Tooth Extractions
Boston, MA

comfortable dental extractions

Dr. Brito always strives to preserve and restore the natural structure of your teeth. However, extensive disease, decay, or trauma may lead to a medically necessary tooth extraction. Dental extractions are required for a variety of reasons including: extensive tooth decay (cavities), impacted or symptomatic wisdom teeth, advanced periodontal disease, over-retained baby teeth, or severe crowding in order to help make space for orthodontic treatment (braces).  We do most extractions here in our office, helping to avoid extra costs and time associated with a referral.

what to expect

While it may be scary to hear that you need a tooth pulled, our compassionate dental team uses gentle techniques, modern technology, and anxiety-reducing sedatives. This ensures that our patients experience a pain-free extraction with minimal risk of complications.

The first step in the removal process is to tell Dr. Brito if you’ll require anxiety-reducing sedatives, such as oral sedatives. If so, our dentists will write you a prescription for an oral sedative that you must pick up at a pharmacy of your choosing and take before your appointment.

Next, Dr. Brito will administer a local anesthesia to numb the extraction site. Once you are relaxed and sufficiently numb, our dentists will skillfully remove the damaged tooth. Teeth extractions can be completed very quickly and painlessly.

After your tooth has been removed, our dentists will either pack the extraction site with gauze or close the wound with a few, small stitches. At this point, our dental team will monitor you to ensure that the sedatives are wearing off before letting a friend or family member drive you home.

why do I need a tooth extraction?

In most cases, a tooth extraction is used only as a last resort if other restorative dental procedures are unsuccessful. Common reasons why you might need a tooth pulled include:

  • Extensive dental decay
  • A failed root canal
  • Cracked or fractured tooth
  • An antibiotic-resistant infection
  • Risk of an infection spreading to the bloodstream (sepsis)
  • Dental damage beyond repair
  • Overcrowded teeth
  • Impacted wisdom teeth

At Brito Family Dental, our team prioritizes your health. Therefore, we will only recommend a tooth extraction if we have exhausted all other options. For some patients, tooth removal may be the best solution to improve their quality of life and save their oral health.

At Brito Family Dental, we will also discuss the ways we can replace the tooth before moving forward. Dental implants, bridges, or dentures, may be good options for replacing the missing tooth and we will be sure to discuss the benefits of each of them as we figure out the best choice for you moving forward to restore your smile!

replacing missing teeth

While our immediate concern is the short-term management of your care, we will also discuss your long-term plans for replacing missing teeth. Leaving a space is always an option, but spaces in your smile can create appearance and function challenges that are important to consider. Teeth slowly shift or migrate into open spaces and minimizing the effects of an unbalanced bite now can prevent issues later in life.

what to tell your dentist before an extraction

In general, tooth extractions are very safe. However, there are some cases in which a patient should disclose past medical history to our dental team to ensure patient safety. For example, our dentists need to know if you have:

  • Heart damage, a congenital heart defect, or heart valve replacement
  • A suppressed or impaired immune system
  • Cirrhosis–also known as liver disease
  • Any artificial joints (e.g. hip, knee, or shoulder replacements)
  • A history of bacterial endocarditis

If you have any of these conditions, please let our dental team know immediately. Knowing this information will help us mitigate complications, ensuring a safe and successful extraction.

how to care for extraction site

Proper aftercare is extremely important following an extraction. To reduce the risk of infection and improve recovery:

  • Take the recommended medication if needed
  • Limit their activity for 24-72 hours after their extraction
  • If the wound was packed with gauze, carefully change the pad every 30 minutes
  • Avoid creating a vacuum in their mouth by sucking, spitting, swishing
  • Do not drink through a straw for at least 24 hours after the procedure
  • Do not smoke or chew tobacco products while the wound is healing
  • Eat soft foods for a few days after the procedure
  • Sleep with their heads propped up to prevent prolonged bleeding
  • Gently apply an ice pack to the side of the face for ten minutes at a time to reduce swelling
  • Continue to gently brush and floss teeth

Once the wound is fully healed, patients have a wide variety of tooth-replacement options to choose from, such as dental implants, bridges, or dentures. It is essential to replace a missing tooth to prevent damage to other teeth from biting forces/uneven pressure, avoid tilting or shifting of remaining teeth into the gap.

Frequently Asked Questions

Tooth Extractions Boston, MA

Where can I find a dentist who performs dental extractions near me?

You’ve come to the right place! Give Brito Family Dental a call or book your appointment online today to see how we can help with your extraction needs. Dr. Brito will perform an oral evaluation and discuss all of your options with you. If an extraction is necessary, Dr. Brito will perform the procedure with your comfort in mind, going the extra mile to limit any pain.

The time it takes for a tooth extraction to heal can vary depending on a variety of factors, such as the type of extraction, the location of the tooth, and your overall health. In general, it can take anywhere from a few days to a few weeks for the extraction site to fully heal.

Here are the typical healing stages for a tooth extraction:

  1. Initial healing (first 24 hours) | The first stage of healing involves the formation of a blood clot at the extraction site. During this time, it’s important to rest and avoid strenuous activity, as well as avoid rinsing or spitting forcefully.
  2. Granulation tissue formation (days 2-4) | During this stage, the blood clot is replaced by granulation tissue, which helps to protect the extraction site and promote healing.
  3. Wound contraction (days 5-7) | The extraction site begins to contract and close, and new tissue starts to form.
  4. Epithelialization (days 7-14) | The extraction site is covered by a layer of epithelial cells, which help to protect the underlying tissue and promote healing.
  5. Maturation (days 14-21) | The final stage of healing involves the maturation of the new tissue and the remodeling of the extraction site.

During the healing process, it’s important to follow Dr. Brito’s instructions carefully. Some things to avoid include smoking, eating hard foods, and strenuous activity. You may also be prescribed medications and/or antibiotics to help manage any discomfort or prevent infection.

If you experience any severe pain, bleeding, or other complications after a tooth extraction, contact Dr. Brito immediately.

After a tooth extraction, it’s important to be careful with what you eat and drink to prevent complications and promote healing. Here are some recommendations for what to eat and drink after a tooth extraction:

  • Cold and soft foods | For the first few days after the extraction, eat cold and soft foods such as ice cream, yogurt, smoothies, and mashed potatoes. Avoid hot, spicy, or crunchy foods, as they can irritate the extraction site and cause pain.
  • Clear liquids | Drink plenty of clear liquids such as water, broth, and fruit juice. Avoid drinking through a straw, as the suction can dislodge the blood clot and delay healing.
  • Nutritious foods | As you begin to feel better, gradually introduce more nutritious foods such as soft fruits and vegetables, eggs, and pasta. Chewing on the opposite side of the extraction site can help prevent discomfort.
  • Avoid alcohol and tobacco | Avoid drinking alcohol and smoking tobacco for at least 24 hours after the extraction, as they can interfere with healing and increase the risk of complications.
  • Stay hydrated | Drink plenty of fluids to stay hydrated and help promote healing.

It’s important to follow Dr. Brito’s instructions carefully and avoid any foods or drinks that could interfere with healing or cause discomfort. If you experience severe pain or any other complications after a tooth extraction, contact Dr. Brito immediately.

Proper care after a tooth extraction can help promote healing and prevent complications. Here are some general guidelines for tooth extraction aftercare:

  • Bite down on gauze | After the procedure, Dr. Brito will place a piece of gauze over the extraction site and ask you to bite down gently. Keep the gauze in place for about 30 to 45 minutes to help control bleeding.
  • Avoid touching the extraction site | Avoid touching or poking the extraction site with your tongue, fingers, or other objects, as this can delay healing and increase the risk of infection.
  • Apply ice or a cold compress | Applying a cold compress to the cheek near the extraction site can help reduce swelling and pain.
  • Avoid smoking and drinking through a straw | Avoid smoking or using tobacco products for at least 24 hours after the extraction, as they can interfere with healing. Drinking through a straw can dislodge the blood clot and delay healing, so avoid using straws for at least 24 hours.
  • Eat soft foods | Stick to soft, nutritious foods for the first few days after the extraction. Avoid hot, spicy, or crunchy foods, as they can irritate the extraction site and cause pain.
  • Rinse with salt water | After 24 hours, you can begin rinsing your mouth with warm salt water to help promote healing and prevent infection. Mix 1/2 teaspoon of salt with 8 ounces of warm water, and swish the solution around your mouth for 30 seconds before spitting it out.
  • Take medication as directed | Dr. Brito may prescribe medication to help manage discomfort after the procedure. Take the medication as directed and avoid exceeding the recommended dosage.

It’s important to follow your post-op instructions carefully and attend any follow-up appointments as scheduled to ensure proper healing and prevent complications.

You may experience some discomfort during a tooth extraction, but Dr. Brito will typically use local anesthesia to numb the area to minimize pain during the procedure.

After the extraction, you may experience some pain, swelling, and discomfort for a few days, but these symptoms can usually be managed with medication if necessary.

Overall, a tooth extraction should not be an excessively painful procedure, and Dr. Brito will take steps to help minimize pain and discomfort before, during, and after the procedure. It’s important to follow Dr. Brito’s instructions carefully and attend any follow-up appointments as scheduled to ensure proper healing and prevent complications.

There are several benefits of getting a dental implant after a tooth extraction:

  • Improved appearance | Dental implants look and function like natural teeth, helping to restore your smile and boost your confidence.
  • Improved speech | Missing teeth can affect speech by altering the way air flows through the mouth. Dental implants can help restore proper speech function.
  • Improved oral health | Missing teeth can lead to bone loss, shifting of surrounding teeth, and other dental problems. Dental implants can help prevent these problems and promote better oral health.
  • Improved comfort | Dental implants are anchored securely in the jawbone, providing a more stable and comfortable fit than removable dentures or other tooth replacement options.
  • Improved function | Dental implants function like natural teeth, allowing you to eat, speak, and chew with ease.
  • Long-lasting results | With proper care and maintenance, dental implants can last for many years or even a lifetime, making them a cost-effective and long-term solution for tooth replacement.

Overall, dental implants offer a variety of benefits for individuals who have lost one or more teeth due to injury, decay, or other factors. It’s important to discuss your options with Dr. Brito to determine whether dental implants are the right choice for your individual needs and dental health.