Extractions in Nashua, NH

A tooth extraction is the removal of a tooth from its socket in the jawbone. While preserving natural teeth is almost always our goal at Implants and Root Canals, extraction is sometimes necessary when a tooth cannot be saved or its presence is causing larger problems. Common reasons include severe decay or infection beyond what can be treated with a root canal, advanced gum disease that has destroyed supporting bone, severely fractured teeth, impacted wisdom teeth, and crowding that requires removal of teeth to make room for orthodontic treatment.

There are two main types of extractions. Simple extractions are performed on visible teeth that can be loosened and removed with dental instruments under local anesthesia. These are typically routine procedures completed in 15 to 30 minutes. Surgical extractions are needed when a tooth is broken at the gum line, impacted (not fully erupted), or has complex root anatomy. Surgical extractions involve a small incision in the gum, sometimes removal of a small amount of bone, and may require stitches afterward. They take longer and may benefit from sedation in addition to local anesthesia.

After any extraction, the empty socket needs time to heal, typically 1 to 2 weeks for soft tissue healing and several months for full bone healing. We provide detailed post-operative instructions to support proper healing and prevent complications like dry socket. We also discuss tooth replacement options before or shortly after extraction because missing teeth lead to bone loss, shifting of adjacent teeth, and bite problems over time. Implants, bridges, or partial dentures can preserve your bite and prevent long-term complications. If you need same-day emergency care, see our emergency dentist page.

Extraction is always a last resort at Implants and Root Canals. Before recommending removal, we thoroughly evaluate whether the tooth can be saved with a root canal, crown, periodontal treatment, or other restorative care. When extraction truly is the best option, we explain why clearly so you understand the reasoning and feel confident in the decision.

We perform most simple extractions in our office and refer complex cases to oral surgeons we trust when that produces the best outcome for the patient. We use modern anesthesia techniques and gentle technique to keep the procedure as comfortable as possible. After extraction, we discuss replacement options before you leave so you can plan ahead and understand how to protect your long-term oral health.