Tooth Extractions
At Winston Smiles Dentistry, our goal is always to help patients keep their natural teeth whenever possible. However, there are times when removing a tooth is the healthiest or most predictable option.
A tooth extraction may be recommended when a tooth is severely decayed, fractured, infected, affected by advanced gum disease, or unable to be restored in a predictable way. In some cases, teeth may also need to be removed because of crowding, orthodontic concerns, or other treatment needs.
When an Extraction May Be Needed
We may recommend an extraction if:
- A tooth is too damaged to repair
- A tooth has advanced decay or infection
- Gum disease has caused significant bone loss around the tooth
- A tooth is fractured below the gumline
- A tooth is causing pain, swelling, or repeated problems
- Removal is needed as part of a larger treatment plan
Before recommending an extraction, we will evaluate the tooth carefully, review your options, and discuss whether the tooth can be saved.
What to Expect
Tooth extractions are performed with local anesthesia to keep the area numb and comfortable. During the procedure, patients may feel pressure, but they should not feel sharp pain. If you feel discomfort at any point, we want you to let us know so we can make sure you are fully comfortable.
Some extractions are simple, while others are more complex. If a tooth requires care from an oral surgeon or another specialist, we will discuss that recommendation and help guide you through the next steps.
Wisdom Teeth
We do remove some wisdom teeth in our office when the situation is straightforward. However, impacted wisdom teeth or more complex cases are typically referred to an oral surgeon. This allows patients to receive the most appropriate care based on the position of the teeth and the complexity of the procedure.
After an Extraction
After a tooth is removed, we will provide specific instructions to help the area heal properly. In general, patients should avoid disturbing the extraction site, follow medication instructions as directed, and avoid smoking, straws, vigorous rinsing, or heavy exercise immediately after the procedure.
Some tenderness, swelling, or mild bleeding can be normal after an extraction. If you experience severe pain, heavy bleeding, worsening swelling, or have concerns during healing, please contact our office.
Replacing a Missing Tooth
Depending on the location of the tooth and your long-term goals, we may discuss options for replacing the missing tooth. These may include a dental implant, bridge, partial denture, or another restorative option.
Replacing a missing tooth can help maintain chewing function, prevent shifting of nearby teeth, and support long-term oral health.
If you are experiencing tooth pain, swelling, or have been told you may need a tooth removed, contact Winston Smiles Dentistry to schedule an appointment. We’ll evaluate your tooth, explain your options, and help you decide on the best path forward.