average estimated time;

Simple Extraction

If a tooth is fully visible and unbroken, a simple extraction is enough. The dentist will loosen your teeth using an instrument called an elevator. And pull the teeth using forceps. In general, it will last for a very short time to recover from a simple extraction. Typically, dentists ask you to stay relaxed at least two to three days after the treatment to let the blood clot form. After that, you will be capable of starting your regular physical activity again. But the soft tissue will take about 3 to 4 weeks to heal properly.

Surgical Extraction

When a tooth doesn’t erupt fully from the gums or broken, then you may need a surgical extraction. Dentists make an incision to pull the teeth from the root. As surgical extraction requires dissection, it is natural to take a longer period of time to recover. FIrstly dentists will advise you to take rest for the srarting 48 to 72 hours. And then you should minimize your physical activities for the next one week or so. 

What You Must Know Before Having a Multiple Teeth Extraction Procedure;

In case you are injured or have a severely decayed tooth, your teeth can be damaged and might need an extraction. Sometimes, serious gum diseases may damage your teeth so bad that you need to have multiple teeth pulled and have dentures or implants to reconstruct the functionality of your teeth.

If you think of having an extraction it can give you fear that you can’t get over. Because having a tooth uprooted is pretty uncomfortable and stressful.

Before you want to schedule an appointment for multiple, or a single tooth extrication you need to keep in mind some points. Let me explain.

  • Unlike nitrous oxide also known as laughing gas, every other sedative puts you in a sleepy state. It takes time to get back to the normal state. So, it is better to have someone from your family or friends to drive you home
  • It would be great if you can manage someone who will look after you for a couple of days after the extraction.
  • Before you go through an extraction, inform your dentist if you’re taking anticoagulants. They may prevent blood clotting as these substances thin your blood.
  • It is good to avoid having foods for 12 hours before the extraction as it can cause nausea during the treatment or even after the procedure is done.
  • Remember to wear a loose-fitting comfortable dress and leave your jewellery at home in the day of surgery.
  • Purchasing some sterile gauze before having extraction would be a wise decision as it’s natural to bleed during the first few days.

Tooth Extraction Aftercare Tips:

It’s normal that the aftercare plan will be different from one person to another. And they also depend on different types of extractions, the position of your teeth. Remember one thing, healing from an wound always require an extra care. For your kind information, whatever the plan is, following them will speed up your recovery process.  

No matter what, a blood clot shouldn’t be dislodged. Because it can cause painful dry socket. 

Here are a few tips following which may speed up the recovery process:

  • Take only those painkillers that your dentist prescribed. Using others may hurt your recovery process.
  • Gently bite down on the sterile gauze pad that your dentist placed after the extraction. It will help to form a clog and reduce bleeding. Unless the gauze pad gets soaked with blood, leave it in place for at least 3 hours.
  • Apply ice pack to the extracted area after the extraction to prevent swelling. But remember, you shouldn’t apply ice packs for more than 10 minutes at a time. Otherwise, it can lead to severe tissue damage. 
  • Don’t think of leaving the bed for at least 24 hours after the extraction. Means you need full bed rest.  
  • Don’t use straw, spit for at least one day to prevent dislodging blood clots.
  • It’s better to rinse your mouth with salt water after 24 hours of extraction.
  • Smoking after any surgery will slow down your recovery process.
  • While sleeping, keep your head up using pillows.
  • Keep brushing and flossing, avoiding the extracted area to not have infections.

Tooth Extraction Aftercare Eating:

tooth extraction aftercare eating

If you think you can’t eat after an extraction then I have a good news for you. Even though after an extraction you can’t continue with your favourite normal diet, there are certain foods that are excellent for the recuperating process. Let me explain some of them here;

Mashed Potatoes

These are a great option for filling the stomach after an extraction. They are very soft and enriched with nutrients that will help to speed up the recovery process. Be mindful of having them at a cold or lukewarm temperature. Otherwise, it could be irritating.

Scrambled eggs

Scrambled eggs are one of the healthiest foods you should have after any type of surgery. They contain very high protein, vitamins, and minerals as well. And also having Omega-3 enriched eggs can help you recover fast. 

However, chewing scrambled eggs and swallowing is very easy that you can do after tooth extraction. If you want, you can add avocado and cheese to make the meal delicious.


There’s no doubt that smoothies are the best for snack, dessert, or even breakfast. And protein powder that smoothie has can boost yourself for a certain time. The fruits and vegetables that a smoothie contains are very healthy.

Smoothies are the most accessible way to get the vitamins you need although you have to avoid some of the delicious, healthy foods. And they also make sure your healing process doesn’t be interrupted!


Blended soups, like pumpkin, French onion, or tomato are ideal post-tooth extraction meal options. These vegetables are very nutrient-rich and tasty as well. And they will surely help you to stay stronger and recover faster. 

Soups also help you to stay hydrated which is a must after an extraction. You should avoid soups that have large pieces of vegetables so your wound doesn’t irritate.

Greek Yogurt

Greek yogurt is absolutely high in calcium and protein as well as mouth watering dessert to have. So, they help to heal the wound faster. And it’s better to have high protein foods like yogurt as much as possible.

Foods To Avoid After An extraction

You must be very careful about what you chew after tooth extraction. Because, after an extraction, there’s a wound left in your mouth. If you have non-permissible food it will prevent the healing process, even cause infections. That is why you ought to know which foods you shouldn’t take after an extraction.

Foods To Avoid After An extraction

Spicy Foods

After an extraction, it’s a must to stay at a distance from spicy food. Spices like paprika,or cayenne pepper can get around your extraction wound, which may cause irritation. And because of the irritated area, the recovery process will be much longer.

Chewy Foods

I recommend you to not have any chewy foods after an extraction. Because they tend to be gummy and can get into the extraction area. And like the spicy foods, chewing foods also cause irritation and slow healing.


I know many of you love to have meat. But it’s really unfortunate that, if you had teeth extraction you can’t eat meat for a couple of days. How long it will take to have meat again depends on your healing time – how quickly the wound recovers. 

Meat is a chewy food that needs a lot of grinding and chomping of your teeth. Because of the extraction wound, it is better to avoid meat as much as you can.

Alcoholic Beverages

I strongly recommend you to avoid alcohol all the way. Because drinks that carry alcohol can delay your recovery process, and put a negative impact on the medications your dentist prescribed you.

You shouldn’t have any drink that contains alcohol, like beer, or wine until your medication courses are completed and the wound is recovered.

Crunchy Foods

Crunchy foods like cookies, or chips can get stuck into the extraction area. Because of this your healing process can be slowed. And even they can cause infections. So, it’s way better to avoid such foods instead of having an infection.

FAQs About Teeth Extraction:

  • How Painful Is It To Get A Tooth Out?

If the same question was asked 100 years, or even 50 years ago, I would say ‘Yes’  for sure. However, now the answer is a big ‘No’! We should thank modern technology a thousand times. Because they have gifted us such medications that can numb a tooth to feel no pain. Even people who are scared to have an extraction can go through a sedative without any complications.

  • Should I Get All 4 Wisdom Teeth Removed At The Same Time?

Wisdom teeth are good examples of tooth impaction. The only option for wisdom tooth extraction is surgical extraction. In this case, it will be a good decision to remove all four wisdom teeth at once. Because the more time you’ll take for removal the longer it will take to recover completely. And you will suffer during the healing period. However, it’s fine to extract only one or two except the sufferings you’ll go through.

  • Can You Get Your Teeth Pulled While Pregnant?

I get this question several times, “is it safe to get wisdom teeth removed while pregnant?” To be honest, there’s nothing wrong with having teeth pulled during pregnancy as long as it’s safe for you and your baby. But remember one thing, your dentist is not a gynaecologist. So, I would recommend you don’t schedule an appointment for extraction while pregnant, unless;

  • There’s an unbearable pain that affects your regular life,
  • There’s a possibility of infection.
  • There’s a risk of damage to your teeth or gums.
  • Can You Brush After An Extraction?

After having extraction your tooth socket becomes exposed. In such situations, you have to be wise and brush very safely. It’s better to brush the rest of your teeth that aren’t exposed. Because if you brush right after extraction it’s natural to start bleeding. And it may lengthen your healing process. So, I would recommend you brush regularly leaving the extracted teeth.

Right after an extraction, it’s okay to rinse regularly. But one thing I must warn you is that, don’t use any kind of mouthwash for a minimum of one day following the extraction. Because these mouthwash products can banish the embolus.

  • Can You Extract All Of Your Teeth And Have A Denture?

If you are wondering if it’s okay to have all your teeth pulled and get a denture, it’s okay to do so. Because, if you have a couple of bad teeth or even all of your teeth are damaged then they will hamper your daily life badly. It’s even dangerous for your overall health. In these circumstances, it’s way better to have dentures instead of suffering. 

So, don’t be late to have all your teeth pulled. And have a new denture. One more thing, if you can afford implant-retained dentures then I will suggest them over traditional dentures. Because, implant-retained dentures give you great chewing power, functionality like natural teeth and also, using them won’t change the structure of your jaw as well as mouth where traditional dentures are pretty hard to maintain.

  • Alcohol After An Extraction?

I often hear people asking, “can I drink alcohol after tooth extraction?” Well, to answer in one word, you can’t. You shouldn’t drink alcohol for minimum a week after extraction. Because alcohol slows down your healing process.  

Besides, after an extraction, you must allow to form a blood clotting and let granulation tissue generate. If you drink alcohol, it will prevent blood clotting and can bleed from the extracted area. As a result you will end up getting a dry socket. So, I will suggest that you don’t drink alcohol during the first one week. 

  • Can I Smoke 24 Hours After Wisdom Teeth Removal?

Apart from drinking alcohol, is smoking 12 hours following the tooth extraction permissible? No way! If you smoke right after an extraction, a blood clot that was formed on the extracted area may dislodge because of the sucking action while inhaling the cigarette. And it can cause a very painful dry socket.  

So, if you want to avoid such uncomfortable, painful situations it’s better to avoid smoking for at least 45 hours.

Final Words

A very long article, right? But the only purpose of this article is to educate you completely about teeth extraction. I’ve tried to gather all the information about teeth extractions and do’s and don’t about teeth extraction, and hope you found your answer regarding ‘How Many Teeth Should I Have Pulled At One Time?’ Hope the details I shared here, before and after extraction will help you to take better preparation and be aware of your aftercare plan.

Don’t forget to share your thoughts, and if you think reading this article will help any of your friends and or family you can share with them.

If you have any dental issues, don’t hesitate to make a phone call to us ‘North Augusta Dentist’ at (803) 888 5586 We are offering a free consultation for our patients. Or fill the form here. We will call we to confirm your appointment.

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