Tooth extraction is a common oral surgery involving the removal of one or more teeth from its socket in the mandible. If it is cracked or damaged by decay, our experts at Highland Oak Dental office will do their best to repair damaged teeth using the crown, filling or any type of treatment. 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. 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 has 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, it may need to be removed.
  • Periodontal 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 problems in the gums. In a more severe case, all of the tissues in the mouth can be affected.
  • 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 pain, or having an infection. It can also cause irritation to the gum which can trigger pain and swelling. If this is the case, then wisdom teeth will need to be removed. If all four wisdom teeth will need to be removed, it is extracted all at the same time.


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 is performed when the 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 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 to reduce swelling and pain after the procedure. During the tooth extraction procedure, expect to feel pressure, but not 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.


  • Your doctor will provide you with instructions and what you need to be prepared for and what to expect before the surgery. After dental surgery, they will also provide you with tooth extraction aftercare that you need to follow. Make sure to ask any questions if there are things unclear to you before leaving the dental office.
  • Expect to feel discomfort while a simple extraction is being performed, but no pain. After the surgery, you’ll be prescribed pain medications, but it is also safe to take over-the-counter medications for pain such as Ibuprofen (Advil, Motrin, etc.). Take the medication as your doctor prescribed it.
  • Surgical extractions will normally cause pain following the procedure. The amount of pain or discomfort will depend on the complexity of the patient’s case. Pain will go away in a couple of days particularly if you follow your doctor’s orders.
  • 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.
  • If there is swelling, apply ice packs or warm compress to reduce it.
  • You are only allowed to eat cool or soft foods for several days to help with the healing. When you feel comfortable doing so, you can try to ease into your normal diet.
  • To ensure that the extracted area is clean and to promote healing, you can gently rinse your mouth with warm salt water 24 hours after the surgery.
  • If you need stitches, your doctor will use the ones that can dissolve. The stitches can dissolve in one to two weeks. You can use salt water rinse to accelerate the process. If they use a non-dissolvable kind, you will need to visit your dentist to remove the stitches.
  • Smoking, spitting, or using a straw when drinking can pull out the blood clot in the extraction site; thus, do not do these things 24 hours after the extraction.

When to call your dentist

  • The swelling that won’t subside and inflammation becomes worse
  • Blood seems to clog up forming coagulation
  • You have fever, chills or redness
  • You have difficulty in swallowing
  • There is uncontrolled bleeding in the area also known as hemostasis
  • The area continues oozing or bleeding for more than a day
  • Your tongue, chin, or lip is numb for more than 3 to 4 hours after the extraction
  • The extraction site is very painful — It may be a sign of a dry socket.

Risks when a Tooth is removed

A dry socket after a tooth extraction is common and it occurs in 3% to 4% of cases during the extraction process. A dry socket happens when the blood clot fails to form or the clot has broken down early.

In a dry socket, the jawbone of the patient will be exposed. When this occurs the patient will experience unbearable pain. It can also cause a bad taste or odor. A dry socket can cause pain on the third day after the tooth extraction process.

Dry socket happens in 30% of the cases. When the tooth extraction is complex, it will increase the chance of developing this condition. When patients smoke immediately after surgery, it can also cause a dry socket. Women with birth control pills are likely to experience this as well. When the patient has a dry socket, it will need to be treated as soon as possible with a medicated dressing so that the pain will subside and the healing process continues.

Infections can also happen during the tooth extraction procedure, but the chance of it developing is rare particularly when the patient has a strong immune system.

These can also cause a dry socket

  • The lower lip and chin have been numb for too long. This happens because of the injury in the alveolar nerve in the lower jaw. It will heal but expect the healing time will take six months. On rare occasions, the numbness can become permanent.
  • The tooth extraction is not complete. This occurs when the root remains in the jaw of the patient. The dentist will need to extract to root so that it won’t cause any infection. Sometimes it is less risky if the root is left on the tooth.
  • Sores in the jaw muscles and jaw. When this occurs you’ll have difficulty opening the mouth or there is too much pressure in the jaw.
  • There is accidental damage to the teeth such as a fracture in the fillings.
  • There is a hole in the sinus where the upper molar is extracted. The small hole normally closes itself in a few weeks and if not, surgery will need to be done.
  • The jaw fracture due to too much pressure applied during the treatment process. This usually happens in older people especially those with osteoporosis.

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 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 broken teeth cost around $175 and $600.

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

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 dental appointments. Look for specialists with excellent reviews in dental extraction and the one you’ll feel comfortable working with. Make an Appointment.

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 clot, 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 extractions.

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. At Highland Oak Dental, we’ll make sure won’t feel any pain during the extraction procedure.

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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