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Clackamas Implant & Oral Surgery Center - Brett Sullivan, DMD, MD
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Tooth Extractions


A tooth extraction is the procedure done to remove a tooth that is damaged beyond repair from its socket in the jawbone. Extractions are also done to remove wisdom teeth that may be impacted or create future problems.

Why Are Teeth Extracted?


•  Severely decayed teeth
•  Periodontal disease leading to bone loss
•  Fractured in such a way that it is impossible or impractical to repair
•  Badly positioned (impacted wisdom teeth)
•  Non-functional or poorly functional teeth that should be replaced with a bridge, denture or dental implant

Extractions are generally classified as either non-surgical (also known as "simple") or surgical (involving cutting through the gums and tooth). A simple procedure can quickly become a surgical procedure if the tooth fractures or refuses to loosen under pressure. We perform these procedures only after making the extraction site(s) profoundly numb.


FAQ's About Tooth Extraction



What is a tooth extraction?


A tooth extraction is a dental procedure in which a tooth is removed from its socket in the jawbone. This can be done through a simple extraction for visible teeth or a surgical extraction for impacted or broken teeth. The procedure is performed under local anesthesia, sedation, or general anesthesia to ensure patient comfort.


What are the different types of tooth extractions?


There are two primary types of tooth extractions:
•  Simple Extraction - Used for teeth that are visible above the gum line. The dentist loosens the tooth with an instrument called an elevator and removes it using forceps.
•  Surgical Extraction - Required for impacted, broken, or below-the-gumline teeth. This involves making an incision in the gum and may require bone removal or sectioning the tooth into smaller pieces for easier removal.

Is a tooth extraction painful?


Tooth extractions are performed under local anesthesia, sedation, or general anesthesia to minimize discomfort. While patients may feel pressure during the procedure, they should not experience pain. Afterward, mild soreness and swelling can be managed with over-the-counter or prescribed pain medication.


How long does a tooth extraction take?


The duration of a tooth extraction depends on the complexity of the case. A simple extraction typically takes about 20-40 minutes, while a surgical extraction, including wisdom teeth removal, may take longer, especially if multiple teeth are being extracted or if additional procedures, such as bone grafting, are needed.


What should I expect during a tooth extraction procedure?


During a tooth extraction, your dentist follows a structured process to ensure a safe and smooth procedure:
•  Anesthesia - Local anesthesia is administered to numb the area. For complex cases, sedation or general anesthesia may be used.
•  Loosening the Tooth - Specialized instruments are used to gently loosen the tooth from the surrounding bone and ligaments.
•  Extraction - The dentist carefully removes the tooth using forceps. In surgical extractions, an incision may be made in the gum, and the tooth might be sectioned into smaller pieces for easier removal.
•  Bleeding Control - Gauze is placed over the site to encourage clotting and minimize bleeding.
•  Sutures (If Needed) - In some cases, stitches may be placed to close the gum tissue and aid healing.
•  Post-Procedure Care - Your dentist will provide aftercare instructions, including pain management, activity restrictions, and dietary guidelines to promote healing.

How long does it take to recover from a tooth extraction?


Initial healing of the gum tissue usually takes about 1-2 weeks. However, complete bone healing may take several months. Most patients can resume normal activities within a few days, but strenuous exercise should be avoided for at least 24-48 hours to promote proper healing.


What are dry sockets, and how can they be prevented?


A dry socket occurs when the protective blood clot at the extraction site is dislodged, exposing the bone and nerves. This can cause severe pain and delayed healing. To prevent dry sockets:
•  Avoid using straws - Suction can dislodge the blood clot.
•  Do not smoke or use tobacco products - This can slow healing and increase the risk of dry sockets.
Follow post-extraction care instructions - Your dentist will provide guidelines to promote healing and prevent complications.

Can I eat after a tooth extraction?


Yes, but patients should stick to soft foods such as yogurt, mashed potatoes, and soup for the first 24-48 hours. Avoid hot, spicy, crunchy, or chewy foods that may irritate the extraction site or dislodge the blood clot.


When can I go back to work or school after a tooth extraction?


Most patients can return to work or school within 24-48 hours after a simple extraction. Surgical extractions, such as wisdom teeth removal, may require a longer recovery period. If the job involves heavy lifting or strenuous activity, additional rest may be needed.


What happens if I don’t replace an extracted tooth?


Leaving a gap after a tooth extraction can cause:
•  Shifting of surrounding teeth - Nearby teeth may move into the empty space, leading to misalignment.
•  Bone loss - The jawbone may deteriorate due to lack of stimulation.
•  Difficulty chewing and speaking - A missing tooth can affect oral function.
•  Increased risk of further dental issues - Gaps can lead to uneven pressure on remaining teeth, causing damage over time.


Your dentist may recommend options like dental implants, bridges, or dentures to restore function and aesthetics.


Schedule an Extraction with Your Clackamas Oral Surgeon Today!


If you have any further questions, call our office at (503) 652-8080.
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(503) 652-8080

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Friday: 8:00am–2:00pm
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Tooth Extractions | Oral Surgeon Clackamas, OR | Clackamas Implant & Oral Surgery Center
At Clackamas Implant & Oral Surgery Center, we perform extractions to remove a tooth that is damaged beyond repair from its socket in the jawbone. Learn more!
Clackamas Implant & Oral Surgery Center - Brett Sullivan, DMD, MD, 11211 SE Sunnyside Road, Clackamas, OR 97015 / (503) 652-8080 / clackamasoralsurgery.com / 2/15/2025 / Tags: Tooth Extractions, Wisdom teeth extraction, Clackamas Implant & Oral Surgery Center, Clackamas OR