Tooth Extractions — Presidio Dental

Safe & Comfortable Tooth Removal

While we always try to save your natural teeth, sometimes an extraction is the best option for your overall oral health. Whether it's a severely decayed tooth, a damaged tooth beyond repair, or overcrowding that needs to be addressed, our team performs extractions with care, precision, and your comfort as the top priority.

We use modern techniques and thorough anesthesia to ensure the process is as smooth and painless as possible. Our goal is to get you through the procedure comfortably and set you up with clear aftercare instructions so healing goes quickly.

Schedule a consultation at our office.

What to Expect

Thorough Numbing

We take extra care with anesthesia to make sure you're completely comfortable before we begin. You'll feel pressure during the procedure but shouldn't feel any pain.

Quick Procedure

Simple extractions typically take just 20 to 40 minutes. We work efficiently while being gentle, and we'll keep you informed throughout the entire process.

Clear Aftercare Plan

You'll leave with detailed instructions on caring for the extraction site, managing any discomfort, and what to eat during recovery. We're also a phone call away if questions come up.

When Is a Tooth Extraction Necessary?

Extractions are recommended when a tooth is too damaged or decayed to be restored with a filling, crown, or root canal. Other common reasons include severe gum disease that has loosened a tooth, a cracked tooth that extends below the gumline, teeth that are blocking other teeth from coming in properly, or orthodontic treatment that requires more space.

We'll always explore less invasive options first and explain why extraction is being recommended. Our team will walk you through the benefits and risks so you can make an informed decision about your care.

Simple vs. Surgical Extractions

A simple extraction is performed on a tooth that's visible above the gumline and can be removed in one piece. The tooth is loosened with a specialized instrument called an elevator, then gently removed with forceps. These are straightforward procedures that typically heal quickly.

A surgical extraction is needed when a tooth has broken off at the gumline, hasn't fully erupted, or has curved roots that make simple removal difficult. This involves making a small incision in the gum and may require removing a small amount of bone around the tooth. While it sounds more involved, we use proper anesthesia and sedation options to keep you comfortable throughout.

Recovery and Healing

Most patients recover from a simple extraction within a few days. For the first 24 hours, a blood clot forms in the socket — this is critical for healing. Avoid using straws, smoking, or spitting forcefully, as these can dislodge the clot and lead to a painful condition called dry socket.

Stick to soft foods for the first day or two, apply ice packs to reduce swelling (20 minutes on, 20 off), and take prescribed or over-the-counter pain medication as directed. After a few days, you can gradually return to normal eating. If you notice increased pain after day three, persistent bleeding, or fever, call our office right away.

Need a Tooth Removed?

We'll make it as comfortable as possible and get you on the road to recovery.

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Frequently Asked Questions

Does getting a tooth pulled hurt?

You shouldn't feel pain during the procedure — just pressure. We use thorough local anesthesia, and sedation options are available for anxious patients. Most people say it was much easier than they expected.

How long does recovery take?

Simple extractions typically heal within 7 to 10 days. The first 2-3 days involve the most tenderness. Surgical extractions may take a bit longer. Most patients return to normal activities within a day or two.

What is dry socket and how do I prevent it?

Dry socket occurs when the blood clot in the extraction site is dislodged before healing is complete, exposing the underlying bone and nerves. Prevent it by avoiding straws, smoking, and vigorous rinsing for the first 48-72 hours after extraction.

Do I need to replace the extracted tooth?

In most cases, yes — especially for molars and visible teeth. When a tooth is missing, surrounding teeth can shift, your bite can change, and bone loss can occur. Options include dental implants, bridges, or partial dentures. We'll discuss replacement options during your consultation.

Can I eat after a tooth extraction?

Wait until the numbness wears off to avoid biting your cheek or tongue. Then stick to soft, cool foods like yogurt, applesauce, mashed potatoes, and smoothies (no straws) for the first 24-48 hours. Gradually introduce firmer foods as you heal.

Does insurance cover tooth extractions?

Most dental insurance plans cover extractions, especially when medically necessary. Simple extractions are often covered at a higher percentage than surgical ones. We'll verify your benefits and discuss costs before the procedure.