When a tooth is severely decayed, fractured, or infected, removal may be the safest way to protect your overall oral health. At Blue Dental Clinic on the Upper East Side, we provide gentle, precise extractions—with clear explanations, comfort-focused techniques, and a plan for what comes next.

Why choose us

• Comfort-first approach: Thorough numbing, calm chairside manner, and nitrous oxide available.
• Simple & surgical expertise: From routine extractions to more complex cases (fractured roots, impacted teeth).
• Future-focused planning: Socket preservation and timelines for implants, bridges, or partials.
• Transparent costs & coverage: Up-front estimates and insurance-friendly support.

When an extraction is recommended

• Deep decay or crack below the gumline
• Severe infection/abscess not suitable for restorative treatment
• Advanced periodontal (gum) disease with mobility
• Orthodontic or prosthetic planning (limited space or non-restorable teeth)
• Impacted or problematic wisdom teeth (often evaluated separately)

Types of extractions we perform

• Simple extraction: For teeth that are visible and mobile with local anesthesia.
• Surgical extraction: For broken, brittle, or impacted teeth—may involve sectioning the tooth or smoothing bone for a clean site.
• Socket preservation (bone graft): Optional grafting at the time of removal to help maintain bone volume for future implants or esthetics.

What to expect: step by step

1. Evaluation & imaging: Clinical exam and X-rays to map roots, bone, and nearby structures.
2. Anesthesia & comfort: Local anesthesia; nitrous oxide available on request.
3. Atraumatic removal: Gentle techniques to protect surrounding bone and tissues.
4. Site care: Rinse, suture if needed, and detailed aftercare instructions.
5. Next-steps plan: Timing for implant, bridge, or denture options if you’re replacing the tooth.

Aftercare & recovery

• First 24 hours: Bite on gauze to control bleeding; avoid smoking, straws, and vigorous rinsing.
• Swelling control: Cold compresses in short intervals the first day.
• Diet: Start with soft, cool foods (yogurt, eggs, soups); gradually return to normal.
• Oral hygiene: Brush gently, avoiding the site on day one; begin warm saltwater rinses after 24 hours.
• Activity: Take it easy for 24–48 hours; avoid strenuous exercise.
  Most patients feel notably better within 2–3 days, with steady improvement over a week.

Dry socket prevention

Keep the blood clot stable: follow no-straw and no-smoke guidance, maintain gentle hygiene, and use any prescribed mouth rinse as directed. If you develop increasing pain around day 3–5, call us—relief is available.

Replacing the tooth

We’ll discuss the best timing and option for your situation:

• Dental implant (often after 8–12 weeks or immediately with grafting in select cases)
• Bridge (uses neighboring teeth as anchors)
• Partial denture (removable solution)

Cost & insurance

Fees depend on tooth position, complexity, and whether grafting or sedation is needed. We verify benefits in advance, provide clear written estimates, and submit claims on your behalf. Flexible payment options are available.

FAQs

Will it hurt?
You’ll be thoroughly numbed. Expect mild pressure, not sharp pain. Some soreness afterward is typical and manageable with recommended medication and care.

How long is the appointment?
Many simple extractions take about 30–45 minutes; surgical cases vary. You’ll leave with personalized aftercare instructions.

Can I work the next day?
Often yes for non-physical jobs. Plan extra rest after surgical cases or multiple extractions.

Do I always need a bone graft?
Not always. If you’re considering a future implant or have a thin ridge in an esthetic area, socket preservation is often beneficial.

What about wisdom teeth?
We evaluate third molars separately and can coordinate removal timing, sedation options, and recovery planning.



Ready to get relief?

Schedule an extraction evaluation at our Upper East Side office. We’ll confirm the diagnosis, review options, discuss costs and coverage, and make the experience as smooth and comfortable as possible.