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 is 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
Minimal oral 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 are 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 72 hours after your procedure.
What Is Dry Socket, And When Should I Call?
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 does not 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.
How Long Does Healing Take?
Although it can take several weeks or months for the socket to completely fill with bone, most patients feel significantly better within 1 to 2 weeks. Following your aftercare instructions closely gives you the smoothest recovery.
Restore Your Comfort and Protect Your Oral Health
If you’re experiencing dental pain, swelling, or think you may need a tooth removed, our team is here to help you feel better fast. At Pristine Smiles, we provide gentle, precise, and supportive care from consultation through recovery.
Contact our office today to schedule your appointment and take the next step toward a healthier, more comfortable smile.
Frequently Asked Questions
A tooth extraction can feel unfamiliar, so we’ve gathered helpful information to make the process clearer and easier to understand. These answers will guide you through what to expect and how to care for your smile afterward.
How Do I Know If A Tooth Can Be Saved Or Needs To Be Extracted?
Our dentist will examine your tooth, review X rays, and evaluate the extent of damage or infection. If a filling, crown, or root canal can predictably restore the tooth, we recommend that first. Extraction is usually suggested only when a tooth cannot be repaired or would continue to cause problems even after treatment.
Do You Perform Tooth Extractions For Children And Teens?
Yes. We provide gentle tooth extractions for children and teens when baby teeth do not fall out on their own, when there is severe decay, or when space is needed for orthodontic treatment. We take extra care to explain each step and keep younger patients comfortable.
Can I Return To Work Or School After A Tooth Extraction?
Many patients feel well enough to return to light work or school the next day, especially after a simple extraction. For surgical or multiple extractions, you may want to rest at home for one to two days. We will give you personalized guidance based on the type of procedure you have.
When Should I Replace A Tooth After It Has Been Removed?
Once the area has healed, replacing a missing tooth helps maintain your bite and prevents shifting. Options can include dental implants, bridges, or partial dentures. At your follow-up, we will review the timing and recommend the replacement option that best fits your smile and budget.
How Should I Prepare For My Tooth Extraction Appointment?
Before your visit, let us know about all medications, medical conditions, and any history of surgery or anesthesia. Eat a light meal unless instructed otherwise, arrange a driver if you are using oral sedation, and wear comfortable clothing. We will review your medical history and answer last-minute questions so you feel ready and informed.