Our Services

Dental Extractions

A dental extraction is the removal of a tooth when it can no longer be saved or when keeping it may harm overall oral health. While preserving natural teeth is always the goal, extractions are sometimes necessary to relieve pain, prevent infection, and protect surrounding teeth and bone.

Why Dental Extractions Are Sometimes Necessary

Extractions may be recommended for several reasons, including:

• Severe tooth decay that cannot be restored with a filling or crown

• Advanced gum disease causing tooth loosening

• Tooth infection that does not respond to treatment

• Cracked or fractured teeth below the gum line

• Impacted or problematic wisdom teeth

• Overcrowding in preparation for orthodontic treatment

A thorough dental examination and X-rays are used to determine whether extraction is the most appropriate treatment option.

Types of Dental Extractions

Simple Extractions

A simple extraction is performed on a tooth that is fully visible above the gum line. The tooth is gently loosened and removed using specialized instruments.

Surgical Extractions

A surgical extraction is required when a tooth is impacted, broken at the gum line, or not easily accessible. This procedure may involve a small incision in the gum and, in some cases, sectioning the tooth for safe removal.

What to Expect During a Dental Extraction

Before the Procedure

The appointment begins with an exam and X-rays to evaluate the tooth and surrounding bone. Treatment options, sedation or anesthesia choices, and post-operative instructions are reviewed in advance.

During the Extraction

The area is numbed using local anesthesia to ensure comfort. Patients may feel pressure during the procedure but should not feel pain. For surgical extractions, additional steps may be required to safely remove the tooth.

After the Extraction

Once the tooth is removed, gauze is placed to control bleeding and promote clot formation. Instructions are provided to support proper healing.

Bone Grafting After a Tooth Extraction

In some cases, bone grafting is recommended at the time of a tooth extraction to help preserve the jawbone and support future tooth replacement options, such as dental implants or bridges.

When a tooth is removed, the surrounding bone can begin to shrink over time. Bone grafting helps maintain the natural shape and strength of the jaw by placing a biocompatible graft material into the extraction site.

When Is Bone Grafting Needed?

Bone grafting may be recommended if:

• A tooth has been missing or infected for a long time

• There is bone loss due to gum disease or infection

• A dental implant is planned for the future

• The jawbone needs support to maintain facial structure

Not every extraction requires bone grafting. A dental exam and X-rays help determine whether grafting is beneficial.

What Is Bone Graft Material Made Of?

Bone grafts are safe, commonly used materials that support the body’s natural healing process. Materials may include:

• Processed natural bone (human or animal source)

• Synthetic bone-like materials

• Biocompatible mineral compounds

Over time, the graft integrates with the natural bone and helps form a stable foundation.

What to Expect With Bone Grafting

Bone grafting is typically performed at the same appointment as the extraction. After the tooth is removed, the graft material is placed into the socket and secured. Healing occurs gradually over several months as new bone forms.

Most patients experience minimal additional discomfort beyond the extraction itself.

Risks and Possible Complications

Dental extractions are common and generally safe, but all procedures carry some risk. Possible risks include:

• Bleeding or swelling

• Infection

• Dry socket (loss of the blood clot)

• Temporary jaw stiffness or soreness

• Damage to nearby teeth or restorations

Following post-operative instructions carefully helps reduce the risk of complications.

Post-Operative Instructions After a Tooth Extraction

Proper care after an extraction is essential for healing.

Immediately After

• Bite gently on gauze for 30–60 minutes to control bleeding

• Avoid rinsing, spitting, or using a straw for the first 24 hours

• Rest and keep physical activity light

Pain and Swelling

• Use prescribed or over-the-counter pain medication as directed

• Apply an ice pack to the outside of the face for 10–15 minutes at a time during the first 24 hours

Eating and Drinking

• Stick to soft foods for the first few days

• Avoid hot, spicy, crunchy, or hard foods

• Stay hydrated but avoid straws

Oral Hygiene

• Brush and floss normally, avoiding the extraction site

• Gently rinse with warm salt water if needed to reduce swelling after 24 hours

What to Avoid

• Smoking or vaping for at least 72 hours

• Touching the extraction site with fingers or tongue

• Vigorous rinsing

Healing After an Extraction

Initial healing typically occurs within 1–2 weeks, while complete bone healing takes longer. Mild discomfort, swelling, and sensitivity are normal during the healing process and gradually improve.

Replacing an Extracted Tooth

After healing, replacing the missing tooth helps prevent shifting, bite problems, and bone loss. Options may include:

• Dental implants

• Bridges

• Partial dentures

Your dentist can help determine the best replacement option based on your oral health and goals.

When to Call the Dental Office

Contact the dental office if you experience:

• Severe or increasing pain after a few days

• Excessive bleeding that does not stop

• Signs of infection such as fever or pus

• Persistent bad taste or odor

At Dental Plus in Spring Valley, Las Vegas, we always want to save your teeth if possible. But we can only help you if the problem is caught early. Book an appointment with us today to make sure you’re not at risk!