What Is a Tooth Extraction?
A tooth extraction is the removal of a tooth when it can no longer be restored or is interfering with your oral health.
While many extractions are simple and straightforward, some require surgical precision if the tooth is impacted, broken below the gumline, or surrounded by infection. This includes complex cases such as wisdom tooth extractions, which are more commonly performed during the late teens and early twenties.
You may need a tooth extraction if you are experiencing:
- Severe decay or infection that cannot be repaired with a crown or root canal
- Fractured or badly damaged teeth
- Overcrowding before orthodontic treatment
- Impacted teeth (including but not limited to wisdom teeth)
Our Approach to Tooth Extractions
Our board-certified oral surgeon, Dr. Epstein and Dr. Kim, use advanced technology, gentle techniques, and a caring approach to make tooth extractions as smooth and comfortable as possible.
- Advanced Technology: The CS 9600 CBCT scanner provides detailed 3D imaging, and dynamic navigation guides surgical extractions with accuracy.
- Patient Comfort & Safety: A complete range of sedation options is available, from nitrous oxide to IV sedation and general anesthesia. Exparel provides long-lasting pain relief, and PRF (platelet-rich fibrin) supports faster healing.
- Unmatched Expertise: Our surgeons have extensive training in both routine and complex extractions, ensuring every procedure is performed with precision. Whether it is a straightforward tooth removal or a surgical case, you are in experienced hands.
A Focus on a Comfortable Recovery
Recovery matters just as much as the procedure. By combining minimally invasive techniques with Exparel and PRF, we reduce swelling, lower the need for narcotic medications, and help you return to normal activities sooner.
What to Expect
Knowing what will happen before, during, and after surgery can take away much of the stress. Here is how the process typically works:
Consultation and Imaging
Your first visit is focused on understanding your needs and giving you clear information. We take a 3D CBCT scan to evaluate the tooth, surrounding bone, and nerves. This allows us to recommend whether a simple extraction is possible or if a surgical approach will provide the safest outcome. Sedation options are also reviewed so you know exactly what to expect on the day of your procedure.
Day of Surgery
When you arrive, our team makes sure you feel comfortable and cared for before any treatment begins. For a simple extraction, the tooth is gently loosened and removed with specialized instruments. For surgical cases, a small opening may be made in the gum, and the tooth may be sectioned into smaller pieces for easier removal. Every step is performed with precision to protect the surrounding tissue and make the experience as smooth as possible.
Recovery and Follow Up
PRF can be placed in the extraction site to support healing and reduce swelling, while Exparel may provide up to 72 hours of pain relief after surgery. Most patients are ready to return to normal activities within a few days. You will receive clear home care instructions, and our team calls every patient the same day to check in. We remain available throughout your recovery to answer questions and ensure you are healing comfortably.
Tooth Replacement After Extraction
When a tooth is removed, replacing it helps maintain bite alignment, prevent shifting, and preserve jawbone health. Dental implants are the preferred solution because they look, feel, and function like natural teeth.
With our advanced workflow, many patients qualify for a same-day extraction and implant, combining tooth removal and implant placement into one visit. This approach shortens the treatment timeline and provides reliable results with fewer appointments.
We’re Here to Support You
We welcome referrals, second opinions, and patients who want implant treatment from experienced surgeons who combine precision with compassion.
Our practice is in network with Delta Dental, Cigna, Premera, Regence, Aetna, GEHA, and LifeWise. For other dental insurance plans, we are happy to file claims on your behalf to help you receive the maximum reimbursement available.
We also offer convenient financing options through CareCredit, Cherry, and Proceed Finance. From consultation through recovery, our administrative team is here to make every step clear and stress-free.
FAQs
Is tooth extraction painful?
With sedation and advanced anesthetics, the procedure is comfortable. Many patients are surprised by how little pain they feel during and after surgery.
How long does recovery take?
Most patients recover within a few days to a week. Using PRF and Exparel often shortens recovery time and reduces discomfort.
Will I need to replace my extracted tooth?
In many cases, yes. Replacing a missing tooth with a dental implant, bridge, or partial denture helps preserve your bite and prevent shifting of neighboring teeth. We’ll discuss replacement options at your consultation.
When should I see an oral surgeon instead of a dentist for extraction?
Complex cases, such as impacted teeth, broken roots, infected sites, or patients who need advanced sedation, are best handled by an oral surgeon for safety and predictable outcomes.
How much does a tooth extraction cost in Seattle?
The cost depends on whether the extraction is simple or surgical, the number of teeth involved, and whether sedation or bone grafting are needed. During your consultation, we provide a detailed estimate and explain how your insurance and financing options may apply.
Why is day 3 the worst after a tooth extraction?
Many patients notice that swelling peaks around the third day as part of the body’s natural healing response. This can cause more discomfort than the first two days.
What can I eat after a tooth extraction?
Stick to soft, easy-to-chew foods like yogurt, applesauce, scrambled eggs, pasta, or smoothies (without a straw). Avoid crunchy, spicy, or sticky foods for the first several days to protect the healing site and prevent complications.
Who performs same-day extraction and implant near me?
Same-day extraction and implant treatment is available at Green Lake Oral & Facial Surgery in Seattle and JAWNT Oral Surgery in Shoreline. Both offices use advanced imaging, guided surgery, and in-house prosthodontics to make it possible to remove a tooth and place a dental implant during the same visit.
