Dental Extractions

Overview of the Procedure

  • Oral and maxillofacial surgeons are dental surgical specialists in the removal of teeth. Unfortunately, when teeth are damaged due to large caries, extensive periodontal disease, tooth fractures, or various other reasons, the only real option is removal of the teeth. We offer various forms of anesthesia, in addition to local anesthesia, to minimize the anxiety of the procedure.
  • We will speak to you about the options for replacing any teeth that need to be removed. Fortunately, today dental implants offer a very reliable means of replacing the missing tooth. At the time of your consultation, we can discuss this option and techniques we utilize to augment or preserve the bone for a future dental implant.

What to Expect

  • Dental extractions are occasionally performed using local anesthesia to minimize pain. The teeth are worked out of the jaw through gentle back and forth movements, instead of being “pulled.” These movements may cause you to feel some pressure in your jaw area. Depending on the state of the teeth, they may need to be “sectioned,” meaning divided and removed one part at a time. With bone removal, IV sedation (“twilight sleep”) or general anesthesia may be needed due to difficult procedures or patient anxiety.


  • Use gauze to minimize bleeding. Rinsing and spitting should be avoided in the first 24 hours after dental extraction. Flossing and brushing should be done carefully to avoid irritation of the extraction site. You may be assigned a special diet to follow for immediately after the extraction. Avoid straw use for up to seven days postoperatively.  You may experience some pain and swelling for a few days, but this can be managed with medication and ice compresses. Avoid smoking as well for seven days post-op to avoid a painful “dry socket”.