Tooth Extraction

What is Tooth Extraction?

Tooth extraction is the removal of a tooth. There are several reasons for the removal of a tooth, including:
●     Cavities
●     Gum disease
●     Infection
●     Trauma/injury to a tooth or surrounding jawbone
●     Complications with wisdom teeth
●     Preparation for dental implants
●     Preparation for orthodontics if teeth are crowded
●     Primary teeth not coming out at the appropriate age

Dr. Gaurav Tyagi at Luminescence Dentistry is a prosthodontist, so he can handle all of your dental needs from general dentistry to extractions to smile makeovers, and more.

Types of Tooth Extractions

At Luminescence Dentistry in Dallas, TX, we offer both simple and surgical extractions, depending on your situation. We will do a thorough exam and take x-rays at your consultation visit to determine if you need a simple or surgical extraction.

Simple Extraction

Sometimes, extractions can be done without any special considerations. This is a simple extraction and can be done by a general or family dentist. The size, shape, and position of the tooth determine whether or not a simple extraction is possible. In some cases, if a tooth is broken or decayed, a surgical extraction is required.

Surgical Extraction

A surgical extraction typically requires sedation and is required when there is not enough of the crown above the gum line to allow simple extraction. Surgical extractions take longer than simple extractions and the time varies based on several factors:
●     Tooth position
●     Length/curvature of roots
●     Jawbone density surrounding tooth
●     Overall physical health of a patient
If the gum tissue is covering the root, an incision will be required to expose the tooth so that it can be removed. In addition, if the tooth is covered by the jaw bone, we may need to remove part of the bone to expose and extract the tooth. If surgical extraction is required, sutures will be placed to facilitate healing.
If you have a tooth extracted, we recommend that you replace it with a dental implant to restore functionality and prevent jawbone deterioration. The only time dental implants are not recommended is for wisdom teeth.

Reasons You May Need a Tooth Extraction

You have two sets of teeth: primary, or milk, teeth, and permanent teeth.
Your primary teeth are the first set of teeth that your body produces. By the time you reach puberty, these teeth have typically fallen out and been replaced by your permanent teeth. Permanent teeth should last a lifetime.
Unfortunately, there are situations where Dr. Tyagi will determine that tooth extraction is necessary, such as:

Severe tooth decay

When tooth decay reaches the tooth pulp, bacteria produced by the decay can cause infection. In some cases, a root canal can be used to treat the infection. However, if the infection is severe, extraction may be required to keep the infection from spreading.

Gum disease

Gum disease, or periodontitis, is a condition in which the alveolar bone, periodontal ligaments, gums, and other surrounding structures become infected. There are 4stages of gum disease- gingivitis, mild periodontitis, moderate periodontitis, and severe periodontitis. Gingivitis is the earliest stage and can be treated fairly quickly and easily. However, as it progresses, it becomes more challenging to treat.
In some cases, periodontal disease causes teeth to loosen. In this case, tooth extraction maybe necessary.
You can take steps to prevent periodontal disease by practicing proper oral hygiene and visiting your dentist every 6 months for an exam and cleaning.

Impacted tooth

If a tooth is unable to push through the gums, it is considered impacted. This is most common in wisdom teeth. Extraction is typically recommended for impacted teeth to prevent other teeth from being damaged. Extraction may also reduce the risk of over crowding and infection.


If your teeth are overcrowded and you require orthodontic treatment, extraction may be necessary to create room for your teeth to realign.


If your teeth are damaged due to an accident or trauma, we will do everything we can to save the affected teeth with bridges, bonding, crowns, or veneers. However, if the damage is irreparable, we will recommend extraction.

Recovery Period and Aftercare

Recovery following a tooth extraction varies based on the complexity of your case. Most of our patients get back to normal within a few days. However, it is important to note that while you may get back to your normal activities within 72 hours, it may take several weeks for your jawbone to heal.
If you plan to replace the extracted tooth with a dental implant, you will likely need to wait a few months. This will allow your jawbone to fully heal.
When you undergo a tooth extraction, you’ll be given specific aftercare instructions to facilitate your recovery:

Keep the surgical site clean

You will need to carefully rinse the surgical site with an antimicrobial mouthwash 2 to 3 times a day. Do not brush over the site until the dentist tells you it’s safe. Brush and floss other teeth as usual.

Take medications as directed

If you are given prescription medications, take them as directed. You may be able to take OTC pain relievers as well. You will want to consult with the dentist before doing so to make sure that they will not interact with your prescriptions.

Rest/Relax for at least 2 days

You will need to take it easy for at least 2 days because an elevated heart rate can cause discomfort and bleeding. You will need to skip your workout for up to 72 hours. Ask the dentist when you should resume your normal routine.

Avoid hard/crunchy foods for a few days

You will want to make sure that you have plenty of soft foods to choose from for the first few days. Also, don’t use a straw, as this can cause the blood clot to come out of the surgical site resulting in dry socket.


If you have a tooth that is giving you problems and you think you may need to have it removed, schedule an appointment with Luminescence Dentistry in Dallas. Dr. Tyagi has the experience and expertise to remove your tooth and get you back to your normal routine.

Tooth Extraction FAQs

Many of our patients have questions when it comes to tooth extraction. Below are some of the most frequently asked questions about this topic:

What is tooth extraction?

Tooth extraction is a procedure in which a tooth is removed from the jawbone. There are two types of extractions: simple and surgical.

Is tooth extraction painful?

If you are having a tooth extracted, you will be given a local anesthetic, which will require an injection. You may feel a sharp pinch as the needle goes in. Once the medication takes effect, you should not feel any pain or discomfort. However, some patients do report feeling pressure.

What is tooth extraction?

There are several reasons why Dr. Tyagi may recommend tooth extraction, including:
●     Periodontal disease
●     Severe decay
●     Impacted tooth
●     Trauma
●     Overcrowding