Tooth Extractions

You and Drs. Rake, Rake, Indovina, Stacy and Jaberi may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Drs. Rake, Rake, Indovina, Stacy and Jaberi will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

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

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the 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.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Dakota Valley Oral and Maxillofacial Surgery

5 out of 5 stars based on 17 Tooth Extractions reviews.

Our Latest Patient Testimonial

Dr. Scott Rake was amazing. During the extraction of two teeth he walked me through what sounds or pressure to expect. It sounds odd to say, but the entire process was calming. The entire process from calling to get in to the after procedure instructions was beyond great.

- Eric R

5 out of 5 stars on

Our Latest Patient Testimonial

During a very traumatic time in my life I was told by my dentist that I needed a tooth extracted. I made a first time appointment with Dr Angie and was quite nervous over the whole thing. Having read some of the reviews I didn't fear the procedure itself so much but was very apprehensive of the pain of getting the initial anesthesia injection as I have experienced in the past. I did tell them that I really wasn't feeling brave right now. I shouldn't have worried, they had this well covered as also. My experience in the office was actually very good. Dr Angie and her assistant (I sooo wish I could remember her name) were so very caring and attentive. The sweet attendant never left my side and was very supportive. I believe I was in and out in under an hour. I would DEFINITELY recommend Dakota Valley for oral needs! They show care about each patient from the front desk to the procedure to the final payment. The previous year I had to have an extraction at a different clinic. Painful injection. Left unattended in the room waiting, waiting, waiting for the procedure. I was left alone a full 40 minutes of the two hours I was there. Then the doctor breezed in, did the job and left. Obviously I was one on his busy todo list. That one I never plan to return to again.

- Joy M

5 out of 5 stars on

Our Latest Patient Testimonial

I was so very nervous about the procedure. Everyone was so friendly and confident! Dr. Indovina and his assistant were wonderful! I was in and out before I knew it. They all made it seem like a walk in the park!

- Teresa D

5 out of 5 stars on

Our Latest Patient Testimonial

Everything went so smoothly. I had not had a tooth removed since my wisdom teeth which was many years ago. They made me feel at ease as I was nervous. Thank you for such wonderful service. Definitely 5+++++ stars given in my book.

- Victoria N

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first time getting a tooth removed and I could not believe how PAINLESS the procedure was. I was in and out of the office in 15 min! The doctors clearly went over the procedure and indicated that I may be a little sore the next day. They provided me with a prescription for pain pills and an ice pack, both of which were not needed. I didn't feel anything during the procedure and didn't have an ounce of pain afterwards! I highly recommend going here.

- Alycia P

5 out of 5 stars on

Our Latest Patient Testimonial

I'm still very shocked how awesome job Dr Stacy extracted my daughter's teeth. I was ready for swelling and pain but it was totally opposite . We got home she took couple hrs of a nap and she woke up with no pain at all, still I had the ice pack ready for next day for swelling and once again I was so surprised. Taylor had NO swelling at all!! I can only contribute this to awesome work Dr Stacy did. Thank you!!

- Adrea L

5 out of 5 stars on

Our Latest Patient Testimonial

I live in NY and was visiting friends. The dentist who examined me called this office. I was given an appointment within an hour. I had 3 infected teeth extracted. The assistant surgeon was outstanding in his style of patient relationship before, during and after surgery. I couldn’t have been any more fortunate to have Dr.Scott A Rake remove these teeth for me. He is truly a credit to this profession. The office staff that assisted me was highly professional and compassionate to my needs. Thank you again from a very grateful pain free patient.


5 out of 5 stars on