Tooth Extractions Billerica | Wisdom Teeth

When a tooth has to be removed

We would always prefer to repair a tooth than remove it. A filling, a crown, or a root canal keeps the natural tooth in function, and no replacement performs quite as well.

Some teeth cannot be saved: decay extending below the gumline, a fracture running into the root, or advanced gum disease that has destroyed the supporting bone. Leaving such a tooth in place risks infection spreading to healthy teeth and bone. Wisdom teeth are a separate case, as they often erupt at an angle or only partly through, where they cannot be cleaned and exert pressure on the tooth in front.

What to expect

Most extractions are simpler and quicker than patients expect.

1

Before

An x-ray is taken to assess the root shape and surrounding structures, your medical history and medications are reviewed, and the procedure is explained. If you are anxious, tell us beforehand. We do not offer sedation, but knowing in advance allows us to work at a slower pace and explain each step as we go.

2

During

The area is fully numbed. You will feel firm pressure, which is normal, but not sharp pain. Tell us if you do and further anesthetic will be given.

3

The first 24 hours

Bite on gauze to form a clot, apply a cold compress, and rest. Avoid smoking, straws, and vigorous rinsing, all of which can dislodge the clot and cause a dry socket.

4

Healing and next steps

Soreness subsides over several days. Before you leave, we will discuss whether the gap should be restored with an implant, bridge, or denture, and the appropriate timing.

Planning what replaces the tooth

When a tooth is removed and nothing replaces it, the adjacent teeth drift into the space and the opposing tooth moves down into the gap. The bone beneath the space thins. What began as one missing tooth can become a bite problem affecting several.

This does not mean replacement must happen immediately, and a back molar can sometimes reasonably be left. It means the decision should be a considered one, made with the consequences explained, rather than by default.

Common questions

Does an extraction hurt?

Not during — the area is thoroughly numbed and you should feel pressure but not pain. Afterwards, expect soreness for a few days, usually managed with over-the-counter pain relief.

How long is the recovery?

Most people are comfortable within three to four days. The socket takes a few weeks to close over and a few months to fill in with bone.

What is a dry socket?

It occurs when the blood clot protecting the socket is lost too early, exposing bone. It is painful and requires treatment. Avoiding smoking, straws, and vigorous rinsing for the first few days is the most effective prevention.

Do you remove wisdom teeth?

We assess them and treat straightforward cases. Deeply impacted wisdom teeth are usually better referred to an oral surgeon, and we will tell you which category yours fall into.

Tooth extractions in Billerica