Tooth extractions in Los Angeles, CA: A clear patient guide

At Leith K Shawaf DDS in Los Angeles, California, tooth extractions are recommended when a tooth cannot be restored or is causing problems for nearby teeth and gums. This page outlines when extraction may be needed, how the procedure works, and what recovery is like so patients in Los Angeles, CA can make informed decisions.

Tooth extractions explained

A tooth extraction is the removal of a tooth from the mouth. Dentists perform two main types of procedures: simple extractions and surgical extractions. A simple extraction removes a tooth that is visible above the gum line, often using gentle loosening and forceps. A surgical extraction is used when a tooth is broken at the gum line, impacted, or not fully erupted, such as many wisdom teeth. Surgical extractions may involve a small incision and sectioning the tooth into pieces for safe removal.

Common reasons for extraction include severe decay, deep cracks, advanced gum disease, failed root canal therapy, orthodontic crowding, and impacted wisdom teeth. In many cases, removing one problematic tooth protects surrounding teeth and supports overall oral health.

How tooth removal can help

• Relieves pain and infection when a tooth is beyond repair.
• Prevents spread of decay or gum disease to neighboring teeth.
• Creates space for orthodontic treatment when crowding is present.
• Reduces risk of cysts or damage from impacted wisdom teeth.
• Improves comfort and chewing when a nonfunctional tooth is removed.

Patients often ask about the benefits of tooth extraction versus alternatives. When a tooth can be saved with a filling, crown, or root canal, preservation is preferred. When the prognosis is poor, extraction followed by replacement options such as a dental implant, bridge, or partial denture can restore function and appearance more predictably.

Step-by-step extraction guide

Most procedures follow a straightforward sequence designed for comfort and safety.

1. Evaluation and imaging: X‑rays determine root shape, bone level, and proximity to nerves and sinuses. This helps dentist choose between simple vs surgical extraction.

2. Anesthesia and comfort options: Local anesthesia fully numbs the tooth and surrounding tissues. Light sedation options, such as nitrous oxide or oral medication, may be offered based on health history.

3. Tooth removal: For a simple extraction, the tooth is loosened and lifted out. For a surgical extraction, a small incision and minimal bone removal may be needed, and the tooth can be sectioned to aid removal.

4. Site cleaning and stabilization: The area is irrigated and any infected tissue is removed. Stitches may be placed, especially after surgical extractions or wisdom tooth removal.

5. Gauze and aftercare instructions: Firm biting pressure on gauze helps form a protective blood clot. Written instructions outline home care, diet, and medications.

What to expect before and after

Before the appointment, share your full medical history and current medications. Ask about timing if you plan to pursue a replacement tooth later. Some patients choose to place a bone graft at the time of extraction to help preserve the ridge for a future implant.

After the procedure, mild to moderate soreness and swelling are common for several days. Most simple extractions heal enough for normal activities within 24 to 48 hours. Surgical extractions, especially of wisdom teeth, may require several extra days of recovery.

Typical aftercare includes the following:

• Keep pressure on the gauze for the first hour, then replace as directed.
• Avoid straws, vigorous rinsing, and smoking for 3 days to protect the blood clot.
• Use cold packs in 10 to 20 minute intervals on day one to limit swelling.
• Take recommended pain relievers as instructed and start gentle saltwater rinses after 24 hours.
• Eat soft, cool foods at first and chew on the opposite side.

Possible risks include bleeding, infection, or dry socket, a painful condition where the clot dislodges and exposes bone. Careful aftercare, especially not smoking and avoiding straws, reduces this risk. Contact the office if severe pain, fever, or persistent bleeding occurs.

Planning for what comes next is important. Replacement options after extraction include implants, bridges, or removable prosthetics. Timing can vary from immediate placement to several months later, depending on bone and soft tissue healing. dentist will outline the sequence and discuss how long a tooth extraction takes in your specific case.