Even when we do everything possible to conserve natural teeth, there are circumstances where removal is the healthiest choice. Extractions are a common dental procedure that protect your long-term oral health by removing teeth that cannot be restored or that threaten the surrounding structures. At the office of Christopher R. Szydelko, DDS PC, we approach every extraction with the same priorities we apply to all care: patient comfort, careful planning, and clear communication.
Deciding on an extraction is never taken lightly. We evaluate how a tooth affects your bite, neighboring teeth, gum tissues, and bone before recommending removal. The goal is to keep you informed about the reasons behind a recommendation and the alternatives available, so you can make a confident decision aligned with your health and lifestyle.
When extraction is advised, our team outlines what to expect before, during, and after the procedure. That planning includes reviewing your health history, discussing anesthesia and sedation options if needed, and talking through replacement strategies when appropriate. Thoughtful preparation helps reduce anxiety and supports a smoother recovery.
Primary (baby) teeth that are retained or damaged
Sometimes a primary tooth does not fall out as the permanent tooth arrives. When a baby tooth becomes fused to bone or severely decayed, it can block normal development. Early removal in those cases helps guide proper eruption and alignment of the permanent teeth, preventing crowding or impaction later on.
Permanently damaged teeth beyond repair
A tooth with extensive decay or structural damage may no longer be restorable. When damage extends into the root or the remaining tooth structure cannot support a crown or filling, extraction can stop infection from spreading and preserve the health of adjacent teeth and gums.
Severe fractures or root damage
Teeth that are fractured below the gum line or have roots that have been compromised sometimes cannot be saved. In those cases, removal can prevent ongoing pain, infection, or complications that would otherwise undermine oral function and comfort.
Advanced periodontal disease
When gum disease has significantly reduced the bone and soft tissue support around a tooth, mobility and infection may make extraction the most predictable way to protect your overall oral health. Removing severely compromised teeth can also make future reconstructive treatment more successful.
Wisdom teeth that are impacted or problematic
Third molars frequently lack sufficient space to erupt cleanly, which can lead to impaction, decay, or damage to neighboring teeth. Removing troublesome wisdom teeth early often prevents more complex issues later in life and is commonly recommended when they pose a clear risk.
Extractions as part of orthodontic planning
In some orthodontic cases, removing one or more permanent teeth creates the space needed to align the bite and achieve a stable, functional result. When extractions are part of a coordinated treatment plan, we work closely with your orthodontist to time and plan the procedure appropriately.
Before any extraction, we complete a thorough exam and take digital radiographs as needed. These images let us assess root shape, the tooth’s relationship to adjacent structures, and the surrounding bone. We also review your medical history and current medications so we can plan safely and determine whether additional precautions—such as antibiotic premedication or medical clearance—are needed.
Local anesthesia is used to numb the tooth and nearby tissues thoroughly. For patients with dental anxiety or for complex procedures, we can discuss sedation options to make the visit more comfortable. Our objective is to ensure you remain relaxed and pain-free throughout the appointment while maintaining clear communication about each phase of the treatment.
Once the area is numb, the technique depends on how the tooth presents. We categorize extractions as simple or surgical. A simple extraction removes a visible tooth with uncomplicated root anatomy, while a surgical approach is used for broken-down, impacted, or otherwise hard-to-reach teeth. Every step is performed with precision to protect surrounding teeth and tissues.
When the tooth is fully visible and the root form allows, a simple extraction is performed using elevators and forceps. These instruments gently loosen the periodontal ligaments and allow the tooth to be removed with controlled motion. The entire process is designed to minimize trauma to the jaw and soft tissues, and most simple extractions are completed quickly with minimal postoperative discomfort.
We will provide clear aftercare instructions before you leave so you know how to care for the socket, manage discomfort, and recognize normal healing signs. If sutures are required, we will explain whether they will dissolve on their own or need removal at a follow-up visit.
Surgical extractions are necessary when a tooth is broken below the gum line, impacted, or otherwise inaccessible. This technique may involve a small soft-tissue incision and careful removal of a small amount of bone to gain access. In some cases, the tooth is sectioned into pieces to allow atraumatic removal. The goal is to protect the jaw and neighboring teeth while achieving complete and clean extraction.
For surgical cases, we may refer to or collaborate with an oral and maxillofacial surgeon depending on the tooth’s position and the complexity of the procedure. We carefully discuss all options beforehand so you understand the plan and what to expect during recovery.
Good preparation helps reduce anxiety and supports a smooth recovery. Before your procedure, review your current medications and health conditions with our team—this includes over-the-counter drugs and supplements. Certain blood-thinning medications or health issues may require coordination with your physician to ensure the safest approach.
If you are scheduled for sedation, we will provide specific instructions about eating, drinking, and bringing a driver. For local anesthesia alone, you may be able to drive yourself home, but it’s still helpful to have someone accompany you if you expect discomfort or sedation. Clear preoperative instructions will be provided and reviewed so you know what to expect on the day of care.
We also discuss tooth-replacement options in advance when appropriate. Planning ahead makes it easier to transition to dentures, bridges, or implant restorations when a replacement is recommended. This coordination allows us to time extractions and restorative treatment to achieve the best functional and aesthetic outcome.
Every recovery is unique, but most people experience manageable discomfort and predictable healing when they follow recommended aftercare. We supply instructions covering pain control, swelling management, oral hygiene, and activity restrictions. Following these guidelines helps stabilize the extraction site and reduce the risk of complications.
Maintain gauze pressure
We place gauze on the extraction site and ask you to bite gently to help a stable blood clot form. Change the gauze as directed and maintain pressure until bleeding slows. Some minimal oozing for up to 24 hours can be normal; persistent, heavy bleeding should be reported.
Protect numb tissues
Avoid chewing or touching the area until sensation returns. Numb lips, cheeks, or tongue are susceptible to accidental injury after anesthesia wears off.
Follow medication guidance
Antibiotics:
If prescribed, take the full course exactly as directed to help prevent or treat infection.
Pain management:
Start pain relief as recommended—taking medication before the anesthetic fully wears off can improve comfort. Use only the medications and doses your provider recommends.
Protect the clot
Avoid rinsing vigorously, spitting, using straws, or smoking during the first several days. These actions can dislodge the clot and delay healing.
Manage swelling
Apply an ice pack externally in short intervals on the first day to reduce swelling. Keep your head elevated while resting to help control inflammation.
Avoid tobacco
Tobacco products interfere with clot stability and tissue healing. Avoid smoking and chewing tobacco for at least one week after extraction.
Choose gentle foods
Stick to cool, soft foods for the first few days and avoid very hot, spicy, or crunchy items. Stay hydrated with non-carbonated beverages.
Keep your mouth clean
Resume gentle brushing while avoiding the extraction site for the first day. After 24 hours, saltwater rinses can be used gently to keep the area clean; do not rinse vigorously.
Attend follow-up care
If sutures were placed or additional monitoring is needed, keep your scheduled follow-up appointment so we can confirm proper healing and address any concerns.
Contact our office promptly if you experience increasing pain, prolonged bleeding, swelling that worsens after the second day, or any unusual symptoms. Early attention helps prevent complications and supports a comfortable recovery.
We combine clinical experience with careful, patient-centered planning to make extractions as efficient and comfortable as possible. Our emphasis on preparation, appropriate anesthesia and sedation options, and clear post-operative instructions helps patients move through the process with confidence. Where restorative planning is needed, we coordinate next steps so your long-term function and appearance are addressed.
When a tooth must be replaced, we discuss reliable restorative choices—such as dentures, fixed bridges, and dental implants—to restore chewing function and smile appearance. We present options objectively and help you understand the timeline and considerations for each approach so you can select the solution that best fits your goals.
Trustworthy dental care is built on communication and consistency. If you have questions about an extraction or the best way to proceed with tooth replacement, our team is available to explain options and guide you through each decision in a clear, respectful way. Christopher R. Szydelko, DDS PC is committed to helping you maintain a healthy, functional smile.
In summary, tooth extractions are a routine but carefully managed part of dental care that protect your overall oral health when preservation is no longer possible. If you would like more information about extractions or want to discuss whether one may be right for you, please contact us for additional guidance and to arrange a consultation.
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 Christopher R. Szydelko, DDS PC, 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.
Extractions are recommended when a tooth cannot be safely preserved or when it threatens the health of nearby teeth, gums, or bone. Common reasons include severe decay that extends into the root, fractures below the gum line, advanced periodontal disease with loss of supporting bone, and impacted wisdom teeth that cause pain or infection. In pediatric cases, retained or damaged primary teeth that block normal eruption may also require removal to guide development.
Before recommending extraction, our team performs a thorough clinical exam and uses digital radiographs to evaluate root anatomy, bone levels, and the tooth’s relationship to adjacent structures. We explain alternatives when they exist and discuss replacement planning if the missing tooth will affect function or appearance. The office of Christopher R. Szydelko, DDS PC emphasizes patient comfort, clear communication, and careful planning whenever removal is advised.
A simple extraction is used when the tooth is fully visible in the mouth and has a straightforward root form; it is performed with elevators and forceps after adequate local anesthesia. This approach minimizes trauma and is typically completed quickly with predictable healing. Simple extractions are common for loose, severely decayed, or non-restorable teeth that present normally above the gum line.
Surgical extractions are required when a tooth is broken at or below the gum line, is impacted, or cannot be removed intact due to complex root anatomy. The procedure may involve a small incision, removal of a bit of bone for access, or sectioning the tooth into pieces for atraumatic removal. Surgical cases sometimes involve collaboration with an oral and maxillofacial surgeon when additional expertise is warranted.
Preparation begins with a review of your medical history, current medications, and any health conditions that could affect treatment or healing. Be sure to tell us about blood thinners, recent infections, heart conditions, or medications and supplements you take, as some may require coordination with your physician. If sedation is planned, you will receive specific instructions about fasting and arranging for a responsible adult to drive you home.
Arrange for a comfortable recovery environment at home and stock up on recommended soft foods and over-the-counter items for pain and swelling control, if appropriate. Make a list of questions about replacement options and follow-up care so you leave the appointment with a clear plan. Clear preoperative instructions from our team help reduce anxiety and support a smooth recovery.
For most extractions, local anesthesia is used to numb the tooth and surrounding tissues so you remain comfortable throughout the procedure. For patients with dental anxiety or for more complex surgical cases, we offer additional sedation options that range from mild oral sedatives to deeper levels of conscious sedation. The choice of technique depends on the procedure’s complexity, your medical history, and your comfort preferences.
Safety is a primary consideration when selecting sedation; we review your health history and medication list to determine the most appropriate approach and monitor vital signs as needed. If deeper sedation is planned, you will receive specific preoperative instructions and must have a responsible adult escort you home. Our goal is to provide a relaxed, pain-free experience while maintaining the highest standards of safety.
Initial recovery typically involves some bleeding, swelling, and mild to moderate discomfort that peaks in the first 24 to 48 hours and then gradually improves. You will be instructed to bite on gauze to encourage stable clot formation, avoid actions that could dislodge the clot, and follow medication and oral hygiene guidance to support healing. Applying ice intermittently on the day of the procedure and keeping your head elevated while resting can help control swelling.
After the first 24 hours, gentle saltwater rinses can aid cleaning and comfort, and you can begin to resume brushing nearby teeth while avoiding direct trauma to the socket. Most patients return to normal activities within a few days, though complete soft-tissue healing may take a few weeks and bone remodeling takes longer. Keep follow-up appointments so we can confirm proper healing and remove sutures if necessary.
While extractions are routine, complications can occur; the most common issues include dry socket (a painful condition from a dislodged clot), infection, prolonged bleeding, and transient nerve irritation in rare cases. Dry socket typically presents a few days after extraction with increased pain and bad taste or odor and is managed with in-office treatment, medicated dressings, and pain control. Signs of infection such as fever, increasing swelling, or persistent discharge require prompt evaluation and may need antibiotics or additional intervention.
To reduce risk, follow post-op instructions closely: avoid smoking, vigorous rinsing, or using straws, and take medications as directed. Contact our office promptly for worsening pain, heavy bleeding that does not slow with pressure, spreading swelling, or any unusual symptoms so we can address concerns early and help you recover comfortably.
Extraction in children is sometimes necessary when a primary tooth is severely decayed, fractured, or retained in a way that blocks eruption of the permanent tooth. Removing a problematic baby tooth can prevent infection and guide proper alignment of the developing dentition. Early intervention can also help avoid crowding, impaction, or abnormal eruption patterns later on.
We assess each pediatric case individually, taking into account the child’s age, behavior, and overall dental development. When appropriate, we discuss behavior management strategies and sedation options with parents to ensure the visit is safe and as comfortable as possible, and we coordinate timing with future orthodontic or restorative plans when indicated.
Extractions are sometimes a planned part of orthodontic treatment when removing one or more teeth creates the space needed to align the bite and achieve a stable, functional result. This decision is made collaboratively between your general dentist and orthodontist based on the severity of crowding, facial profile considerations, and long-term stability goals. When extractions are required, timing is coordinated to align with appliance placement and the overall treatment sequence.
Alternatives such as interproximal reduction or expansion may be considered in some cases, and the best approach depends on the individual’s skeletal and dental characteristics. Clear communication between providers and the patient helps ensure the extraction supports the orthodontic objectives and produces an efficient, predictable outcome.
When a missing tooth affects chewing, speech, or appearance, reliable replacement options include dental implants, fixed bridges, and removable dentures. Dental implants are often preferred for long-term function and bone preservation because they replace both the tooth and its root, while bridges and dentures can restore function more quickly in certain situations. The right choice depends on bone quality, overall health, adjacent teeth, and the patient’s goals.
Our team discusses the timeline and sequencing for replacement, including immediate provisional solutions and staged approaches that allow for healing before definitive restoration. We work with you to create a personalized restorative plan that addresses function, aesthetics, and long-term oral health in coordination with any necessary surgical or prosthetic care provided by Christopher R. Szydelko, DDS PC.
Contact the office promptly if you experience uncontrolled bleeding that soaks through gauze despite gentle pressure, severe or increasing pain not relieved by prescribed medications, spreading swelling, fever, or signs of infection such as pus or a foul taste. Also report any new or prolonged numbness or tingling that persists beyond the expected recovery period, as this may indicate nerve involvement that requires evaluation. Early communication allows us to intervene quickly and prevent more serious complications.
If you are unsure whether a symptom warrants immediate attention, err on the side of caution and call so our team can advise you on the next steps. We will provide clear instructions, triage your concerns, and schedule an urgent appointment when necessary to ensure safe, timely care.
