Tooth Extractions

Although the primary goal of all dental care is to preserve natural teeth, there are times when a tooth–or multiple teeth–needs to be pulled due to decay, trauma, disease, or developmental concerns. Dental extractions are procedures a dentist, specialist, or oral surgeon performs to remove an entire tooth from its socket and surrounding tissue.

Dental extractions are typically the last resort. Suppose that is the recommended course of action. In that case, it’s probably because removing the tooth is necessary to protect the patient’s overall health and facilitate the next steps required for proper treatment, healing, or development. If a tooth that needs to be removed is not, any decay or infection within it can spread to other teeth, oral tissue, and the jaw bone. The tooth will likely eventually fall out, leaving the mouth and remaining teeth susceptible to further infection and bone deterioration.

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At Dental Depot Oklahoma, we know tooth extractions can be intimidating, no matter why they’re happening. If you need a tooth extracted, you can trust the caring, compassionate, and professional staff at Dental Depot Oklahoma to provide you with the information and resources to understand why you need the extraction as well as to explain what exactly will happen and how to make your recovery as successful as possible.

Conditions Requiring Tooth Extraction

There are several reasons why a tooth may need to be extracted, including the result of:

Decay or infection. The most common reason for tooth extraction is dental decay. If a tooth has become infected and has gone untreated for an extended period, or if minor decay like cavities has not been addressed, the decay and infection can spread, making the tooth unsalvageable.

Gum disease. When left untreated, periodontal (gum) disease is just as harmful to the tooth as a severe infection within the tooth itself. With the degeneration of the soft connective tissues, the ligaments and bone supporting the teeth become compromised, causing the tooth to loosen in the socket and exposing the tooth root to infection. 

Failure to erupt. A tooth that is impacted–or has not erupted–is essentially stuck and unable to break through the gum because of overcrowding, being twisted at an odd angle, or because it has entangled or curved roots. Wisdom teeth, also called third molars, are among the most common teeth that become impacted and require extraction because the jaw is not large enough to accommodate them. 

Overcrowding. Tooth extraction may be necessary for a patient’s orthodontic plan, especially for baby or deciduous teeth. For some patients, removing one or more teeth will make metal braces or alignment trays more effective because additional space is provided to straighten the teeth and allow adult teeth to erupt and develop properly. 

Trauma. Trauma or damage to areas of the teeth beneath the gum line can leave the tooth too compromised to save. Because the cracked or fractured portion of the tooth is not visible, it can’t be repaired with a dental crown and may require extraction. 

Methods of Extraction

There are two types of extraction methods, surgical and simple. The type of extraction necessary depends on various factors, such as the size and location of the tooth and the extent of the damage or decay. Many dentists at Dental Depot Oklahoma can perform simple and certain types of surgical teeth extractions. Our staff includes other oral specialists and surgeons who can perform more complex extractions.

Simple Extraction. A simple extraction involves removing a tooth that is visibly exposed above the gum line and doesn’t require any connective or oral tissue to be cut. 

Here’s what happens during a simple extraction:

  • Your dentist will gently administer local anesthesia by injecting it into the gums, quickly numbing the root of the tooth and any surrounding tissue.
  • Using an elevator or luxator (dental tools used to loosen the tooth out of the connective tissue) and forceps (a surgical or dental tool used to grasp the tooth strongly) the tooth is gently wiggled out of its socket and removed. 
  • The socket is cleaned, and any debris or infection is gently removed.  
  • Left empty from the extraction, the socket will then be sewn closed. Often, gauze is placed over the extraction site to manage and control any bleeding caused by the procedure. 

Surgical extraction. A surgical extraction involves the removal of teeth that are not visible or accessible. The tooth may be hidden, broken, or fractured beneath the gum line, so the gum must be cut open to expose the tooth. Some surgical extractions require an oral surgeon using general anesthesia in a hospital setting. Others may be performed by a general dentist and require only local anesthesia combined with laughing gas.

In general, here is what happens during a surgical extraction:

  • To begin the procedure, a dentist or oral surgeon will administer the appropriate sedatives for the patient’s particular needs.
  • Your dentist or surgeon will make an incision into the gum line, exposing the tooth. 
  • Using similar tools to a simple extraction, the dentist will separate the tooth from the connective tissue and gently loosen it from the jaw bone. Sometimes, the tooth must be fragmented or separated into smaller, more manageable sections to extract fully. 
  • The remaining socket is thoroughly cleared of any debris or infected tissue.
  • The socket is sewn closed, and gauze is placed over it to control and absorb additional bleeding. 

Regardless of the extraction method, speaking with your dentist about replacing the tooth or teeth as soon as possible is important. Leaving a gap in your teeth can cause other teeth to shift, putting your jaws out of alignment and causing the bone in your jaw to deteriorate.

Possible Side Effects Following Extraction

If a tooth requires extraction, it is usually necessary for the patient’s overall health. But it’s important to note that while removing the tooth may fix one problem, you’ll need to be aware of some common side effects of tooth extraction.

Dry socket. After the extraction, a blood clot generally forms in the empty socket. This provides a protective barrier for the exposed bone and nerve endings. If the clot fails to develop or is dislodged before the wound is healed, the result can be a painful dry socket that exposes the nerves and can compromise healing. Your dentist or oral surgeon will provide detailed instructions on caring for your extraction site and what to look for if there is a problem. 

Misalignment. When new space is opened up in the mouth, it is normal for the remaining teeth to begin to shift. Occasionally, as in the case of orthodontic treatment, this is part of the intended result. In other situations, however, the gap could cause unintended realignment, affecting your bite, jaw function, and the integrity of your remaining natural teeth.

Safe, Affordable Tooth Extraction from Dental Depot Oklahoma

Though some tooth extractions are unavoidable, many more are preventable with good oral health and routine dental cleanings and checkups. During regular oral exams, the dentists and hygienists at Dental Depot Oklahoma can:

  • Remove the plaque and tartar buildup that causes cavities and gum disease
  • Identify and treat developing or existing areas of decay before they become bigger problems
  • Check for any signs of infection, damage, or deterioration in your teeth and gums
  • Apply preventative treatments like fluoride to help strengthen tooth enamel
  • Assess and develop a treatment plan for issues like alignment, overcrowding, and wisdom teeth

With comprehensive preventative and restorative dentistry from Dental Depot Oklahoma, everyone in your family can receive the quality, affordable services they need at multiple locations across the state, including OKC, Norman, and Tulsa, many with flexible hours and Saturday appointments. 

At Dental Depot Oklahoma, we believe all Oklahomans deserve exceptional dental care at a commonsense price. Schedule your appointment today and discover your healthiest and most confident smile!

Tooth Extractions can be Simple or Surgical

Simple tooth extractions are performed on teeth that are visible and easily accessible in the mouth. Simple tooth extractions do not require an incision and are performed under local anesthetic.

Wisdom Teeth Removal

Surgical tooth extractions require an oral surgeon and are usually necessary for more complicated situations, which may include:

  • Cracked or fractured teeth
  • Entangled or multiple curved roots
  • Impacted teeth
  • Wisdom teeth
  • Overly large sinuses
  • Teeth or bone infections

  • Dental Depot’s dentists are experienced in a range of tooth extractions.

Tooth Extraction FAQs

The actual process of extracting a tooth should not hurt. Before the procedure, the dentist will administer anesthesia to numb or dull your mouth and gums, so while you may feel some pressure or be awake during your procedure, you should not feel any pain. The type of extraction will determine what type of anesthesia you need. A simple extraction may only require a local numbing agent while a more complex wisdom tooth removal might require something like nitrous oxide. 

You might experience some tenderness or soreness afterwards, but usually, these side effects can be managed with over the counter pain medication, or you may receive a prescription for pain medication from your dentist. Often, the pain of the tooth that needs to be pulled is worse than the extraction itself and is relieved once the tooth is removed.

A dentist might recommend a tooth extraction for a variety of reasons such as:

  • Severe tooth decay
  • Infection
  • Tooth damage due to breakage
  • Severe gum disease
  • Impacted wisdom teeth
  • To make room for orthodontic treatment
  • To make room for emerging adult teeth when baby teeth don’t fall out during childhood


While your circumstance will determine the severity of the risk of not having your tooth extracted, it’s important to realize that, in most cases, removing a tooth is the absolute last resort. Your dentist will do everything he or she can to save a tooth and avoid an extraction, but if that is what is being recommended, your health may be at risk if you do not have it removed. Your dentist will walk you through any risks or concerns when advising you on your particular decision to have your tooth extracted. 

If you do not have the infected tooth removed, there is the risk of infection as well as the potential concern that the infection could spread to your gums, jaw bone, or your body more generally. There is potentially a risk for bone loss in the jaw or facial bones, loss of teeth, or improper development and alignment in children. 

After your tooth extraction, your dentist will provide you with a detailed list of at-home care instructions, including what foods are best to eat in the hours following your procedure. Eating the right foods will expedite the healing process and help you avoid unnecessary additional pain. Usually soft foods and liquids are best (ice cream, soup, applesauce, bread, muffins, pudding, yogurt, etc.). Since you may be uncomfortable or unable to drive after your procedure, you may consider shopping before your tooth extraction to ensure you have the necessary foods at home, helping you comply with your dentist’s recommendations and avoiding complications. 

It is normal to experience some discomfort for several days after a tooth extraction. You try the following measures to help you minimize the discomfort, pain, or swelling:

  • Place an ice pack on your cheek for ten minutes at a time to reduce or minimize swelling
  • Take over-the-counter or prescription pain medicine as directed
  • Avoid using a straw to prevent a dry socket
  • Eat soft foods
  • Keep your mouth clean by brushing and flossing your teeth as normal but avoid the extraction site
  • Use pillows when lying down


It is also normal–and often necessary–for a blood clot to form over the extraction site. However, if the blood clot does not form or if the bone inside the pocket becomes exposed, you can develop what is called a “dry socket,” which is very painful and will require the dentist to put a dressing over the extraction site. 

Unusual side effects from a tooth extraction that require medical attention include:

  • Bleeding that lasts more than 12 hours
  • Nausea and vomiting
  • Fever and chills
  • Pain lasting longer than 2 days
  • Difficulty opening your mouth

Call your dentist or seek medical attention if you experience any of the above symptoms or any others that may be listed in your procedure discharge notes.

It usually takes at least a few days for the site of a tooth extraction to heal; however, smoking can produce unnecessary complications for the healing process. The chemicals inhaled while smoking harm the teeth and gums and can increase pain at the extraction site. Also, since there is less oxygen in your blood if you smoke, the time it takes to heal will likely be longer than that of a non-smoker. 

Quitting smoking is always your best option when it comes to improving your health and the outcome of any procedure, including dental procedures. A tooth extraction may be a good opportunity to consider stopping. However, at Dental Depot Oklahoma, we know stopping smoking is difficult; if you smoke, or are interested in quitting, talk to your dentist about resources and support that can help and about ways you can help your mouth heal after a tooth extraction. 

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