Teeth Extractions

Impacted Tooth Extraction & Removal Services in Charlotte & the Carolinas, including Gastonia, Rock Hill, Greenville, SC, Simpsonville, Concord & Lake Norman

You and your doctor may determine that you need a tooth extraction for a number of reasons, including severe tooth decay, advanced periodontal disease, and broken teeth that can’t be repaired. Some teeth may need removal due to poor positioning in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to chewing problems, issues with your jaw joint, and shifting teeth, which can have a major impact on your dental health. To avoid such complications, your doctor will discuss alternatives to extractions, as well as replacements of the extracted tooth.

The Tooth Extraction Process

Before beginning the extraction, your doctor will use a local anesthetic to numb your tooth, jawbone, and surrounding gums.

The anesthetic will eliminate any possible pain during the extraction process. Since it will not fully numb the nerves that transmit pressure, however, you will feel a lot of pressure as your tooth is firmly rocked to widen its socket.

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

Sectioning A Tooth

If a tooth is firmly anchored in its socket, or a curved root prevents enough socket expansion, the tooth will require a very common procedure called “sectioning.” Your doctor simply cuts the tooth into sections, then removes each section one at a time.


Did You Know?

1 In 4 Adults Have Tooth Pain


Toothaches are the most common pain of the mouth or face reported by adults. This pain can interfere with vital functions such as eating, swallowing, and talking. Almost 1 of every 4 adults reported some form of facial pain in the past 6 months.

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Brushing & Cleaning

After the extraction, avoid brushing teeth near the extraction site for one day. After that, you can resume gentle cleaning. Avoid commercial mouth rinses, which may irritate the extraction site. Beginning 24 hours after the extraction, you can rinse with salt water (one teaspoon salt in a cup of warm water) after meals and before bed.

Facial Swelling

If swelling occurs, you can place ice on your face for 10 minutes, then off for 20 minutes. Repeat this cycle as needed for up to 24 hours.


Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 30 minutes can control any bleeding that may occur.

Pain & Medications

If you experience pain, you might use non-prescription pain relievers such as acetaminophen or ibuprofen.


For most extractions, you must chew away from the extraction site. Don’t drink hot liquids or alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Blood Clots That Form In The Empty Socket

You must be careful not to dislodge a clot that forms in the empty tooth socket, because clotting is an important part of the healing process.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking, or drinking hot liquids.

Dry Socket

Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted, or the clot dislodges and significantly delays healing.

Carefully following your postoperative instructions will reduce the chances of developing dry socket, a condition that causes dull throbbing pain, starting three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry sockets look “dry,” and may cause a bad taste or bad breath.

Your doctor will apply a medicated dressing to the dry socket to soothe the pain.


A tooth extraction leaves a hole in your jawbone. In time, the space will smooth and fill in with bone. This process can take many weeks or months, but after a week or two, you shouldn’t notice the hole.

Replacing Teeth

You should consult with your oral surgeon regarding tooth replacement options. Common options include:

Carolina’s Center For Oral Surgery Is Fully Accredited For Simple to Complex Tooth Extraction Procedures

Our team of doctors are double-board certified and bring a unique depth of experience and knowledge to the proper teeth care and extraction techniques. They apply this experience towards the comfort and care of each and every one of our patients in a clean and modern medical office setting. Read more about our board-certified oral surgery team here.

No Primary Dentist Referrals Required
We Accept Most Major Dental Insurance.