Tooth extraction is a common oral surgery involving the removal of one or more teeth from its socket in the mandible. If it is a cracked tooth, chipped tooth, or a damaged tooth by decay, our experts at Highland Oak Dental dental office will do their best to repair damaged teeth using the crown, filling, or root canal therapy. But sometimes, there is too much damage to the teeth that it cannot get fixed with such treatments. In this case, the teeth will need to be removed. An abscessed tooth or a very loose tooth will need to be pulled if it can no longer be saved, even with a bone graft.

Contents: Why do it? | What to tell a dentist? | Procedure | Aftercare | Risks | How much it costs? | Appointment | FAQ

Reasons for unhealthy teeth removal

  • Extra teeth (impacted) that prevent new teeth from erupting.
  • Baby teeth that wouldn’t fall out in time prevent permanent ones from coming out.
  • In braces, a tooth or more may need to be pulled to make room for existing teeth to properly align into position teeth to be pulled to make room for the ones that are being moved into position.
  • When under radiation therapy particularly if it is in the head or neck especially if the teeth have severe decay will need to be removed.
  • Cancer medications can cause infection as one of its side effects is a weakened immune system. Decayed teeth may require removal.
  • People who have undergone organ transplants have a high risk of contracting infection since the prescribed medications can suppress the immune system. When teeth have severe decay, they may need to be removed.
  • Periodontal disease or gum disease is an infection that occurs around the structure of the teeth and alveolar bone. Gingivitis is the early stage of this disease which can cause a problem in the gums. Gum tissues and ligaments are significantly impacted in more extreme cases of the disease, impairing denture support and leading to tooth decay.
  • Impacted Wisdom Teeth or third molars are pulled before or after they erupt. Wisdom teeth usually come out during the early 20s or late teens when all of the permanent teeth have erupted. This results in having the wisdom tooth impacted, decayed, causing dental pain or toothaches, or having an infection. It can also cause irritation to the gum which can trigger discomfort, pain, and swelling. If this is the case, then wisdom teeth will need to be removed as soon as possible. If all four wisdom teeth will need to be removed, it is extracted all at the same time. Sensitive teeth (tooth sensitivity) are a frequent complication after wisdom tooth removal. Unless otherwise specified, if you’re usually wearing an orthodontic device such as a retainer or mouthguard for teeth grinding (bruxism) or TMJ disorder, you may continue wearing it after 24 hours of the extraction. If the dental appliance causes discomfort or appears to exert an abnormal amount of strain on the extraction site, discontinue use and notify your dentist.
  • Typically, a dental abscess located near the tooth’s root is sensitive to pressure. If the impacted tooth cannot be saved, your dentist will extract it and remove the abscess to treat the tooth infection. Antibiotics should be provided when necessary. However, it may not be essential if the infection is limited within the abscessed area.
  • If you are bleeding profusely, you may require urgent dental care (emergency dental care). If you have a knocked-out tooth or a loose one, it is an emergency. If you have jaw injuries, inflammation in the area, or a terrible emergency toothache as well, all of these are situations that require urgent care or emergency treatment. Our emergency dentist will do everything necessary to restore your natural tooth. Occasionally, though, the tooth is too severely damaged to preserve, necessitating extraction. Contact us today to schedule an emergency dental appointment, and we will do our best to accommodate you on the same day. Please do not hesitate if you have any queries about emergency dentistry or other emergency services that we provide and we’ll make every effort to answer your queries immediately.


Tooth extraction is one of the safest treatments available; however, there’s a slight risk where harmful bacteria can enter the bloodstream. The gum tissues are also at risk of getting infected. If you have this condition, there’s a high risk of developing an infection; thus, you need to take antibiotics before and after your tooth is pulled. It is also a good practice to let your doctor know about your medical and dental history, the medications you are taking, and be honest about it. It is particularly important if you have the following conditions:

  • History of bacterial endocarditis
  • Weak immune system
  • Liver disease (cirrhosis)
  • Damaged or man-made heart valves
  • The artificial joint, such as a hip replacement
  • Congenital heart defect

An X-ray will be needed for the dentist to best plan for the removal of the teeth. Thus, it is crucial that you mention any medical or dental history including the medications you take so that they’ll know if it conflicts with the x-ray or the treatment itself.

If you want the wisdom teeth to be removed, a panoramic x-ray will be used. This type of x-ray will take an image of the patient’s teeth all at once. This is useful as it can give them a definite plan on what to do and how it will get extracted. It can also show them the following:

  • The impact of your wisdom teeth and how it affects the neighboring teeth.
  • The upper teeth’s relationship with the sinuses.
  • The lower teeth’s relationship to the jawbone and nerves directs feelings to the lower jaw, lower teeth, lower lip, and chin. This nerve is known as the inferior alveolar nerve.
  • Any tumors, infections, or bone disease that may be present in the mouth

Sometimes the doctor will prescribe an antibiotic before and after surgery. Antibiotics are needed when:

  • There is an infection at the time of surgery
  • The patient has a weak immune system
  • The surgery takes longer than usual
  • You have a specific medical condition that could affect the extraction

After the procedure, someone will need to drive you home. Your doctor will provide post-surgery instructions and you will need to follow them.

The Procedure

There are two types of extractions:

  • A simple one (sometimes called closed extraction) is performed when the permanent tooth can be seen in the mouth. It is a straightforward process that uses an instrument called an elevator to knock the tooth back and forth and forceps to claw the tooth and extract it.
  • A surgical one (sometimes referred to as open extraction) is a more complicated type of extraction. This is usually performed when the teeth have broken off and are below the gum line. Surgical procedures are also performed if the tooth hasn’t come out yet. Surgical removals are normally performed by oral surgeons but it isn’t restricted to them as dentists can do that as well. During the extraction process, doctors make a small cut into the gum to reveal the tooth. Sometimes, they may need to remove some of the bone around it, cut it into pieces so it can be pulled out easily.

An injection (a local anesthetic) is standard in simple extractions, but sometimes you can request to take drugs that will help you relax when you’re anxious or nervous during the procedure. For surgical extractions, you’ll be administered with a local anesthetic that is injected into your vein (intravenous). If you are being administered with conscious sedation, you may be provided with steroids or other medicines in the IV line. Steroids can help in pain relief and reduce swelling after the procedure. During the tooth extraction procedure, expect to feel pressure, but no pain. If there is pain, it means that your anesthesia is not enough therefore, you will need to tell your doctor about it before they proceed to completely pull out the tooth.

Aftercare and Risks

  • An incision in the mouth will normally bleed a lot compared to the cut in the skin because it cannot dry out and scab. After the extraction, you’ll be instructed to bite on gauze for 20 to 30 minutes to promote blood clots.
  • Bleeding is minimized once the clot forms, and it will fully stop after a day or two. It is important that you do not disturb the clot in the wound as you can develop a painful condition called dry socket.
  • Avoid placing your tongue, fingers, or toothbrush into or near the extraction point to prevent dislodging the blood clot and increasing your chance of developing a dry socket or infection. Pay attention to your dentist’s dental care guidelines.
  • Maintain good oral hygiene – Brush your teeth the day after extraction with a soft toothbrush, being careful not to brush the extraction site. Rinse gently numerous times daily with warm salt water for at most one week after surgery.

Read more about Aftercare

Tooth Extraction Cost

The total cost can depend on various factors and most often the cost will depend on the complexity of the patient’s case, the skill of the dentist, and other dental services needed before the teeth will get extracted. However, the benefits of dental extraction outweigh its cost and it can save you a lot of pain and frustration in the future should you decide to not have the tooth extracted. Since tooth extraction is not cheap, you should spend your money on a dentist who has excellent reviews and is near your home and office.

These can be affordable as dental insurance helps pay for tooth extraction.

How much for an extracted tooth?

Cost for tooth extraction ranges from $50 to $200 for a simple gum-erupted extraction. Surgical extraction with Anesthesia cost between $125 and $650. Soft-tissue or complicated surgical removal for a broken tooth cost around $175 and $600.

These can be affordable as dental insurance (like PPO insurance) helps pay for tooth extraction. Contact us to know more about the payment plans we have and other financing options.

Oral Surgery Near Frisco, TX

When choosing a dentist, location is very important as it can save you a lot of time and money. There may be additional treatment or follow-up appointments along with your routine visits later therefore if it is near your home or place of work, it is more convenient to go for a dental appointment. If you are in or nearby Frisco, give us a call, even more so if you’re suffering from terrible pain or experiencing a dental emergency and require immediate attention. Look for specialists with excellent reviews in dental extraction and the one you’ll feel comfortable working with.

We at Highland Oak Dental possess cutting-edge technology and a highly skilled team of experts. Furthermore, we offer other dental care treatments like dental fillings, restorative dentistry including permanent dentures, dental implants for lost or missing teeth & dental bridges, dental emergencies, and cosmetic dentistry such as crowns and dental veneers. Make an Appointment.

Our Highland Oak Dental dentist office are informed of and adhere to the new COVID-19 pandemic guidelines. To guarantee the safety of our patients and staff from the coronavirus, our dental practice follows infection control protocols established by the Occupational Safety and Health Administration (OSHA) (OSHA), the United States Centers for Disease Control and Prevention (CDC), and the American Dental Association (ADA).

Schedule an appointment with our specialist to see if removing a tooth is necessary

FAQs About Teeth Pulling

How long does it take to recover from an extracted tooth?

Normally, your oral surgeon will ask you to take a rest and relax for 48 to 72 hours after the treatment to promote blood clot. Once the blood has fully clotted, you should be able to continue with your local activity. But for the extraction to fully heal particularly in your gum tissues, it needs three to four weeks. Consult Dr. Shiney George DDS to know more about recovery from tooth extractions. She has numerous years of professional experience, is an expert in a variety of dental procedures, and is well-equipped. Additionally, her credentials have been fact-checked and verified.

Is removing a tooth painful?

In a simple extraction, you can feel a slight pressure but that’s common. The affected tooth is rocked back and forth to loosen it before removal and that’s the amount of pressure you are feeling. The pressure felt is normal, but no pain. Our caring team at Highland Oak Dental will make sure won’t feel any pain during the extraction procedure, cater to your specific dental needs, guarantee to improve your dental health, and help you attain a healthy, radiant smile.

How long after an extraction can I eat?

You should only eat soft foods and liquids for 24 hours after the extraction. You can transition to your regular diet after several days or when you feel comfortable doing so.


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