Tooth removalTooth extraction is a common oral surgery involving 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 will do their best to repair damaged teeth using 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? | What to Expect? | Aftercare | How much it costs? | Appointment | FAQ


Reasons for teeth removal

  • Extra teeth (impacted) that prevents new teeth from erupting.
  • Baby teeth that wouldn’t fall out in time which 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 transplant have a high risk of contracting infection since the prescribed medications can suppress the immune system. When a teeth has 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 state 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.

Oral surgery: What to tell us before tooth removal

Tooth extraction is one of the safest General dentistry treatments; however, there’s a slight risk where a 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 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
  • 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. Which 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 which 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 for before and after surgery. Antibiotics are needed when:

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

Procedure for tooth extraction

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 which 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 is 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 themas 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 in 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 in your vein (intravenous). If you are being administered with a 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 pulling out the tooth.

Aftercare – Pulled out a 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 not 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 a gauze for 20 to 30 minutes to promote blood clot. 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 saltwater 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.

Tooth extraction cost

The Cost of tooth extraction 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 outweighs 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.

How much for a tooth extraction?

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.

Teeth extraction – Frisco

Our Team at Frisco takes pride in giving safe tooth extractions. If you are in or near Frisco, call us, especially if you are in pain. If you are nearby, visit us to book your next Dental Extraction Texas appointment. We offer affordable and best low cost treatments in Frisco, TX so call our office if you have any questions regarding dental insurance, price, or scheduling. We accept patients in Frisco, Texas with no insurance or with.


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Dental Extraction FAQ

How long does it take to recover from a tooth extraction?

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 tooth extraction 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.

Can I go to work after tooth extraction?

If it is a simple extraction where the tooth is visible and is above the gumline, it will only require local anesthesia. It is possible to go back to work in a day or two. If multiple teeth will need to be extracted, you can back to work in a few days or more. Contact our Highland Oak Dental office to know more about the procedure.

How long after tooth 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.

Can I use toothpaste after extraction?

You can brush your teeth after the extraction, but do not use toothpaste. Rinsing with a toothpaste could increase the risk of having the clot dislodged.

How can I make my tooth extraction heal faster?

After the extraction, make sure to allow some time for the clot to develop on the extracted site. Remove the gauze only if the bleeding stops. You can brush your teeth, but brush gently to prevent it from dislodging. Eat only soft foods at this time and ease into your normal diet when you feel comfortable. Make sure the extraction site is free from food particles to prevent infection.

Do I sleep with gauze after tooth extraction?

Do not sleep with gauze in your mouth. If you have to do that, make sure to check the gauze constantly at least every 20 minutes. Do not stop the bleeding for long periods without keeping the gauze in your mouth checked.

How long after extraction can I remove the gauze?

Bleeding will normally stop in three to four hours. You can remove the gauze when the bleeding has stopped, but if it still persists, you can keep the gauze in the mouth until it stops bleeding.

How do you relieve pain after tooth extraction?

Pain medications will be prescribed to help manage pain after surgery. Your dentist will prescribe over-the-counter pain medications such as Ibuprofen to relieve pain. Ibuprofen is anti-inflammatory and can help in managing pain.


Tooth Extraction Near Me

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.


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