Tooth Extraction


Our goal is to help patients maintain their natural teeth but when tooth extractions are necessary we can help. Dr. Herzog is experienced with surgical procedures. We offer different sedation options including medications that help eliminate anxious emotions during your visit. With our available sedation dentistry options tooth extractions are far less painful than ever before and in most cases our patients feel little to no discomfort during treatment.

Postponing the extraction can cause pain, infection, and misalignment. And if your wisdom teeth are the trouble, the only way to avoid discomfort is wisdom teeth removal.

Reasons For Tooth Extractions

A tooth extraction may be necessary for a variety of reasons including:

  • A badly damaged tooth due to trauma or decay
  • Crowding in the mouth
  • Impacted wisdom teeth
  • Gum disease
  • Severe infections

If you are experiencing extreme discomfort or pain, call us today to schedule an emergency tooth extraction appointment.


What is the Difference between Simple and Surgical Tooth Extractions?

Simple and surgical are the two different classifications of tooth extractions. At Issaquah Dental Health, we provide simple tooth extractions. Simple tooth extractions are done when the teeth are visible and can be accessed easily while using local anesthesia.

Surgical tooth extractions are for more complex tooth extractions when the teeth cannot be easily accessed such as teeth that are only partially visible or have broken down underneath the gum line.

What to Expect for Simple Tooth Extractions

There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk. In that case, your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth may also require removal of a tooth. Before a tooth is removed, Dr. Herzog will thoroughly review your medical and dental history and take the appropriate X-rays. From this information, he can estimate the degree of difficulty of the procedure and decide whether to refer you to an oral surgeon. If it is determined that a tooth can be removed safely by the dentist, he may extract it during a regular checkup or may schedule another visit for this procedure.

Before removal, the area around your tooth will be anesthetized using a local anesthetic to numb the area of the mouth where the extraction will take place. The root of each tooth is encased within your jawbone in a “tooth socket,” and held in that socket by a ligament. In order to extract a tooth, Dr. Herzog must expand the socket and separate the tooth from the ligament holding it in place. The tooth is loosened with the help of a tool called an elevator, then extracted with dental forceps. Dr. Herzog may also want to smooth and re-contour the underlying bone. When he is finished, he may choose to close the area with a stitch. Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or your jaw joint function. To avoid these complications, Dr. Herzog may recommend that you replace the extracted tooth.

It is critical to keep the area clean and prevent infection immediately following the removal of a tooth. Your dentist will ask you to bite down gently on a piece of dry, sterile gauze and keep it in place for 30 to 45 minutes to limit bleeding while clotting takes place. For the next 24 hours, you shouldn’t smoke, rinse your mouth vigorously, or clean the teeth next to the extraction site. A certain amount of pain and discomfort is normal. In some cases, a painkiller will be prescribed. It may help to apply an ice pack to the face for 15 minutes at a time. You should limit strenuous activity, as well as avoid hot liquids and not drink through a straw. The day after the extraction, you may begin gently rinsing your mouth with warm salt water. Under normal circumstances, discomfort should lessen within three days to two weeks. If you experience prolonged or severe pain, swelling, bleeding or fever, promptly call Issaquah Dental Health.

Initial healing takes about 2 weeks. It can take 3-6 months for the bone and soft tissue to be fully restructured.

If you think you need a tooth or multiple teeth extracted, call our Issaquah office today to schedule your appointment with Dr. Herzog.

Issaquah Dental Health
6520 226th Pl, SE #200
Issaquah, WA 98027
Phone: 425-392-1010
Fax: (425) 392-1886
Office Hours

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