Our modern techniques and expertise help the procedure go smoothly and speed up the healing process.
When a tooth needs to be removed, you can depend upon us for skilled, experienced care with a comforting touch. If you feel anxious or uneasy about having a tooth removed, we offer sedation to help you through. For more involved tooth extractions, such as wisdom teeth, we can have an oral surgeon continue the treatment.
For a simple tooth extraction, Dr. Cruse will explain the steps in detail and answer all your questions. The affected area will be x-rayed to help us plan the best procedure for removal. Then the area will be numbed using local anesthesia so that you will feel pressure, but not pain.
We’ll give you detailed instructions on important steps to promote the healing process. This includes what to take for discomfort, how to handle any swelling and how to keep the area clean. During healing if excessive bleeding takes place or you feel extreme discomfort, you can call Dr. Cruse at any time.
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After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is what is supposed to happen, it is an important part of the healing process and you must be careful not to dislodge the clot.

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

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

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

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

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Dr. Cruse will apply a medicated dressing to the dry socket to soothe the pain.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.