Photograph of tools and extracted tooth from Keith A. Boenning, DDS in Towson, MD

Tooth Extraction
Towson, MD


It can be pretty nerve-wracking if you have been recommended a tooth extraction procedure. However, tooth removal is a very common, simple, and minimally-invasive procedure. At Keith A. Boenning, DDS, we will provide you with complete information to prepare you for a tooth removal procedure.

When is it Necessary to Extract Teeth?


It is a dentist’s first priority to save your teeth. However, there are some circumstances during which it is better to remove a tooth that is causing trouble. Here are some reasons why tooth extraction can become necessary:
•  When tooth decay has reached deep into the tooth and it cannot be saved with surgery.
•  Gum disease has destroyed a large portion of the surrounding structure of the tooth.
•  Infection has eaten its way into a large portion of the tooth.
•  Your mouth is overcrowded with teeth.
•  The primary teeth don’t fall out in time for the adult teeth to come in.
•  Teeth removal may also be required prior to orthodontics treatment to create space in the mouth.
•  Wisdom teeth are also extracted since they often cause dental issues.


Types of Tooth Extraction


There are two types of tooth extraction:

Simple Extraction


A simple extraction is performed on teeth that have properly erupted from the gum and are their crown is fully visible in the mouth. During a simple extraction procedure, Dr. Keith A. Boenning and Dr. Boenning will numb the surrounding area of the tooth and shake the tooth loose with a dental instrument called an elevator. The tooth can then be removed with dental forceps.

Surgical Extraction


A surgical extraction is a more complex procedure than a simple extraction and is performed on teeth, which are either impacted or have broken off at the gum line. To perform this procedure, we will first numb the area and then make a small incision into your gum to expose the underlying tooth. We will then remove the surrounding bone around the tooth and split the tooth into two or more pieces to extract it easily.
Since surgical extraction is a bit more complicated, you may get some form of sedation with local anesthesia.
During tooth extraction, you will feel pressure on your mouth but no pain. If you feel pain, let us know immediately so we can adjust your anesthesia.

Tooth Extraction After-Care


Simple tooth extraction has a very small recovery time and most people are up on their feet and going about their daily tasks within 24 hours. Surgical extractions, however, may cause you slight pain up till a week or two after the surgery but this is easily managed by OTC painkillers.
After a tooth extraction, we will place gauze in your mouth for a few hours to curb the bleeding and allow a clot to form. You can change this gauze at home as needed.
Avoid rinsing your mouth for a few hours after the surgery since this can prevent the clot from forming well. Also avoid drinking from a straw, spitting, consuming alcohol, smoking or drinking hot liquids for a few days. If the tooth has been removed from the upper jaw, try to avoid sneezing or blowing your nose if possible.
If your gums and jaw are swollen, you can place an ice pack on it for 10 to 20 minutes.
Avoid chewing from the side of the mouth where the extraction site is until the wound is fully healed. This can take a couple of weeks.

Tooth Extraction Recovery Concerns


Although tooth extraction is a simple procedure and the patient fully heals in 7 to 10 days, some people may experience complications like:
•  Dry socket: Known as osteitis, this happens when the wound does not form a clot properly or the clot is dislodged. This condition can be very painful, but we can easily treat it with some medication.
•  Sore jaw: A sore jaw is expected after the tooth extraction procedure, which may be because of muscle fatigue due to keeping your mouth open during the surgery.
•  Numb Chin: Some people may feel a tingling sensation or numbness in their chin or jaw. This may be due to nerve damage. In most cases, this is only temporary but in some, it can be permanent.
•  Inability to Heal: People who have compromised immune systems like people with HIV or other immunity disorders may experience an inability of the wound to heal.
•  Infection: This may be characterized by increased pain and bleeding from the surgical site. The pain may extend from ear to ear and you may also have a fever and experience nausea. In some cases, you will taste something foul in your mouth.


Keep in mind that these conditions are not very common. However, if you experience any of the above complications, you need to get an emergency appointment with us by calling us at (410) 828-1717 so that we can treat you quickly.

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