Extractions
Reasons for tooth extractions
A tooth extraction is the removal of a tooth from the mouth. There are many reasons your dentist may recommend that one or more teeth of your teeth be extracted.
- When your tooth cannot be repaired due to fracture or decay.
- When extra teeth block new teeth from erupting.
- To make room for your other teeth to be moved during orthodontic treatment (braces).
- Wisdom teeth that become impacted (stuck in the jaw), that will disturb neighboring teeth if they emerge, or that become painful due to incomplete eruption or infection.
- When severe gum disease threatens the supporting tissues and bone structure.
- To remove compromised teeth in the field of radiation for patients who need radiation therapy to the head and neck.
- When decaying teeth increase the risk of infection in people with a compromised immune system (due to chemotherapy treatment or other health conditions).
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What if my tooth is broken at the gum?
Extractions range from simple to complex. When the tooth that needs to be removed is intact and visible in the mouth, a simple extraction is typically called for. When the tooth that needs to be removed is still under the gum or has broken off at the gum line, a surgical extraction is indicated. Surgical extractions are a little more complex and may require a stitch to close (the stitch will dissolve in a week or so).
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Does extraction hurt?
All tooth extractions are done using local anesthesia so you’ll be completely numb in that area of your mouth. You may choose to additionally use inhalation anesthesia (laughing gas) or IV sedation if you are anxious about the procedure.
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I'm a chicken. Can you put me to sleep during the procedure?
Many of our patients choose to have IV sedation during extraction treatment. It requires advance planning to schedule an extraction appointment but it’s a good option if you’re fearful or anxious. Read our page about sedation dentistry or ask about sedation when you call or email us.
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Can I get my tooth pulled today?
Generally, you’ll have two appointments. Your first appointment includes:
- X-rays of your tooth/teeth
- A detailed medical history
- A focused exam on that area
We'll give you:
- Information why an extraction may be needed
- Any options for alternate treatment
- An idea of what to expect during and after the procedure
- An antibiotic prescription if you have an active infection
During your second visit you’ll have the tooth extracted. In some cases, depending on your unique situation and the time we have available, we can do same-day extractions.
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What about pain after the extraction?
Since most simple extractions do not cause much discomfort afterwards an over-the-counter pain reliever is usually all that is needed. For pain control following surgical extractions your dentist may prescribe prescription pain medication. In most cases, any discomfort will be gone after a couple of days. If pain develops a day or two after extraction we’ll need to evaluate you for dry-socket - a potential problem after some extractions but easily treated. Full healing takes one to two weeks.
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Tooth replacement options
You may want to consider replacing the tooth/teeth that will be extracted. Function, esthetics, and preventing your remaining teeth from moving are all benefits of tooth replacement. There are many options available (find out more by clicking on each choice):
- Dental implants
- Fixed bridge
- Flipper
- Partial Denture
You and your dentist can discuss the possible benefits of each option to help you decide.
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How can I find out more about extractions?
Call or email us to schedule an appointment. You'll receive:
- The benefits of working with dentists having years of experience performing tooth extractions.
- Your dentist will listen to your needs and concerns and provide you with options, recommendations and a written treatment plan.
- Our administrative staff will also be available to discuss financial options that will help you fit dental treatment into your budget (or apply now for CareCredit interest-free financing).
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