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  • Writer's pictureRich Sprague

When is a tooth extraction recommended and how do we do it?

Tooth extraction image.

A tooth extraction is one of the more common dental procedures we perform. Extractions may be indicated for severe damage (like a broken tooth), decay, or for wisdom teeth removal in teenagers.

A tooth extraction is when a tooth is completely removed from its socket. It’s often called having a tooth pulled, which is a gross generalization of the process. We try to save a natural tooth whenever possible through restoration methods such as dental fillings or crowns.

We have four dentists in our practice who are all accomplished oral surgeons.

Here are some conditions where an extraction may be indicated. Roll your mouse over an image to see the image title.

What is the process for an extraction?

  1. Visual examination of the affected tooth, surrounding gums and entire mouth.

  2. Take x-rays to evaluate the extent of the damage.

  3. Discuss your general health and inform the dentist of any medication you are taking.

  4. The dentist may prescribe some medications to take prior to the procedure.

  5. Determine your choice of pain and anxiety reducers and desired sedation. We offer several choices including IV sleep sedation.

About the procedure ...

Don't worry ... it won't hurt.

There is nothing to worry about. 

  • Your mouth is numbed with local anesthesia and you are given your choice of sedation.

  • Your dentist will carefully remove your tooth, clean and disinfect the socket, and may place a dental bone graft to prevent bone loss in the jaw. He then uses stitches to help reduce bleeding and promote healing.

After the procedure ...

  • You may experience light bleeding for the first 24 hours.

  • Over the counter pain relievers can be used to reduce pain and swelling.

  • In some cases, your dentist may prescribe an antibiotic to prevent an infection.

  • Eat soft, temperate foods, until you can tolerate chewing.

  • Chew away from the extraction area.

  • Avoid alcohol until the dentist gives the okay.

  • And don’t smoke or vape.

  • You can bite on gauze until any bleeding has subsided.

  • Brush lightly and use the prescription mouth rinse you are given.

  • Don’t drink with a straw … it can dislodge the blood clot … which is not a good thing.

The benefits of extraction ...

  • Reduces bacteria

  • Best chance for optimal oral health

  • Reduces crowding (particularly with wisdom teeth removal)

  • Immediately eases dental pain

Extraction risks ...

  • In any surgery, there is a risk of infection or complications. We do our best to mitigate any problems.

  • Healing can take longer than one would like it to.

  • Dry socket can happen when the blood clot following surgery no longer exists. If you experience pain for longer than 3-4 days, you should make an appointment to see your dentist.

Side effects ...

  • Mostly minor bleeding, swelling and discomfort which can be easily managed.

Recovery ...

  • In most cases, one can recover from a simple extraction in short order.

  • It’s best to limit most activities for 48-72 hours.

  • Healing of the bone can take several months.

Summary ...

This writer has had several extractions with different dentists and reports that his mouth feels better after each one.

That said, the dentists at Carson and Acasio Dental Group are head and shoulders above any dentist I have ever had. In fact, while I normally prefer IV sedation, Dr. Mike talked me into simply using nitrous oxide for my last procedure. It is easier to administer, less costly, is eliminated from one’s system more rapidly, and I didn’t need a ride home.

That’s how good our people are at providing an exceptional level of care and comfort.

We have two convenient locations to provide the dental needs for you and your family. In Oxnard, call (805) 983-0717. For Spanish Hills Dentistry in Camarillo, call (805) 987-1711.

Author, Marketing Consultant, Web & Graphic Designer Rich Sprague


Rich is our Marketing Services Manager. He’s responsible for our business rebrand, including the design of our new logo, the production of our marketing materials, and the development of our new website. He is extremely passionate towards the complete marketing and sales process. In addition to his Master’s Degree in Web Design & New Media, he has a Bachelor’s Degree in Communications and has been writing articles since high school. Rich's email is

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