Tooth Extraction

Simple extractions done with local anesthesia, gentle technique, and honest advice on what to put in its place.

When extraction is the right answer

Tooth extraction isn't the first option for most problems. Fillings, crowns, and root canals all preserve natural teeth longer. But sometimes a tooth is too broken, too decayed, or too infected to save. When that's the case, extraction done properly is often the quickest path to stopping pain and starting replacement planning.

Common reasons for extraction

  • Severe decay that has destroyed too much tooth to restore

  • Trauma that has cracked a tooth below the gumline

  • Failed root canal where retreatment isn't possible or practical

  • Periodontal disease that has destroyed the bone supporting the tooth

  • Orthodontic preparation — creating space for alignment in certain cases

The procedure

  1. Consultation + imaging. A focused X-ray or CBCT confirms tooth position, root anatomy, and surrounding structures.

  2. Local anesthesia. The tooth and surrounding area are fully numbed.

  3. Tooth loosening. Using specialized instruments, the tooth is gently rocked to widen the socket.

  4. Extraction. The tooth is lifted from the socket.

  5. Socket management. The area is cleaned. A bone graft may be placed if future implant is planned.

  6. Post-op instructions. You'll get a detailed written aftercare plan before you leave.

Most simple extractions take 20–45 minutes. Complex cases take longer.

What to do after an extraction

  • First 24 hours: bite on gauze for 30–45 minutes to stop bleeding; no rinsing, no spitting, no straws

  • Day 1–2: soft foods, ice pack for swelling, rest

  • Day 2–3: gentle salt water rinses starting 24 hours after extraction

  • Avoid: smoking, alcohol, and vigorous activity for 72 hours

  • Call (214) 623-0880 if you experience severe pain after day 3 (could indicate dry socket)

What comes next

Losing a tooth isn't the end of the conversation. Replacement options are discussed before extraction whenever possible:

  • Single-tooth dental implant — most durable, looks and functions like a natural tooth

  • Dental bridge — uses adjacent teeth for support

  • Partial denture — removable option, usually lowest cost

  • Leave as-is — sometimes appropriate for rear molars with limited functional impact

Common Questions

Frequently Asked Questions

Is a tooth extraction painful?

How long does extraction take?

How long is recovery?

What is a dry socket?

Should I replace an extracted tooth right away?

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Care from the dentist who teaches other dentists.

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closeup of a dental inspection

Care from the dentist who teaches other dentists.

portrait of a man
portrait of a woman
portrait of a man
portrait of a woman

5.0

168 Reviews on

closeup of a dental inspection

Care from the dentist who teaches other dentists.

portrait of a man
portrait of a woman
portrait of a man
portrait of a woman

5.0

168 Reviews on