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Or tooth removal

There are certain situations in which your Madison Family dentist may recommend having a tooth removed. The most common reasons are:

  • A severely decayed or infected tooth
  • Severe periodontal disease leading to a loss of bone and soft tissue support
  • Inadequate space for erupting permanent teeth or extra teeth that are blocking others from erupting
  • Preparation for orthodontic treatment (braces)
  • Inadequate space for your wisdom teeth
  • The visible portion of a tooth or root is severely fractured


“At Madison Family Dental, we understand that having a tooth taken out is not necessarily your favorite thing to do with an afternoon, but that’s why we’re here to help you with the process. I’m Dr. McCombs, I’ve had special training in extractions and other surgical procedures, so I’m here to help you have your tooth out at either our Madison or DeForest location.

Having a tooth out is not necessarily glamorous, but it can really be the best decision for your smile in certain situations. If the tooth is really broken, doesn’t have sufficient bone or soft tissue support, or has a very large cavity or an infection, sometimes it’s best to get that tooth out of there to leave the rest of your mouth nice and healthy.

We understand that once again it’s not necessarily a great thing to have done, but we are here to make it as comfortable for you as possible! We do everything under local anesthesia, you’re nice and numb while we’re working on you, and we’re always here to communicate with you to make the process as comfortable, quick, and easy as possible.

So tooth extractions can either be simple — which is basically we just numb the tooth and wiggle it out. Sometimes the fracture happens deeper in the tooth and we do have to open things up to make sure that all of the tooth pieces are out of there. Depending on how difficult or easy your extraction is, your doctor will provide you with a prescription for whatever you might need to be comfortable afterwards — usually it’s a very quick easy recovery, usually just a little bit of soreness in the area for about a day or two after.

We ask that you avoid marathon running, or really extensive exercise afterwards to make sure that the blood clot stays nice and stable, but typically most people can return to work either the same day or next day.”

The Two Types of Extractions

  • Simple – A simple extraction is the removal of a tooth that is still visible. Simple extractions can usually be done under local anesthetic with the use of instruments that elevate and grasp the visible portion of the tooth. These extractions can be done during a routine dental visit.
  • Surgical – A surgical extraction involves removing a tooth or portion of a tooth that cannot be easily accessed due to a severe fracture, significant decay, or that it hasn’t fully erupted. During a surgical extraction, your dentist may uncover the tooth by elevating the soft tissues surrounding the tooth and in some cases by removing bone to expose more of the tooth. The tooth may need to be divided into several pieces to make removal easier. Complicated surgical extractions are performed by an oral surgeon. Madison Family Dental will refer you to experienced oral surgeons in the Madison area.

We can use the DentalVibe for Patient Comfort

The utilization of this product greatly reduces the discomfort when receiving a local anesthesia (the “shot” in other words). Learn all about it here, or visit the official product website.

A Madison Dentist Committed to Your Care

Post-operative Care Following a Tooth Removal (Extraction)

  • You can expect that your child will leave the office biting on gauze. They should remain biting on it for 30 to 45 minutes, or as directed by the dentist.
  • You can expect your child to be numb and you should watch them closely. Kids can do a lot of damage by chewing on a numb lip, cheek, or tongue and not realize it until the anesthetic wears off.
  • Keep activities low key for the first 24 hours. No running or jumping. Children should sit out of gym class as well. Reading, computer, homework, and television are some ideas for quiet activities.
  • It is often best to give children ibuprofen or Tylenol (whatever you would normally offer for a fever or headache) before the anesthetic wears off. This may be all the pain medicine that they need.
  • No spitting or using a straw for the first 24 hours.
  • Try to eat soft foods for the first couple of days. Avoid hard, crunchy things and very hot things like soups. Yogurt, eggs, ice cream, mashed potatoes, and applesauce are some good examples of things to eat during the first 24 hours.
  • Brushing is ok, just be gentle in that area.
  • You can expect the extraction site to ooze for the first few days and the saliva will likely be pink. This is normal.

Please request an appointment online for a dental treatment consultation with one of our dental professionals.




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