2122 South Hickory Street, Loxley, AL 36551
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Your dental team always tries to preserve natural teeth whenever possible, but there are times when removal is the safest path to protect oral health. An extraction may be recommended when a tooth is beyond reliable repair, is interfering with proper development, or is creating risk for surrounding teeth and tissues. Decisions are made after a careful review of your medical history, clinical exam, and diagnostic images to make sure removal is the most appropriate choice for your situation.
We focus on clear communication so you understand why an extraction is advised, what alternatives were considered, and how removal fits into a broader treatment plan for long-term oral health. This includes discussing whether and how the space should be replaced later, what to expect during recovery, and any specific precautions based on your general health or medications.
At Murphy Dentistry, our priority is delivering safe, predictable care with patient comfort in mind. We tailor each treatment plan to the individual—considering not only the tooth in question, but also bite relationships, neighboring teeth, and your future goals for function and appearance.
Primary (baby) teeth that won’t make way for permanent teeth
Sometimes a primary tooth remains firmly in place while the permanent tooth below is ready to erupt. When a baby tooth is ankylosed (fused to bone) or its roots do not resorb properly, it can block proper eruption and create alignment problems. Timely removal of an over-retained primary tooth can help guide eruption and reduce the need for more complex orthodontic intervention later.
Permanent teeth with extensive, non-restorable damage
When decay or structural damage compromises most of a tooth’s healthy structure, restoration may no longer be a durable or safe option. In those cases, extraction becomes a means of removing a potential source of infection and pain, while protecting the health of adjacent teeth and tissues.
Severe fractures or cracks that compromise tooth integrity
Teeth can fracture in ways that make reliable repair impossible. If a crack extends below the gum line, into the root, or involves multiple fragments, extraction is sometimes the only way to prevent ongoing discomfort or recurrent infection.
Advanced periodontal (gum) disease
Chronic periodontal disease destroys the supporting bone and soft tissues that hold teeth in place. When a tooth becomes loose or the supporting structures are too compromised to restore, removal may be needed to halt the spread of infection and to stabilize overall oral health.
Impacted or problematic wisdom teeth
Third molars frequently lack adequate space to erupt normally and can become impacted, infected, or harmful to neighboring teeth. When a wisdom tooth threatens oral health, we will discuss whether extraction is recommended now or as a preventive step for the future.
Teeth removed as part of corrective treatment planning
Occasionally, teeth may need to be removed to create space for orthodontic alignment or to improve bite function. When extraction is part of a larger restorative or orthodontic plan, our team collaborates with specialists to coordinate timing and follow-up care.
Preparation begins with a thorough evaluation: medical history, current medications, and any conditions that might influence treatment. We obtain up-to-date digital radiographs to assess root shape, bone levels, and nearby anatomical structures. That information guides whether a straightforward removal is possible or whether a surgical approach will be necessary.
Comfort and safety are central to every procedure. Local anesthesia is used to numb the area completely, and for patients with anxiety or complex needs, additional sedation options can be discussed. We’ll review pre-procedure instructions, including any medication adjustments or medical clearances needed from your physician prior to surgery.
During the appointment, our team strives for efficiency and gentle technique. You’ll be informed about each step so you feel prepared and supported. We also discuss replacement options for the extracted tooth if appropriate, so you have a clear plan for restoring function and appearance when you’re ready.
Post-procedure instructions are reviewed before you leave, and we arrange follow-up as needed to monitor healing. Clear directions and accessible follow-up are part of how we reduce complications and ensure a smooth recovery.
A simple extraction applies when the tooth is visible in the mouth and the roots are straightforward. After numbing the area with local anesthetic, the dentist gently loosens the tooth and removes it with forceps. This method is efficient and commonly used for molars, premolars, and other fully erupted teeth that are not anchored by unusual root anatomy.
We take steps to minimize discomfort and control bleeding, and we’ll discuss over-the-counter and prescription pain control options appropriate for your situation. If you have concerns about dental anxiety, we can explain sedation choices to make the visit more comfortable.
Surgical extraction is necessary when a tooth is broken at the gumline, impacted, or has complex root anatomy. The procedure often involves a small incision in the gum, and in some cases modest removal of bone to access the tooth. For especially complex cases, we may refer to or collaborate with an oral and maxillofacial surgeon who specializes in these procedures.
Local anesthesia is still used, and sedation may be offered depending on the complexity and patient preference. Surgical extractions require careful post-operative instructions to support healing, and our team will schedule follow-up to remove sutures if placed and to confirm that recovery is progressing normally.
Healing after an extraction follows predictable stages, and most patients can resume normal activities within a few days. Expect some swelling, light bleeding, and tenderness during the first 48–72 hours. Following the care guidelines your dental team provides helps prevent complications and promotes formation of a healthy blood clot at the site.
Plan for soft foods and gentle oral hygiene in the immediate days after extraction. Maintain adequate hydration and rest, and avoid activities that create suction in the mouth (such as using a straw) until the site has stabilized. If prescribed, complete the entire course of antibiotics and take pain medication as directed to manage discomfort effectively.
Smoking and tobacco use delay healing and raise the risk of complications; avoiding these products for at least one week after surgery supports better outcomes. Keep follow-up appointments so we can confirm that healing is on track and address any questions that arise.
Control bleeding with gauze pressure
Bite gently on the provided gauze to apply steady pressure over the socket. Change the gauze as instructed and maintain pressure until active bleeding subsides. Some light oozing is normal for up to 24 hours.
Protect numb areas from accidental injury
Avoid chewing or touching the lips, cheeks, and tongue while anesthesia is active to prevent unintended bites or burns.
Follow medication instructions
If antibiotics are prescribed, take them exactly as directed. Begin pain medication before the anesthetic wears off if recommended, and use over-the-counter non-aspirin options as advised to maintain comfort.
Protect the developing clot
Avoid rinsing vigorously, spitting, or using a straw for the first 24–48 hours to prevent dislodging the clot that forms in the extraction site.
Reduce swelling with cold therapy
Apply an ice pack on the cheek in 10-minute intervals during the first day to help minimize swelling and discomfort.
Avoid smoking and tobacco
Tobacco use interferes with clotting and healing. Refrain from smoking for at least the first week after extraction to lower the risk of complications.
Choose gentle foods
Stick to soft, non-irritating foods and avoid hot, spicy, or carbonated beverages for a few days. Gradually reintroduce firmer foods as comfort allows.
Keep oral hygiene gentle
Brush nearby teeth carefully and, after the first day or two, use a mild saltwater rinse to keep the area clean without disturbing healing tissues.
Attend follow-up visits
If stitches were placed or a more complex extraction was performed, return for your scheduled appointment so healing can be monitored and any sutures removed if needed.
If you notice persistent heavy bleeding, increasing pain, fever, or signs of infection such as a foul taste or prolonged swelling, contact our office so we can evaluate and address the issue promptly.
While most extractions heal without incident, complications can occur. A common concern is a dry socket, which happens when the blood clot protecting the bone is lost, leading to increased pain and delayed healing. Signs include severe, spreading pain a few days after the procedure and an unpleasant taste or odor. If you suspect a problem, prompt evaluation helps manage symptoms and speed recovery.
Other issues that warrant immediate attention include heavy bleeding that doesn't respond to pressure, increasing swelling, fever, or any symptoms suggesting an allergic or adverse reaction to medication. Our team provides clear guidance on what to expect and how to reach us if help is needed during recovery.
We coordinate care with your physician if you have complex health conditions or if medical management is needed alongside dental treatment. The goal is to identify problems early and intervene when necessary so healing proceeds smoothly.
Patients choose our practice for careful, individualized care that prioritizes safety and comfort. We combine modern diagnostic tools with proven techniques to make extraction procedures efficient and as comfortable as possible. Our team takes time to explain options, answer questions, and tailor the approach to each patient’s medical history and personal needs.
When replacement of a missing tooth is appropriate, we discuss evidence-based options for restoring function and appearance, including removable prostheses, fixed bridges, and dental implants. These conversations are always focused on long-term oral health, predictable results, and what best fits your goals.
From the initial consultation through post-operative follow-up, our team aims to provide reliable support and clear instructions so you feel confident about your care. If you have concerns at any point, we encourage you to reach out for guidance.
In summary, extractions are performed when they offer the best outcome for your oral health, and careful planning plus attentive aftercare greatly reduce risk and promote healing. To learn more about what to expect or to discuss an individual case, please contact us for more information.
