When an Extraction Is Necessary
We always try to save a natural tooth first. Extraction is recommended when:
- Severe decay has destroyed too much tooth structure to restore
- Advanced gum disease has caused significant bone loss around the tooth
- Cracked below the gumline — can't be sealed or crowned
- Failed root canal that can't be retreated
- Impacted wisdom teeth causing pain or damage
- Orthodontic preparation when crowding requires removing teeth
- Baby tooth that won't fall out blocking the adult tooth
Simple vs. Surgical Extractions
Simple extractions. For visible teeth that can be gripped with forceps. Done under local anesthesia in 15–30 minutes.
Surgical extractions. For impacted teeth, broken roots, or teeth below the gumline. Requires a small incision. Usually done with sedation for comfort.
Both are done in our office. No referral to an oral surgeon needed in most cases.
What to Expect
Before:
- Digital X-rays or 3D scan
- Review of medical history and medications
- Discussion of sedation options
- Written post-op instructions
During:
- Local anesthesia (you won't feel pain)
- Optional nitrous oxide or oral sedation for comfort
- Gentle tooth removal, usually within 15–30 minutes
- Gauze placed to control bleeding
After:
- Rest at home with head elevated
- Bite on gauze for the first hour
- Ice on the cheek for swelling
- Soft foods only for 1–2 days
- Follow all post-op instructions to avoid dry socket
Recovery Timeline
- First 24 hours: rest, ice, soft foods, no smoking or straws
- Day 2–3: swelling peaks, then begins to decrease
- Day 4–7: most patients return to normal activities
- Week 2: gums close over the site
- Month 1–3: bone fills in underneath
Dry Socket Prevention
Dry socket (when the blood clot dislodges) is painful and preventable:
- No smoking or vaping for 72 hours
- No straws for 24 hours
- No rinsing vigorously for 24 hours
- No spitting forcefully
- Avoid hard, crunchy, or hot foods
What to Do After an Extraction
Consider replacement. A missing tooth causes bone loss, shifting, and bite problems over time. At your extraction appointment, we'll discuss options:
- Dental implant — most natural and long-lasting
- Bridge — faster, no surgery, anchored to neighboring teeth
- Partial denture — most affordable for multiple missing teeth
No decision needed the day of your extraction — we'll follow up after you heal.
Cost
- Simple extraction: $150–$300 per tooth
- Surgical extraction: $300–$700+ per tooth
- Sedation: $150–$400 additional
- Wisdom teeth (multiple, impacted): $1,000–$2,500 for all four
Most dental insurance covers a significant portion. We verify before treatment.