What Is a Simple Tooth Extraction?

A simple extraction is the removal of a tooth that is visible in the mouth and accessible without surgical intervention. It is performed under local anesthesia and typically completed in minutes. The term “simple” refers to the technique — not that the decision to extract is taken lightly.

When Is Extraction Necessary?

At Remcon Prime Dental, tooth preservation is always the first priority. Extraction is recommended only when:

Reason Description

Severe decay Tooth is too damaged to restore with a filling or crown

Advanced gum disease Bone loss has left the tooth without adequate support

Vertical root fracture A split running along the root — cannot be repaired

Failed root canal Retreatment not feasible and tooth is non-restorable

Orthodontic reasons Tooth removed to create space for alignment

Impacted wisdom tooth When accessible — see [Wisdom Tooth Removal →] for complex cases

Severe infection When infection threatens surrounding bone or adjacent teeth

What Does the Procedure Involve?

Before the Procedure

• Clinical examination and dental X-rays

• Medical history review — certain medications and conditions require special consideration

• Treatment options discussed — extraction is always presented alongside alternatives

During the Procedure

1. Local anesthesia administered — the area is completely numb before proceeding

2. The gum tissue is gently separated from the tooth

3. The tooth is loosened using an instrument called an elevator

4. The tooth is removed with dental forceps using controlled rocking motions

5. The socket is cleaned and examined

6. Gauze placed — patient bites down to control bleeding

7. Typically completed in 5–20 minutes

You Will Feel:

• Pressure — normal and expected

• No pain — if you feel sharp pain at any point, tell Dr. Kim immediately so additional anesthesia can be given

After the Extraction — Post-Operative Care

First 24 Hours

• Bite on gauze for 30–45 minutes to control bleeding

• Do not rinse, spit, or use a straw — disrupts blood clot formation

• Apply ice pack (20 minutes on, 20 minutes off) to reduce swelling

• Rest and avoid strenuous activity

• Take prescribed or recommended pain medication as directed

Days 2–7

• Gently rinse with warm salt water after meals (starting Day 2)

• Soft diet — avoid hard, crunchy, or spicy foods

• No smoking — significantly increases risk of dry socket

• Mild soreness and bruising are normal

What Is Dry Socket?

Dry socket (alveolar osteitis) occurs when the blood clot in the extraction socket is dislodged or dissolves prematurely, exposing the underlying bone. Symptoms:

• Severe, radiating pain beginning 3–5 days after extraction

• Bad taste or odor from the socket

• Visible empty socket

If you suspect dry socket, contact us immediately — it is easily treated with a medicated dressing placed in the socket.

Tooth Replacement — The Most Important Next Step

Extraction is never the end of the conversation. Every missing tooth has consequences if not replaced:

• Adjacent teeth drift into the space

• Opposing tooth over-erupts

• Bone loss begins within weeks

• Bite changes accelerate wear on remaining teeth

Dr. Kim will discuss your replacement options at the time of extraction — so you leave with a clear plan, not just a missing tooth.

Replacement Options After Extraction

Option Timeline Notes

Dental implant 3–6 months after healing Best long-term solution

Bridge After healing Fixed, no surgery required

Partial denture Immediately or after healing Removable, most affordable

Socket preservation graft At time of extraction Preserves bone for future implant