Home/Services/Tooth Extractions
Oral Surgery · St. Clair, MO

When a tooth
needs to come out.
Gently. Quickly.

Most extractions are simple — in and out in under 30 minutes with just local anesthetic. For anxious patients, we offer nitrous oxide (laughing gas) to help you relax. Whatever you're facing, we'll walk you through it honestly, answer every question, and get it done.

A calm, comfortable patient after a gentle tooth extraction
15-30min
Typical simple extraction
For teeth that come out in one piece
Sameday
Implant planning possible
Discuss replacement options up front
3-5days
Typical recovery
Back to normal within a week
IVoption
Sedation available
For complex cases or anxious patients

A simple extraction,
step by step.

Most extractions are straightforward. Here's what happens for a typical simple extraction — for wisdom teeth or surgical extractions, the process has a few more steps that we'll walk you through at consultation.

1
Discuss options first · 10 min

Before any extraction, we talk through replacement options. A missing tooth affects the teeth around it — understanding implants, bridges, and partial dentures ahead of time helps you plan.

2
Anesthesia · 5 min

Local anesthetic is administered to numb the tooth and surrounding area. For anxious patients, we offer nitrous oxide (laughing gas) to help you relax.

3
Loosen the tooth · 5-10 min

Using a tool called an elevator, we gently loosen the tooth from the socket. You'll feel pressure but not pain. This is the longest part, but the area stays fully numb.

4
Remove the tooth · 1-2 min

Once loose, the tooth comes out easily with forceps. For most simple extractions, this happens in seconds. You'll feel pressure release.

5
Clean the socket · 5 min

We inspect the socket, remove any loose bone or tissue, and pack it with a gauze to control bleeding. For sockets that will receive a future implant, we may place a bone graft material now to preserve bone.

6
Home care instructions

Gauze pressure for 30–60 minutes. Soft foods for 24 hours. No straws, no smoking, no spitting for 48 hours — all can dislodge the blood clot. We'll review this in writing. You're home in 30-45 minutes from start to finish.

When extraction
is the right call.

Case 01

Tooth is beyond saving

When decay or infection has destroyed too much of the tooth, a root canal and crown won't hold. Extraction is the honest next step, followed by replacement with an implant or bridge.

Case 02

Severe gum disease

Advanced periodontal disease can cause teeth to loosen to the point where they can't be saved. Removing them stops the infection from spreading and sets you up for healing.

Case 03

Impacted wisdom teeth

Third molars often don't have room to come in straight. Impacted wisdom teeth can cause pain, infection, and damage to neighboring teeth. Most patients need them out in their late teens or twenties.

Case 04

Crowding for orthodontic reasons

Sometimes we extract baby teeth or permanent teeth to make room for orthodontic work. Usually done at the recommendation of your orthodontist.

Case 05

Failed root canal

Occasionally a root canal doesn't fully resolve the infection, or decay returns under the crown years later. In some cases, extraction and an implant is the best long-term solution.

What we'll do

We won't pull a tooth we could save.

Extraction is always the last option, not the first. If there's a reasonable chance a root canal and crown can save the tooth, we'll tell you. If extraction is genuinely the right call, we'll tell you that too — and walk you through replacement options before we proceed.

Questions
we hear often.

Does it hurt?
The injection stings for a second. After that, you feel pressure but not pain. Most patients are surprised at how quick and comfortable simple extractions are. For anxiety, we offer nitrous oxide (laughing gas) to help you relax.
How long is recovery?
24 hours of soft foods and rest. Most patients go back to work the next day. Stitches (if any) dissolve on their own in 7–10 days. Full healing of the bone takes several months, but the gum heals over within 2–3 weeks.
Should I replace the tooth?
Probably, yes. A missing tooth causes the teeth around it to shift, which affects your bite and eventually causes problems you'll want to fix anyway. Options include dental implants (best long-term), bridges (faster, shorter-lasting), or partial dentures. We'll walk through all three with you.
What is dry socket?
If the blood clot in the socket dislodges in the first 2–3 days, the bone is exposed — that's dry socket. It's painful but treatable — we pack the socket with a medicated dressing that provides immediate relief. Avoiding straws, smoking, and vigorous rinsing for 48 hours prevents most dry sockets.
Can I eat right after?
Once the numbness wears off (1–3 hours), soft foods only for 24 hours — things like yogurt, scrambled eggs, mashed potatoes, smoothies (no straws). Avoid the extraction site when chewing. After 24 hours, you can slowly return to normal eating.
How much does it cost?
A simple extraction runs $200–$400. Surgical extractions (impacted wisdom teeth or teeth that need to be sectioned) run $300–$700. Most PPO insurance covers 50–80%. We'll submit a pre-determination for complex cases.

Tooth giving you trouble?
Let's look at options.

Sometimes it can be saved. Sometimes extraction really is the right call. Either way, we'll tell you honestly and walk you through next steps. Book a consultation.