extractionsMost teeth are extracted because they are extremely decayed, others may have an advanced case of periodontal disease, or have broken in a way that cannot be fixed. Other teeth may need to be removed because they are poorly positioned (such as impacted teeth), or in ready for some kind of orthodontic treatment.

Removing of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and teeth moving, and that can have a major impact on your dental health.

To avoid these situations, the dentist will discuss alternatives to extractions as well replacement of the extracted tooth.

Extraction Process

When the tooth is to be extracted, the dentist will numb your tooth, jawbone and gums that surround the area with a local anesthetic.

With the extraction you will feel pressure. This is from the process of rocking the tooth in order to loosen the tooth and widen the socket for removal.

You will feel this without pain as the anesthetic has numbed the nerves around that area.

If you do happen to feel pain at all during an extraction, please tell us right away.

Extraction Care

Some bleeding may occur. Placing a piece of damp gauze over the empty socket and biting down firmly can control this.

Blood clots that form in the now empty tooth socket, is an important part of the healing process and you must be very careful not to dislodge the clot.

Avoid rinsing or spitting for 24 hours (after extraction).

Avoid use of a straw, hot liquids or smoking.

If you have Swelling

Swelling may occur, you can place ice on your face for ten minutes and then remove it for thirty minutes. Repeat this as needed for up to 24 hours.

Pain and Medications

If you feel any pain, you can use non prescription medications such as acetaminophen or ibuprofen.


For most extractions, make sure you chew away from the extraction area. Avoiding hot liquids and alcoholic beverages for 24 hours is best. A cold liquid diet is recommended for at least 24 hours.


After the extraction, try not to brush the area around the extraction site for at least one day. Then you may resume gently cleaning. No commercial mouth rinses, as they will irritate the site. Starting 24 hours after the extraction you can rinse with a little salt water right after meals and before bed.

Dry Socket

Very rarely, a dry socket can occur after a procedure. Dry socket is when a blood clot fails to form in the socket or the clot has been dislodged and the healing is extremely long. Following the post extraction instructions will reduce the chances of developing dry socket.


Once a tooth has been extracted there will be a hole in your jawbone where the tooth was. Over time, this will fill in with bone. This can take weeks or even months. But, after 1- 2 weeks you should no longer notice any inconvenience.