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Tooth Extractions

At Sierra Oral and Facial Surgery, our goal is to make your tooth extraction as comfortable, safe, and stress-free as possible. Whether you need a damaged tooth removed, wisdom teeth extracted, or treatment for an impacted tooth, our experienced oral surgeons are here to provide expert care every step of the way.

What Is a Tooth Extraction?

A tooth extraction is the removal of a tooth from its socket in the jawbone. While preserving natural teeth is always our priority, extraction may be the best option when a tooth is severely damaged, infected, impacted, or causing problems with your overall oral health.

What to Expect During Your Procedure

Depending on your specific needs, your procedure may involve removing a single tooth or multiple teeth.

Before treatment, we will review your medical history and discuss anesthesia options to ensure your comfort. Depending on the complexity of the extraction, treatment may be performed using:

  • Local anesthesia to numb the area
  • Nitrous oxide (laughing gas)
  • IV sedation
  • General anesthesia when appropriate

For a simple extraction, the tooth is gently loosened and removed. For more complex cases, such as impacted wisdom teeth, a small incision may be made in the gum tissue and a portion of surrounding bone may be removed to safely access the tooth. In some situations, the tooth may be divided into smaller sections for easier removal.

After the tooth is removed, the area is cleaned thoroughly, and sutures (stitches) may be placed to promote healing. A gauze dressing will be applied to help control bleeding and encourage clot formation.

Why Might a Tooth Need to Be Removed?

A tooth extraction may be recommended for:

  • Severe tooth decay or damage
  • Advanced infection or dental abscess
  • Impacted wisdom teeth
  • Overcrowding before orthodontic treatment
  • Advanced gum disease
  • Fractured teeth that cannot be restored
  • Teeth damaged by trauma or injury
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Before Your Extraction

Please inform our team about:

  • Any medications you are taking, including over-the-counter medications and supplements
  • Any medical conditions or recent surgeries
  • Heart conditions
  • Joint replacements or implanted medical devices
  • Conditions that affect your immune system

In some cases, antibiotics may be recommended before treatment.

Recovery After Tooth Extraction

Most patients return home shortly after their procedure.

Following surgery:

  • Bite gently on the provided gauze to help control bleeding.
  • Expect some numbness for several hours.
  • Use ice packs on the outside of your face for 10 to 20 minutes at a time to reduce swelling.
  • Take prescribed medications exactly as directed.
  • Rest and avoid strenuous activity for the first few days.
  • Do not smoke or use tobacco products, as they can interfere with healing.

Eating and Drinking

For the first several days:

  • Choose soft foods such as yogurt, smoothies, mashed potatoes, applesauce, soup, eggs, and bananas.
  • Avoid crunchy, hard, spicy, or chewy foods.
  • Drink plenty of fluids.
  • Do not use a straw for at least 24 hours, as the suction can dislodge the blood clot and lead to dry socket.

Oral Hygiene

  • Continue brushing and flossing your other teeth as instructed.
  • Avoid disturbing the extraction site for the first few days.
  • Follow your surgeon’s instructions regarding saltwater rinses.
  • If a syringe is provided, use it only as directed.

Healing Timeline

Most extraction sites heal within one to two weeks. The underlying bone and surrounding tissues may continue healing for several weeks or months. Healing times vary depending on the complexity of the procedure and your individual health.

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Possible Risks and Complications

Tooth extractions are common procedures and complications are uncommon. However, as with any surgical treatment, potential risks include:

  • Dry socket (loss of the protective blood clot during healing)
  • Infection
  • Swelling and bruising
  • Temporary discomfort or pain
  • Bleeding
  • Delayed healing
  • Temporary numbness or nerve irritation
  • Damage to nearby teeth or restorations

Our team takes every precaution to minimize these risks and will provide detailed instructions to support a smooth recovery.

When to Contact Sierra Oral and Facial Surgery

Please contact our office immediately if you experience:

  • Fever or chills
  • Increasing swelling after the first few days
  • Pus or drainage from the extraction site
  • Excessive or prolonged bleeding
  • Severe pain that is not controlled by medication
  • Loss of the blood clot resulting in significant pain (dry socket)
  • Difficulty swallowing or breathing
  • Rash, hives, or signs of an allergic reaction
  • Any other unexpected symptoms or concerns

Our team is committed to supporting you throughout your recovery and ensuring the best possible outcome.

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Wisdom Tooth Extraction

Wisdom teeth are the third and final set of molars that most people get in their teens or early twenties. Very often, they are misaligned or impacted and require removal. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves. They are also more prone to tooth decay and gum disease, because their hard-to-reach location and awkward positioning makes brushing and flossing difficult.

What does it mean if they are impacted?

Wisdom teeth also can be impacted when they are enclosed within the gums and/or the jawbone or only partially break through or erupt through the gum. Partial eruption of the wisdom teeth allows an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness.

Do I need my wisdom teeth out?

Your dentist may take a panoramic x-ray to evaluate for the presence and alignment of your wisdom teeth and refer you to Sierra Oral & Facial Surgery for extraction. A CT Scan may be required in order to better visualize your tooth and the surrounding bone structure. Your oral surgeon may recommend that your wisdom teeth be extracted even before problems develop. This is done to avoid a more painful or more complicated extraction that might have to be done a few years later. Removal is easier in young people, when the wisdom teeth roots are not yet fully developed and the bone is less dense.

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