You and Dr. Ettinger may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Ettinger will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Delaware Center for Oral Surgery & Dental Implants

5 out of 5 stars based on 6 Tooth Extractions reviews.

Our Latest Patient Testimonial

Overall great experience. Very homey feel to the place, and it was spectacular service. I would highly recommend friends and family.

- Jose R

5 out of 5 stars on

Our Latest Patient Testimonial

This was my first experience at the oral surgery. My experience was very pleasant. The office is very clean. The staff was very friendly and made me calm. I didn't wait long at the waiting room. Dr. Ettinger and his team did a great job. Everything was done before I feel fear!

- Yoko P

5 out of 5 stars on

Our Latest Patient Testimonial

Exceptional service, from the time I entered the office to the time I left. The entire staff was professional and courteous. I worked myself up, worrying about the pain/discomfort. Thank you Dr. Ettinger I did not even feel you take out my tooth!! Unbelievable !! Thank you all.


5 out of 5 stars on

Our Latest Patient Testimonial

Anyone ending up in an oral surgeon's office is nervous...and that is putting it mildly. I have been attended by Dr. Ettinger and his staff on 5 occasions. They have put my fears to rest regarding the surgery and have been extremely supportive throughout the entire process. I have had a very positive experience in this office. My post-op course has been literally pain free and uneventful due to the excellent care I received. The doctor and staff have been accessible to me at all times. Though I hope I do not ever need an oral surgeon again, Dr.Ettinger would be the ONLY doctor I would consider no matter the problem. I know I would be in excellent hands.

- Laura M

5 out of 5 stars on

Our Latest Patient Testimonial

Very clean and pleasant office. Staff was friendly, courteous and professional. Dr. excellent.

- Gene F

5 out of 5 stars on

Our Latest Patient Testimonial

My experience was painless and pleasant. The staff was amazing at putting you at ease and making you feel comfortable. Dr. Ettinger is knowledgeable, professional, and pleasant. He listened to concerns, and answered all questions patiently and with some humor. Very positive experience. I would go back if I needed any other treatment, and also recommend him to family and friends.

- Tina M

5 out of 5 stars on