Tooth Extractions
There are several reasons a patient may need a tooth extraction. While we always go to preserve natural teeth, extraction may be the best option when a tooth is too damaged or poses a risk to your oral health.
When Is a Tooth Extraction Necessary?
You may require an extraction if you are experiencing any of the following:
Severe tooth decay
Advanced periodontal (gum) disease
Infection or abscess that cannot be treated with a root canal
Fractured teeth or roots
Impacted teeth
Teeth with severe mobility
Orthodontic treatment needs (to create space)
Problematic wisdom teeth
Some discomfort after an extraction is normal. You can minimize pain with over-the-counter medication, cold compresses, and when prescribed antibiotics. Most patients feel significantly better within 2 to 3 days. If discomfort worsens or does not improve, please call our office immediately.
Wisdom Teeth and What You Need to Know
Wisdom teeth, or “third molars,” typically emerge between the ages of 16 and 20. However, the jaw often lacks space for them, which can lead to impaction or misalignment.
Impacted Wisdom Teeth Can Cause
Pressure or damage to neighboring teeth
Persistent pain or discomfort
Infections and inflammation
If your wisdom teeth are healthy and there’s enough space for them to emerge properly, they may not need to be removed. Our team will evaluate your wisdom teeth using X-rays and recommend the best course of action.
Sedation Options for Wisdom Tooth Removal
Local anesthetic
Nitrous oxide (laughing gas)
Minimal sedation available upon request
What to Expect During a Tooth Extraction
We want you to feel comfortable and informed every step of the way.
The Extraction Process
The area is numbed with a local anesthetic.
You will feel pressure, but no pain, as the doctor gently rocks the tooth to widen the socket.
If you experience pain, alert us immediately so we can adjust your treatment.
Sectioning a Tooth
Some teeth require a procedure called “sectioning” if they’re firmly rooted or curved. The doctor will divide the tooth into smaller sections and remove each piece individually.
Aftercare Instructions for a Smooth Recovery
Bleeding: Slight bleeding is normal after an extraction. To control it, place a moist gauze pad over the socket and bite down firmly for about 45 minutes. Avoid disturbing the blood clot, and do not rinse, spit, smoke, or use a straw for the first 24 hours.
Swelling: Some swelling is expected. Apply an ice pack to the outside of your face in 10-minute intervals (10 minutes on, 20 minutes off). Repeat as needed during the first 24 hours to reduce discomfort.
Pain Management: Manage soreness with over-the-counter pain relievers such as ibuprofen or acetaminophen. Follow the dosage instructions on the label.
Eating and Drinking: Stick to a soft or liquid diet and chew away from the extraction site. Avoid hot beverages, alcohol, and foods that are hard or crunchy while the area heals.
Brushing and Cleaning: Do not brush near the extraction site for the first 24 hours. After that, resume gentle brushing. Instead of using commercial mouthwashes, begin rinsing with warm salt water (½ teaspoon of salt in one cup of water) starting 24 hours after your procedure.
Be Aware of Dry Socket
Dry socket can occur when the blood clot dislodges or fails to form. This results in delayed healing and significant pain.
Signs of dry socket include:
Dull, throbbing pain 3–4 days after extraction
Pain that radiates and doesn’t respond to medication
Foul breath or an unpleasant taste
A visibly empty or dry-looking socket
If this occurs, Dr. Priscila Quito will apply a medicated dressing to ease discomfort and promote healing.
Healing Timeline
While the extraction site may take several weeks or months to fully fill in with bone, most patients notice improvement within 1–2 weeks. Following aftercare instructions closely will help ensure the smoothest possible recovery.