What is an extraction?

An extraction is the removal of a tooth that is causing issues in the mouth.  The procedure is performed under local anesthesia.


Simple Extraction
This is pretty straightforward: we’ll remove a tooth that no longer serves a purpose in your mouth. Teeth with large cavities or bone loss are often removed to make room for healthier solutions (think a denture, bridge, or implant).

Surgical Extraction
For teeth that are broken off at the gumline, there is sometimes a little bit more involved on our end during the removal process. You’ll still be nice and numb and won’t feel a difference.

Bone Graft
When we’re planning to place an implant in the future (or on the same day), we often recommend adding bone graft into the empty extraction socket and allowing it to heal for a few months.

A membrane is sometimes used to help hold the bone graft in the correct spot for optimal healing and long-term success.

Impacted Wisdom Teeth
We will refer impacted wisdom teeth out for treatment with one of our highly recommend oral surgeon colleagues.

What are the benefits of extractions?

  • Getting an extraction is a wonderful option for getting our patients out of pain and for removing infection (especially if a root canal is not a good option).

  • Patients who benefit from extractions often have large cavities or bone loss/plaque build-up.  Patients always notice fresher breath and better taste after removing these teeth.  Who doesn’t want to be more kissable?

  • Extracting a tooth and replacing it with an implant is sometimes more predictable and successful than having a root canal and a crown put on the tooth.

Frequently Asked Questions

During an extraction, all you should feel is pressure.  You’ll otherwise be very numb.  After an extraction, it’s normal to be sore for a few days (even up to 2 weeks), but Motrin and Tylenol taken together do wonders for post-op pain control.

If we need to extract a tooth that shows in your smile, we can make you a removable piece called a “flipper” that will act as a stand-in until we can permanently replace your missing tooth with a bridge, implant, or denture.

For any patients hoping for a future implant, we recommend placing a bone graft at the time of extraction in order to preserve the area.  After teeth are extracted, the bone begins to shrink and the sinus can dip into the area.  A bone graft helps slow this shrinkage and keeps patients’ options open for implants in the future. Sometimes, we are also able to place an implant on the same day as your extraction. 

Yes, we can usually extract erupted wisdom teeth.  For all impacted teeth, we can give you a referral to an oral surgeon who we highly recommend.

Depending on how many teeth are being extracted and if you are taking any blood thinners, we may or may not place stitches.  If we do, we will be sure to go over post-operative care with you (most stitches that we place are dissolvable on their own).

For patients on coumadin, we require an INR taken within 48 hours of an extraction or surgical procedure.  The INR must be under 3.0.  For other patients on blood thinners, we may reach out to your cardiologist/PCP to see if they would like you to hold the medication for a certain amount of time before your procedure.

Additional Questions?

If you have any questions that were not addressed, please reach out to us through our contact page.

Who should consider an extraction?

Extractions are great options in the following situations:

  • You have a cavity that is into your nerve and you decide against getting a root canal

  • You have a tooth that is broken down and cannot be saved

  • Your tooth is loose and has too much bone loss to act as a good foundation for anything in the future

  • You have an acute or chronic infection beneath your tooth, possibly causing pain

  • You have severe crowding and need to make room for your other teeth as you go through braces treatment or crown and bridge treatment

Read more about DICE and our services

Let’s get started

You’ve got nothing to lose!  Swing by our office for a complimentary consult and learn how we can help transform your smile with affordable dental implants. We’d love to meet you and change your view of dentistry so you look forward to your future visits with us.

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