Tooth Extractions

When Extraction Is Necessary

• Severe decay that cannot be repaired
• Advanced gum disease with bone loss
• Tooth broken below the gum line
• Severe abscess or infection
• Impacted tooth causing problems (wisdom teeth extractions)

Simple vs. Surgical Extraction

Simple Extraction - $125

For teeth that are fully erupted, visible above the gum, and have intact crowns. Performed under local anesthesia with forceps.

Surgical Extraction - $200

For teeth that are broken at or below the gum line, partially erupted, impacted, or have complex roots. May require a small incision in the gum and sometimes removal of a small amount of bone. Also performed under local anesthesia.

Anesthesia and Sedation

• Local anesthesia: Standard for all extractions. Numbs the area completely.
• Nitrous oxide ("laughing gas"): Available for anxious patients.

We do not offer IV sedation or general anesthesia in-office. Patients requiring that level of sedation are referred to an oral surgeon.

What to Expect

Before

Exam, X-rays, and sometimes Cone Beam CT to plan the extraction. Local anesthesia to numb the area.

During

You feel pressure but no pain. The dentist loosens the tooth in its socket and removes it. Any needed stitches are placed.

After

Bite on gauze for 30-60 minutes to control bleeding. Go home with written aftercare instructions and pain management recommendations.

Recovery Timeline

• Day 1: Light bleeding, swelling. Ice and rest. Soft foods.
• Days 2-3: Swelling peaks. Continue soft foods. Warm salt water rinses.
• Days 4-7: Most patients feel much better. Can return to normal activity.
• Week 2-4: Soft tissue fully heals. Bone healing continues for 3-6 months.

Aftercare Instructions

• Bite on gauze for 30-60 minutes after leaving our office
• Apply ice to the outside of your cheek for 15-20 minutes at a time
• Do not rinse, spit, or use straws for 24 hours
• No smoking for at least 72 hours (prevents dry socket)
• Eat soft, cool foods (yogurt, pudding, mashed potatoes)
• Use salt water rinses after 24 hours
• Follow post-operative pain management guidelines provided by the treating dentist.
• Sleep with your head elevated

A missing tooth can cause adjacent teeth to shift, bone loss, and changes in your bite. Replacement options include:

• Dental bridge (fixed, non-removable)
• Partial denture (removable)
• Dental implant (requires specialist referral for placement)