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Tooth Extractions

Fractured or severely infected teeth might require an extraction. In cases of severe, ongoing infections, an extraction can become a life-improving procedure.

We understand that the idea of removing a tooth can produce anxiety. At the Smile Shop, we want to hear your concerns and discuss solutions or alternatives.

Common concerns and questions:

When should I schedule my extraction visit, I’m really nervous!

We recommend scheduling this procedure first thing in the morning, or as early in the day as possible. This way, you don’t have to think about the appointment all day, ramping up your anxiety. Please do eat a little before your extraction, and bring your questions.

I never get all the way numb! I’ve had terrible experiences with that. How can you make it better?

Let us know if you’ve had problems getting numb in the past. We use customized combinations of anesthetic and techniques to achieve profound numbing.

I’m really nervous, can you “knock me out”?

Full sedation will require a referral to the Oral Surgeon, and we’re happy to do that for you.

At our Placerville office, we offer Nitrous Oxide or “Laughing Gas”, which helps decrease the anxiety and sensitivity to sounds and sensations, in addition to helping the anesthetic effectiveness. This does not require you to have a driver, as there is typically no ‘hang over” effect, but it’s a good idea to have someone drive you if you have concerns about your alertness after any dental procedure

Will it hurt?

Generally, extractions produce sensations and pressure feelings, not sharp pain. At your visit, we’ll start with gentle numbing and talk about how to communicate any sensations of discomfort.

You are in control of the procedure. If you’re feeling any pain and let us know as we discussed, we’ll stop and make sure you’re comfortable. This might require different anesthetic, or maybe medical treatment of infection. Infections can cause problems with numbing.

Do I need a driver? Should I take the day off?

If you’re really nervous, a driver is a good idea.

Generally, taking the day of the extraction off is a good idea. If you are lifting things and moving around a lot, you might notice more bleeding than if you are resting. We’ll talk about managing pain, swelling and bleeding at your visit, and give you written instructions and our contact information.