Tooth Extractions

A tooth extraction may be recommended when a tooth cannot be predictably restored or when removing the tooth is the healthiest treatment option. Common reasons for extraction include severe tooth decay, advanced gum disease, extensive fractures, impacted teeth, or orthodontic treatment planning.

Whenever possible, preserving your natural teeth is preferred. If an extraction is necessary, we will discuss your treatment options and, when appropriate, recommend ways to replace the missing tooth to help maintain your oral health and function.

The Extraction Process

Before the extraction, your dentist will thoroughly numb the tooth, surrounding gums, and jawbone with a local anesthetic. During the procedure, you will likely feel pressure as the tooth is gently loosened and removed, but you should not feel pain.

Sectioning a Tooth

In some cases, a tooth may need to be divided into smaller sections before it can be removed. This is a common technique that allows the tooth to be removed more easily while minimizing stress on the surrounding bone and tissues.

After the Extraction

Following your extraction, it is important for a blood clot to form in the socket to control bleeding and promote healing. Bite firmly on the gauze provided for 30 to 45 minutes after your appointment. If bleeding continues, replace the gauze with a clean piece and bite down firmly for another 30 minutes. This process may need to be repeated if minor bleeding persists.

For the first 24 to 48 hours, avoid vigorous rinsing, drinking through a straw, smoking, and disturbing the extraction site, as these activities can dislodge the blood clot and delay healing. Limit strenuous physical activity during the first 24 hours.

Some discomfort and swelling are normal after an extraction. Applying an ice pack to the outside of your face during the first 24 hours can help reduce swelling. Take any prescribed or recommended medications as directed by your dentist.

Drink plenty of fluids and choose soft foods as you begin healing. Continue brushing and flossing your other teeth, but avoid the extraction site until your dentist advises it is comfortable to resume normal cleaning.

Most patients are able to return to their normal activities within a few days. If you experience heavy bleeding, increasing swelling, severe pain that is not improving, fever, or any other unexpected symptoms, please contact our office promptly.