Tooth Extraction

Having a tooth extracted can be scary, but no worries because your comfort is our top priority. Like many of our patients, you may find our sedation options helpful in controlling anxiety prior to and during your extraction procedure.

With the stress of an extraction, sometimes the impact of a tooth extraction on your future smile is overlooked. An extracted tooth leaves an open space in your smile. In a short time, remaining teeth will begin to shift and collapse into the hole. From bridges to implants, there are treatment options available that we can plan for today and that can help to prevent the loss of bone while you make decisions to preserve your future smile. We look forward to discussing tooth replacement options with you.

Wisdom Teeth

Third molars, Also known as wisdom teeth, are prone to complications as we grow older. Due to their location as the last teeth in the mouth, wisdom teeth tend to get stuck on the other teeth before they can properly erupt. Teeth that fail to erupt properly are called impacted teeth. Impacted teeth are prone to infection and have the potential to damage the teeth in front of them. This damage can be so severe that both teeth become compromised and will require extraction.

In addition to potential complications, having to extract wisdom teeth as an adult is a much more difficult process. Healing after adult extractions is often painful and prolonged. For ease of removal and improved healing, it is generally recommended to have wisdom teeth removed prior to age 24.

We offer Wisdom Tooth Removal with the additional added service of Oral and/or IV Sedation to keep you comfortable.

After Extraction Care


Once a tooth is extracted, we must achieve formation of a good blood clot for the healing process to begin. Prior to you leaving, we will place gauze over the extraction area and we will ask that you keep pressure on this gauze for about 30 minutes following extraction. If bleeding or oozing persists, repeat the process. If you have troubles getting the bleeding/oozing to stop, try placing a moist lipton tea bag over extraction site and putting pressure on it and elevate your head. After the clot forms, it is important to not dislodge the clot. Please do not rinse vigorously, suck on straws, do not smoke, drink alcohol or brush teeth near the extraction site for the next 72 hours. These activities will dislodge the clot. Please limit vigorous exercise for the next 24 hours as this increases blood pressure and may cause more bleeding from the extraction site.

For extractions and immediate denture placement, do not remove denture for the first 24 hours. You can expect bleeding/oozing to occur around the sides of the denture. If bleeding is severe, call our office immediately. After the first day, use a warm salt water rinse every 4 hours and following meals to flush out food particles and debris that may lodge in the surgical site. Salt water solution is 1tsp of salt to 8oz of lukewarm water. Once you have been seen for your denture adjustment, be sure to remove your denture 3-4 times a day and rinse.


Once the tooth is extracted, it is normal to experience some discomfort and/or swelling. We will provide you with an ice pack that you can apply for 20 minutes on, 20 minutes off, this will keep swelling to a minimum. Swelling will usually subside within 48 hours. Under direction of Dream Dentistry you may take an anti-inflammatory and may be given other pain medication, use as directed. 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 fluid and eat nutritious soft foods on the day of extraction. You can eat normally as soon as you are comfortable to do so.

For mild discomfort, use aspirin, Tylenol or any similar medication (whatever you may take for a headache). Taking an anti-inflammatory like Ibuprofen (Advil, Motrin) is suggested, you may take 200mg every 3-4 hours.

If the discomfort does not subside within 2 days’ time, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.


Be sure that you drink plenty of fluids. Drink at least six glasses of liquid the first day. Restrict your diet to liquids and soft foods. Once it is comfortable to go back to eating normally, you may.


Please be sure to resume your normal dental routine after 24 hours, meaning brushing and flossing your teeth at least twice a day, keeping a clean mouth will speed up healing.

Just a few days following extraction, you should be feeling fine enough to resume your normal activities. If you experience heavy bleeding, severe pain or continued swelling 2-3 days following your extraction or you have a reaction to a medication that we have prescribed you, please call our office immediately at (360) 200-4924.

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