
Expert Surgical Care for Safe, Comfortable Tooth Removal
At Clackamas Implant & Oral Surgery Center, we understand that having a tooth removed can be a stressful experience. Whether your extraction is simple or complex, Brett M. Sullivan, DMD, MD, a dual-degreed oral and maxillofacial surgeon, delivers care with precision, comfort, and safety at the forefront.
Why Are Teeth Extracted?
Tooth extraction may be recommended when:
- There is severe decay or infection that cannot be restored
- Periodontal disease has caused significant bone loss
- The tooth is fractured or broken beyond repair
- Teeth are impacted, poorly positioned, or contributing to crowding (including wisdom teeth)
- A non-functional tooth needs to be replaced with an implant, bridge, or denture
Types of Extractions We Perform
Simple Extraction
Used when the tooth is visible and easily accessible. The tooth is gently loosened and removed under local anesthesia. Ideal for routine cases involving minimal surgical intervention.
Surgical Extraction
Required for teeth that are:
- Impacted or partially erupted
- Fractured below the gumline
- Surrounded by dense or uneven bone
Dr. Sullivan makes a small incision to access and remove the tooth, often under IV sedation or general anesthesia for enhanced comfort.
What to Expect
1. Consultation & Imaging
Your care begins with a comprehensive exam and 3D cone beam imaging (CBCT) to assess the tooth’s position, surrounding bone, and any potential complications.
2. Anesthesia & Sedation
We offer local anesthesia, nitrous oxide, oral sedation, and general anesthesia based on your needs, anxiety level, and medical history. Your comfort and safety are our priority.
3. Surgical Procedure
The tooth is gently removed using advanced surgical techniques. If needed, Dr. Sullivan may:
- Section the tooth to aid removal
- Contour the bone to support healing
- Place sutures for soft tissue closure
4. Post-Op Care
You’ll leave with detailed written recovery instructions, gauze to manage bleeding, and guidance on pain control, hygiene, and diet.
Recovery Timeline & Tips
- Initial healing: 1–2 weeks for gum tissue
- Light activity: Usually resumed within 24–48 hours
- Full bone healing: May take several months (especially before implant placement)
For a Smooth Recovery:
- Avoid smoking and drinking through straws (prevents dry socket)
- Stick to soft, cool foods like yogurt, scrambled eggs, and smoothies
- Take medications as prescribed
- Avoid heavy lifting or exercise for the first 48 hours
Understanding Dry Socket
The good news is that of the thousands of dental extractions performed by Dr. Sullivan, he has had less than 10 cases of Dry Socket occur.
Dry Socket occurs when the blood clot protecting the surgical site becomes dislodged, exposing the bone and nerves. It can delay healing and cause pain.
Preventive Tips:
- Do not use straws
- Avoid tobacco products
- Follow all aftercare instructions closely
Tooth Replacement Options
Leaving a space after extraction can lead to shifting teeth, bone loss, and bite misalignment. Dr. Sullivan will discuss long-term options such as:
- Dental Implants – Permanent, functional tooth replacements
- Fixed Bridges – Non-removable options that restore missing teeth
- Removable Dentures – Suitable for multiple missing teeth or full arch restoration
Planning for replacement during the extraction process can save time and improve final outcomes.
Why Choose Clackamas Implant & Oral Surgery Center?
- Dual-Degree Expertise
Dr. Sullivan holds both dental (DMD) and medical (MD) degrees—offering advanced insight into surgical anatomy, anesthesia, and complex care. - Hospital-Level Sedation & Safety
We offer IV and general anesthesia in a modern, fully equipped surgical facility, meeting hospital-grade safety standards. - Advanced 3D Imaging
Our in-house CBCT scanner allows for precise diagnosis and treatment planning. - Single-Location Convenience
From consultation through surgery and follow-up, all care is provided under one roof—no referrals or extra travel required. - Trusted by Referring Dentists
General dentists throughout Clackamas and beyond refer patients to Dr. Sullivan for complex and surgical extractions.
Schedule Your Tooth Extraction with Confidence
If you’re experiencing pain, infection, or have been advised to remove a tooth, you’re in expert hands at Clackamas Implant & Oral Surgery Center. Let us help you take the next step toward relief and recovery.
Call (503) 652-8080 or Schedule a consultation today.