Tooth Extractions

There are a number of reasons why teeth need to be extracted. Whether it’s due to extensive decay, orthodontic preparation, our doctors and assistants will make sure the process is as easy and comfortable as possible.  Many patients decide to use nitrous oxide at their extraction visit to help ease anxiety.

The Extraction Process

At the time of extraction the doctor will need to numb the tooth and gums that surround the area with a local anesthetic.

During the extraction process there is a feeling of pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected. The use of nitrous oxide in conjunction with a local anesthetic can help calm these other sensations.

After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and it is important not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw or drinking hot liquids.


If swelling occurs, ice can be placed on the face alternating 10 minutes on, 20 minutes off. Repeat this cycle if necessary for up to 24 hours.

Pain and Medications

Any pain can usually be relieved by taking non-prescription medications such as acetaminophen or ibuprofen.  If there is pain that persists for more than 48 hours, please call our office to discuss with the doctor.


All chewing should be done away from the extraction site. Avoid hot liquids for 24 hours. A soft diet may be recommended for 24 hours.

Brushing and Cleaning

Avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you may rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed if necessary.


Children tend to heal at a faster rate than adults.  As a result, it is uncommon for a problem to arise.  If you notice unusual pain, swelling, or  if you have any concerns, please do not hesitate to call us.