Tooth extractions can feel intimidating, especially when it comes to molars. These are some of the largest and most complex teeth in the mouth, which can make people understandably curious about how long the procedure might take.
While the exact time can vary, several factors influence how long a molar extraction may take, such as the tooth’s position, whether it’s a wisdom tooth, and the complexity of the procedure.
A molar extraction can take anywhere from 20 minutes to over an hour, depending on the tooth’s position and complexity of the procedure.
What Affects the Length of a Molar Extraction?
The time needed for a molar extraction depends on a variety of factors:
Tooth Position
Molars that are fully erupted (visible in the mouth) are generally easier to access than molars that are impacted (trapped beneath the gums or bone). Impacted molars, including many wisdom teeth, may require additional steps such as removing bone or sectioning the tooth for easier removal.
Type of Molar
Wisdom teeth (third molars) are commonly removed because they often cause crowding, grow at angles, or remain partially erupted. These types of molars are more likely to require surgical removal than other molars.
Complexity of the Extraction
Tooth extractions fall into two general categories:
- Simple extractions involve loosening and removing a visible tooth with forceps. These are generally more straightforward.
- Surgical extractions may involve cutting into the gum, removing surrounding bone, or dividing the tooth into pieces. This type of extraction is more common for impacted teeth.
The presence of inflammation, infection, or previous dental work can also affect how complex an extraction is.
What to Expect Before the Procedure
Before the extraction, your dentist or oral surgeon will:
- Review your medical and dental history
- Examine the tooth and surrounding area
- Take X-rays to evaluate the tooth’s position and root structure
They may also discuss sedation options. Depending on the case, local anesthesia might be sufficient, or sedation may be recommended to help you feel more relaxed.
This part of the appointment helps make sure everything is well planned so the extraction can go smoothly and safely.
What Happens During the Extraction
Once the area is numb or you’re sedated, your dental professional will begin the extraction. The general steps may include:
- Loosening the tooth: An elevator tool is used to gently move the tooth.
- Removing the tooth: Forceps or surgical tools are used to extract the tooth. For surgical extractions, the gum may be opened and bone may be removed.
- Cleaning the site: The area is cleared of debris to support healing.
- Closing the site: Stitches may be used to close the gum tissue if needed.
The length of this process can vary depending on the factors noted earlier, especially in surgical cases.
After the Extraction: Recovery Time
Following the procedure, you may spend some time in the office while the dental team monitors your recovery and provides care instructions. This initial recovery period helps confirm that bleeding is under control and that you’re comfortable before heading home.
Common Recovery Experiences
- Mild bleeding for a few hours after the procedure
- Swelling that may peak within 48 hours
- Discomfort that can usually be managed with medication
You may be advised to rest, apply ice packs, and eat soft foods during the initial healing period. Healing time can range from several days to a couple of weeks, depending on the complexity of the extraction and how well aftercare instructions are followed.
How to Support Healing
For a smoother recovery:
- Avoid smoking or using straws for at least 24 hours
- Stick to soft, cool foods during the first few days
- Rinse gently with warm salt water starting 24 hours after surgery
- Follow all aftercare instructions from your dental provider
If you received stitches, you may be scheduled for a follow-up visit to check healing or remove sutures.
When to Contact a Dentist
Some discomfort is expected after a molar extraction. However, you should contact your dental provider if you experience:
- Severe or worsening pain after the first few days
- Signs of infection, such as fever or pus
- Bleeding that doesn’t stop
- Difficulty swallowing or breathing
These may be signs of complications that need professional care.
Feeling Nervous? You’re Not Alone
It’s completely normal to feel nervous about a tooth extraction. Many people worry about pain or recovery, but most extractions are completed safely and involve minimal discomfort. We make the experience as comfortable as possible using modern tools and techniques.
Patients are often surprised by how routine the procedure feels—and how much relief they experience afterward, especially if the tooth was infected or causing pain.
If you’re feeling unsure, know that you’re not expected to figure it out alone. Your dentist is there to answer your questions, talk through your options, and help you feel calm and confident.
Let’s Plan Your Care Together
There isn’t a set timeline that applies to everyone. Each patient’s experience with a molar extraction is different, depending on their oral health, the condition of the tooth, and the type of extraction needed.
When you visit Shawnessy Dental Centre, our team will guide you through each step and help you feel supported throughout your treatment. Book an appointment with us to find out what to expect from your tooth extraction.
