Protecting your overall oral health sometimes means removing a tooth that can’t be saved. Our team approaches every extraction as a step toward restoring comfort, preventing infection, or preserving the alignment of neighboring teeth. We prioritize treatments that maintain function when possible, and extraction is recommended only when it’s the most responsible clinical option.
Decisions about extraction are based on a careful examination and imaging, the condition of the tooth and surrounding tissues, and the patient's general health. We explain why removal is recommended, outline the alternatives that were considered, and describe what to expect next so you can make an informed choice with confidence.
Below are common situations that lead to a recommendation for extraction. Each entry describes the problem in straightforward terms and why removal may be the safest path to a healthier mouth.
Primary (baby) teeth that won’t come out or are damaged
Most baby teeth fall out on schedule as permanent teeth begin to emerge. Occasionally a primary tooth remains anchored to the jaw or becomes badly decayed. When a retained baby tooth interferes with proper eruption or alignment of the adult tooth, removal may be advised to avoid future crowding or bite problems.
Permanents that are too damaged to repair
A cavity or injury can sometimes destroy the structural support a tooth needs. If the remaining tooth cannot be restored predictably — for example, when the tooth has extensive decay or the root is compromised — extraction prevents recurring pain and the spread of infection.
Cracked or fractured teeth beyond restoration
Teeth can split in many ways. Small chips are often treatable, but deep fractures that extend below the gumline or through the root frequently leave the tooth unstable. In those cases removal is a practical, long-term solution to avoid chronic problems.
Advanced periodontal disease that weakens support
When gum disease destroys the bone and soft tissue that hold a tooth in place, the tooth can loosen and become a source of pain or infection. Extracting teeth that have lost their supporting structure can protect adjacent teeth and make periodontal treatment more effective.
Wisdom teeth that are impacted or causing trouble
Third molars often lack enough room to erupt properly. Impacted or poorly positioned wisdom teeth can damage neighboring teeth, trap debris, or become infected. Early removal is commonly recommended for problematic third molars to prevent larger issues later on.
Extractions as part of orthodontic treatment
When the jaw is too small to accommodate all permanent teeth, selective removal of specific teeth can create the space needed to align the smile effectively. Extractions for orthodontics are planned carefully to support a balanced, functional result.
An extraction begins long before the first injection of anesthetic. Our process starts with a detailed review of your dental and medical history so we can anticipate how your body may respond and whether any special precautions are needed. Clear communication about medications and health conditions helps us reduce risk and plan safely.
Digital radiographs are frequently used to assess root shape, proximity to nerves or sinuses, and the condition of surrounding bone. These images guide the chosen technique and allow us to discuss expected complexity, recovery, and any referrals to specialists when necessary.
In some instances, we coordinate with your physician or adjust medications before treatment. For patients with significant dental anxiety or for complex cases, we’ll explain available comfort options, including local anesthetic and, where appropriate, procedural sedation. Pre-procedure instructions help reduce complications and support a smoother recovery.
Extractions vary in complexity, and understanding the difference helps set realistic expectations. Some teeth can be removed quickly once well-located and anesthetized, while others require more time and a small surgical approach to access roots or remove bone. Regardless of the method, our goal is safe, efficient care with attention to minimizing discomfort.
When a tooth is visible and the root anatomy is typical, we can usually perform a straightforward extraction. After numbing the area thoroughly, the tooth is gently loosened and removed with forceps. Patients are monitored during the process to ensure comfort, and we provide clear aftercare instructions to support healing.
Surgical extractions are used when a tooth is broken at gum level, fused to the bone, or impacted. The procedure may involve a small incision and temporary removal of a bit of bone to access the tooth. For particularly complex or high-risk cases, we may refer to an oral and maxillofacial surgeon who specializes in these procedures. In all cases we review anesthesia options and post-operative expectations beforehand.
Aftercare plays a major role in how comfortably and quickly you heal. We provide personalized instructions, but there are common practices that help most patients recover without complications. Following simple behavioral guidelines supports clot formation, reduces swelling, and lowers the risk of infection.
Below are standard post-operative recommendations we share with patients. These steps are designed to protect the extraction site while your body begins the natural healing process. If your treatment required extra stitches or was more complex, your care plan may include additional directions or a follow-up appointment.
Using gauze to control bleeding
Immediately after the procedure, bite gently on the provided gauze to apply consistent pressure. This encourages clotting. Replace the gauze as instructed; if heavy bleeding continues beyond a couple of hours, contact the office so we can advise you.
Protect numb tissues
While local anesthesia remains in effect you may not feel your lips or cheek. Avoid chewing or touching the area to prevent accidental bites and soft-tissue injury until sensation returns.
Follow medication instructions
Antibiotics:
If prescribed, take antibiotics exactly as directed and finish the full course to reduce the risk of infection.
Pain control:
Taking an appropriate pain reliever before numbness wears off can improve comfort. Use over-the-counter or prescription medications only as advised by your provider.
Preserve the clot
Avoid rinsing vigorously, using a straw, or spitting forcefully for the first 24 hours. These actions can dislodge the forming clot and delay healing.
Manage swelling with cold
Apply an ice pack to the cheek in short intervals on the first day to limit swelling. Elevating your head while resting can also help reduce inflammation.
Skip smoking and tobacco
Tobacco use can impair clotting and healing. Avoid cigarettes and other tobacco products for at least a week after extraction to reduce complications.
Choose soft, cool foods first
Start with soft, lukewarm foods and avoid spicy or crunchy items for a few days. Staying hydrated is important, but don’t use a straw during the initial healing phase.
Maintain gentle oral hygiene
Keep the mouth clean but avoid brushing directly over the extraction site for the first couple of days. After 24–48 hours, a gentle rinse with warm salt water can soothe the area.
Attend follow-up visits if scheduled
If sutures were placed or the extraction was complex, we will schedule a follow-up appointment to check healing and remove stitches if necessary. Keeping that appointment helps ensure a smooth recovery.
If you notice severe bleeding, increasing pain, significant swelling, a persistent bad taste, or any other unexpected symptoms, please contact our office right away so we can provide guidance.
Removing a tooth can be the first step toward a healthier mouth, but planning what comes next is just as important. We discuss options for replacing missing teeth when appropriate, with an emphasis on restoring function and appearance while supporting long-term oral health.
Common replacement choices include removable dentures, fixed bridges, and dental implants. Each approach has benefits depending on the number of missing teeth, bone health, and a patient’s goals. We’ll review which options make the most sense for your situation and schedule any necessary follow-up care.
Our team works with you to develop a timeline that coordinates healing, restoration, and any additional treatments needed to maintain a stable, comfortable bite. Smith Tano Dental Group emphasizes clear communication so you understand the pros and cons of each path and what to expect at every stage.
If a referral to a specialist is the safest or most effective course, we’ll make that recommendation and help coordinate care so your treatment proceeds smoothly from extraction to restoration.
In summary, tooth removal is a common dental procedure guided by careful evaluation, thoughtful planning, and clear aftercare instructions. If you’d like to learn more about extractions or want to discuss how they may apply to your dental health, please contact us for more information.
The most common reasons for tooth loss include advanced periodontal disease, extensive tooth decay, and facial trauma. According to statistics, gum disease is responsible for close to 70% of tooth loss in adults. Although less frequent than the preceding three reasons, it should also be noted that specific diseases, drugs, smoking, and poor nutrition contribute to the risk of tooth loss.
The Centers for Disease Control and Prevention report that in the United States, an average of 12 teeth (including the wisdom teeth) are lost by the age of 50. Also, 26% of adults between 65 and 74 years of age have lost all their teeth.
Every patient and every situation is different. However, when a tooth and the surrounding tissues are numbed with a local anesthetic, you should only expect to feel a bit of pressure, but no pain as the tooth is being loosened from the surrounding tissues and extracted. For patients who are apprehensive and for some surgical extractions, our office will discuss our options in dental sedation to provide further relaxation and reduce any sense of discomfort.
While it's normal to feel some tenderness and swelling following an extraction, the degree of these sensations can vary. It mostly depends on the complexity of the extraction and the body's response to the procedure. We'll recommend or prescribe the appropriate pain medication to help ensure your comfort and give you specific instructions for maximum effectiveness and safety.
Typically, the recovery period following a simple extraction is shorter than a surgical extraction. However, a patient's overall health, habits, the size and location of the tooth, and other variables can influence recovery and healing. To speed up the recovery and avoid any complications, patients must follow the given at-home instructions diligently. We'll carefully review what to expect following your procedure and go over your post-op instructions.
Smoking interferes with blood clot formation, which is an essential first step in the healing process. Blood clot formation not only provides a protective layer to cover the underlying exposed bone and nerve endings, but it also supports the growth of new tissue. Cigarette smoke also contains chemical toxins that can disrupt the healing process and lead to problems such as continued inflammation, infection, or dry socket.
In a very small percentage of cases, a condition known as dry socket can develop in the aftermath of a dental extraction. This painful condition can arise when the blood clot in the extraction site doesn't form properly or gets dislodged. With dry socket, you may experience throbbing pain and symptoms such as bad breath and an unpleasant taste in your mouth. As skilled providers of care, our office will provide immediate treatment to alleviate your discomfort and promote healing.
The last teeth in your mouth to develop, wisdom teeth often do not have enough room to fully erupt or may be positioned in the wrong direction. These issues can affect your dental health as well as overall wellbeing. While some individuals never develop all their wisdom teeth, and a few have sufficient space for them, there are many people with partially or fully impacted third molars. Our office will monitor the development, position, and health of your wisdom teeth and will advise you if and when extractions are indicated.
After a tooth is removed, bone-grafting material is sometimes placed in the socket to promote healing and encourage new bone development. This procedure is often performed to support the eventual and successful placement of a dental implant.
At the office of Smith Tano Dental Group, we strive to make dental care affordable and accessible. Depending on the type or complexity of the extraction and other variables, the cost of the procedure can vary. Based on our diagnostic findings, our office will inform you of the healthiest choices in care, explain the fees, discuss insurance coverage, and explain your payment options.
Many dental plans offer some level of coverage for tooth extractions. We'll advise you if your plan covers the full cost of the procedure and if there is any out-of-pocket expense. Our business office will work with you to maximize your insurance benefits as much as possible while helping you minimize any out-of-pocket expenses.
