Tooth Extraction — relief today, a plan for tomorrow
If a tooth can’t be saved, we keep the experience calm and predictable. You’ll know what’s happening at every step, we’ll control discomfort, and we’ll help you choose the best way to replace the tooth when you’re ready.
When is an extraction recommended?
We recommend removal only when a tooth is no longer restorable or is harming nearby teeth and gums. We’ll always review alternatives first.
- Severe decay or fracture below the gumline
- Failed root canal or recurrent infection
- Advanced periodontal (gum) disease
- Cracked or split tooth that can’t be bonded or crowned
- Orthodontic crowding or impacted wisdom teeth
- Baby teeth that won’t exfoliate on their own
What the visit looks like
We gently numb the area.
Many teeth are removed with minimal manipulation; impacted teeth may require a small opening.
We place a dressing if needed and review a personalized plan to replace the tooth.
Wisdom tooth extraction
Wisdom teeth (third molars) usually erupt in the late teens or early twenties. Some come in healthy and easy to clean; others stay partially covered by gum tissue or bone, creating traps for bacteria and inflammation.
- Imaging-led decisions: We use panoramic X-rays and, when appropriate, 3-D CBCT to evaluate roots, nerves, and sinus proximity.
- When removal is advised: repeated swelling or tenderness (pericoronitis), decay in/around the wisdom tooth or the second molar, cysts or bone damage, or lack of space that prevents proper hygiene.
- Comfort options: Profound local anesthesia for routine cases. If deeper sedation is needed, we coordinate appropriately.
- Recovery: Expect 3–4 days of peak swelling/tightness, then steady improvement. Stitches may be dissolvable. We see you for follow-up as needed.
What to expect on surgery day
- Review your imaging and consent; answer every question.
- Numbing setup. For oral/IV sedation, you’ll receive separate pre-op instructions.
- Precise removal with gentle tissue handling and thorough site cleaning.
- Post-op care kit and clear written instructions you can take home.
Tip: Have soft foods ready at home; keep ice packs on hand for the first 24 hours.
After-care at a glance
Simple steps that reduce swelling, protect the blood clot, and speed healing.
Bite & rest
Bite on gauze for 30–45 minutes, keep activity light for 48–72 hours, and sleep slightly elevated the first night.
No straws, no smoking
Avoid suction and tobacco while the site stabilizes.
Rinse & relief
Start gentle salt-water rinses after 24 hours. Use prescribed or recommended pain relief as directed.
This information supports, but does not replace, medical advice. Follow the instructions you receive in our office.
Replacing a non-wisdom tooth
We’ll help you choose a solution that fits your goals, timeline, and budget.
Dental implant
A titanium root with a natural-looking crown. Protects bone and neighboring teeth; easiest to clean.
Bridge
A fixed restoration using adjacent teeth for support—good when implants aren’t an option.
Partial denture
A removable, budget-friendly way to replace one or more teeth.
Insurance & costs
Most PPO plans cover extractions as Basic or Major services—often 50–80% after deductible. Wisdom tooth coverage and anesthesia benefits vary by plan. Medicaid coverage differs by state; medically necessary removal is commonly covered. We’ll verify your benefits and give you a clear written estimate before treatment.
Helpful to know
- Same-day relief is often available for urgent pain or infection.
- For deeper sedation needs, we coordinate appropriate care.
- You’ll receive a direct line for urgent post-op questions.
Tooth & Wisdom Tooth Extraction — FAQs
Will the extraction hurt?
You will be fully numb with local anesthesia. You may feel pressure but not sharp pain. We will pause anytime you need.
What is the difference between a simple and surgical extraction?
Simple extractions remove a tooth that is loose or above the gumline. Surgical extractions may require lifting the gum or sectioning the tooth when it is broken or impacted.
How long is recovery?
Most patients feel comfortable within 24-72 hours. Soft foods, limited activity, and good oral hygiene help. Full socket healing takes several weeks.
How do I prevent dry socket?
Avoid smoking or vaping, do not use straws for 3-5 days, keep the site clean with gentle rinses, and follow your aftercare kit. Call us if pain spikes after initial improvement.
Do I need a bone graft (socket preservation)?
A graft can help maintain ridge shape for implants or bridges later. We will discuss if it is beneficial for your tooth and goals.
When can I replace the tooth?
For most sites, implants are placed after healing (often 8-12 weeks). Some cases allow immediate placement. Bridges or partials are also options.
What can I eat after an extraction?
Start with cool, soft foods like yogurt, smoothies (no straws), eggs, and mashed potatoes. Advance as comfortable and avoid hard, hot, or spicy foods early on.
What about wisdom teeth?
We evaluate position, roots, and nerves with 3D imaging when needed. We will advise on timing and whether to monitor or remove.
Will I need stitches, and do they need removal?
Some cases use sutures. Many are dissolvable; if not, we will see you for a quick removal visit.
How much does an extraction cost and will insurance help?
Fees vary by tooth and complexity. PPO plans often cover a portion after deductible. We will verify benefits and provide a written estimate before treatment.
Educational content only; your dentist will recommend care based on your exam and medical history.