Tooth Removal & Surgery


At Queens Medical Center, we always give all our best to saving our patients tooth. Sometimes, however, it may become necessary that you undergo a tooth extraction in order to protect the health of your remaining teeth. The procedure will be carefully done and you will be given proper instructions on how to care for the area following it.

Granted permanent teeth can last a lifetime, you may need to remove or extract a tooth that has become damaged. You will receive an injection of a local anesthetic to numb the area where the tooth will be removed before the procedure. If you’re having more than one tooth removed or another tooth is impacted, you may be given a general anesthetic. This would suppress pain and make you sleep throughout the procedure – Sedation Dentistry.

Instruction Before and After Surgery

  • Only eat tender things on the day of the surgery – fluids, milk, ice cream, puddings, etc. The following day, you may begin eating other foods only if you have the appetite. We advise that you pay attention to what your body says in this case and not force yourself to eat foods you’re not strong enough to chew.
  • Try to minimize or totally avoid doing any tedious activity for at least two hours after the surgery. Don’t suck or spit, as this will cause the formation of a blood clot.
  • It is normal for your saliva to be tinged with blood for several hours after the surgery. Following the instructions above will help you control the bleeding and swelling.
  • Religiously follow the pain medication as directed
  • If by the second day after extraction the swelling persists its likely that you have an infection and should contact the dentist.
  • Try to keep your head raised, it’ll stop the build-up of fluids in the head area.
  • Ensure that the surgery area is kept clean. Get rid of food particles for the place to heal properly
  • You will experience some pain and have difficulty opening your mouth wide. This is normal and will all be over in a couple of days. If you are still experiencing any of these issues after a few days, it could be a sign of an infection and you will need to see your dentist.

What to expect with tooth extraction?

Tooth extraction is a procedure usually performed by dentists and oral surgeons (dentists who have undergone special training to perform surgery). They would inject you with a local anesthetic (or pain reliever) before removing the tooth so as to numb the area where the extraction will occur. If you’re having more than one tooth removed or another tooth is impacted, you may be given a general anesthetic. This would help relieve pain and make you sleep throughout the procedure.

In the event that the tooth is impacted, the dentist will cut off the gum and bone tissue covering the tooth and grasp the tooth with forceps, then gently shake it until the tooth is detached from the jaw bone and ligament holding it in place. When a tooth is hard to remove it must be extracted in pieces.

A blood clot usually forms in the socket where the tooth is extracted. In order to stop the bleeding, the dentist will stuff the socket with a gauze pad. You will then be asked to bite down on it to stop the bleeding. If the need arises, the dentist might place a couple of stitches – usually self-dissolving – to seal the gum edges over the extraction site.

There are instances where the blood clot in the socket breaks loose, exposing the socket and causing a painful condition known as dry socket. In the event that this happens, we will place a special dressing over the socket to protect it for a couple of days as a new clot form.


  • A tooth can is beyond restoration due to severe cavities
  • A mobile tooth with acute periodontal disease, pulp necrosis, or periapical abscess, that requires immediate treatment of root canal for which the patient cannot afford (or for which endodontic treatment failed)
  • Orthodontic deformity caused by overcrowding of teeth in the dental arch


  • Pregnancy
  • An infected area that has not been properly treated
  • Under stabilization of the fractured bone, teeth trauma
  • Hemophiliac patients
  • Patients on long-term corticosteroids, immunosuppressant, or cancer chemotherapeutic agents require extreme care and caution before extraction.
  • Osteoradionecrosis occurs in the site exposed to radiation if extraction is performed on that irradiated area.
  • The distance of the extraction to a malignancy could increase the chances of dissemination of the malignancy.
  • Therapy results being received by patients in osteochemonecrosis, brittle uncontrolled diabetes, end-stage renal and liver disease, uncontrolled leukemia, lymphoma.
  • Cardiac dysrhythmias, hypertension, and cerebrovascular accidents.

Learn more on how you can improve your oral health and smile by contacting our amiable dental team today. We will be glad to help you achieve the alluring, healthy smile you deserve!