Extractions & oral surgery.

When a tooth needs to come out

We always try to save a natural tooth first. When a tooth is too badly broken, decayed or infected to repair, or when it is loosened by advanced gum disease, removing it protects your health and the teeth around it.

• Severely decayed or broken teeth that cannot be restored
• Teeth loosened by advanced gum disease
• Impacted or problem wisdom teeth
• Teeth that must be removed before dentures or full-arch implants

Wisdom teeth removal

Wisdom teeth often lack the room to come in properly. They can become impacted below the gum, push against neighboring teeth, trap food and bacteria, or cause infection and pain. Dr. Agrawal uses 3D cone beam CT imaging to see exactly where each tooth sits before surgery, so the procedure is planned precisely.

Comfortable surgery

If you are anxious about oral surgery, ask about oral conscious sedation and nitrous oxide. Many patients rest through their entire procedure and remember little of it afterward.

Planning what comes next

An extraction is often the first step toward a replacement. When the bone allows, an implant can sometimes be placed at the same visit as the extraction, which reduces the number of surgical procedures. Where bone has been lost, bone grafting can rebuild a strong foundation for a future implant.

For patients who need several or all of their teeth removed, we can provide immediate dentures on the day of the extraction, so you are never without teeth, or plan Teeth in a Day full-arch implants.

After your extraction

We give you clear written instructions for the hours and days after surgery, including how to manage swelling, what to eat and how to keep the area clean. Patients who also receive implants can review our post-surgery instructions at any time.