Tooth Extraction Raleigh NC

Tooth Extraction An Overview

Learning that you need a tooth removed isn’t always the best news; however, it also may not be as bad as you think.

At Tryon Family Dentistry, our doctors ensure that you are comfortable throughout the entire procedure, and we’ll also be there to guide you through the recovery process from start to finish. You can talk with Cary and Raleigh dentists Dr. Leo and Dr. Alex about options for dental sedation if you are feeling fearful or anxious about your extraction.


There are a few different circumstances that might necessitate the removal of your tooth such as:

Wisdom teeth: It’s typically recommended that wisdom teeth, also known as your third molars, are removed for a number of reasons, including crowding, difficulty in brushing and flossing, impaction (stuck beneath the gum line), or they’ve arrived at an incorrect angle and are affecting your other teeth.

Orthodontic treatment: Tooth extractions may be recommended for patients who suffer from severe crowding. This can often make orthodontic treatment easier and more efficient.

Tooth decay or infection: If your tooth is severely decayed, fractured, or infected, it may best to remove it in order to protect the health of your other teeth.

Periodontal disease: Advanced periodontal (gum) disease is the leading cause of tooth loss in adults over the age of thirty.

No matter what your circumstances may be, if a tooth extraction has been recommended for you, it’s likely that removing your tooth is the best option for protecting your oral health and the health of your neighboring teeth.


Tooth Extraction What to Expect


Your Cary and Raleigh dentists use the highest quality dental anesthetics to ensure that you can’t feel any discomfort during your extraction procedure – only some slight pressure. We use digital x-rays to plan your surgery ahead of time so it goes as smoothly and efficiently as possible.

Dr. Leo and Dr. Alex may recommend socket preservation for patients who are planning on getting a dental implant to replace their tooth.

When your tooth is removed, it leaves a small hole. A socket preservation procedure utilizes bone grafting material to fill in the hole and rebuild the jawbone. In some cases, a dental implant can be placed at the same time you have your extraction and socket preservation procedure.

We will discuss the proper progression of your treatment with you and tailor it to your unique needs.


Once your tooth has been extracted, a blood clot will form and this starts the healing process. Biting on gauze after your extraction helps the bleeding to stop and the clot to form, and you may have to do this for a 30 to 45 minutes, and change the gauze several times.

Your blood clot is critical for healing, so it’s important to protect it by avoiding these activities:

  • Rinsing vigorously
  • Sucking on straws
  • Smoking
  • Drinking alcohol
  • Brushing the teeth next to the extraction site for 72 hours

These activities could cause the clot to come out and prolong the healing process. Please also refrain from exercising for the next 24 hours as this will increase blood pressure and could cause more bleeding from the extraction site.

It is normal to feel pain, tenderness, or experience swelling after your tooth is extracted. You can use an ice pack to reduce swelling, which should subside after 48 hours.

Use the pain medication as prescribed and as needed. Call our office at (919) 747-7888 or (919) 249-6799 if you have any issues with pain or swelling or if the medication is not working. If you are taking antibiotics, please take them for the full cycle even if symptoms of the infection are gone. Be sure to eat only soft foods the day of the extraction and drink lots of fluids. You can resume eating normally when you’re comfortable.

Be sure to start brushing again 24 hours after surgery. Keeping your mouth clean aids in healing.

You should be able to resume normal activities again after a few days. If heavy bleeding, severe pain, or swelling persists after 2 to 3 days, contact our office right away.


If you need a tooth extracted, give us a call to learn more about the process and how we can help you.