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Tooth Extraction and Bone Grafting

At Eastern Virginia Family & Cosmetic Dentistry, we strive to preserve healthy teeth whenever possible; however, in certain cases, a tooth affected by very severe damage or decay cannot be saved. In such instances, we can remove the tooth in a process called “tooth extraction.” While we typically only extract teeth as a last resort, removing an infected tooth can benefit the entire mouth in several ways. Each of our devoted dentists has extensive experience performing tooth extractions using advanced surgical techniques and well-honed skills. For years, our patients have trusted us to safely remove affected teeth to effectively restore oral health.

What Are the Benefits of Tooth Extraction and Bone Grafting? 

Tooth extraction and bone grafting can offer significant oral health benefits. Extraction is often necessary when a tooth is severely decayed, damaged, or infected beyond repair, preventing the spread of infection and relieving pain. Removing problematic teeth can also create space for orthodontic treatment or prepare the mouth for dental restorations. 

Bone grafting is frequently performed after extraction to preserve or rebuild the jawbone. When a tooth is lost, the surrounding bone can deteriorate over time, affecting facial structure and the stability of future restorations. A bone graft helps maintain bone volume and density, creating a solid foundation for dental implants and other tooth replacement options. 

Together, extraction and bone grafting support long-term oral health by eliminating sources of infection, preserving jawbone integrity, and ensuring proper alignment and function of the teeth. These procedures can also help enhance the aesthetics of the smile by maintaining natural facial contours and preventing the sunken appearance that can occur with bone loss. By addressing both the immediate and future needs of the mouth, tooth extraction and bone grafting work hand in hand to restore comfort, function, and appearance.

Who Is a Candidate for Tooth Extraction?

Oftentimes, ideal candidates for tooth extraction are those who have teeth that are affected by the following conditions:

In some cases, patients may also need an extraction if a tooth is preventing the eruption of another tooth or if it poses a risk of infection before certain medical treatments. As stated above, our team will rule out every other course of action before determining that extraction is the best option for you. Ultimately, the goal is to protect your overall oral health and set the stage for successful future restorative or orthodontic treatment. If you are deemed a candidate for extraction, we can thoroughly discuss the plan with you beforehand to ensure the process is as comfortable as possible.

How Is the Tooth Extraction Procedure Performed? 

A tooth extraction is an extremely routine—and generally very straightforward—procedure. The particular strategy used will depend on the size, location, and condition of the tooth that needs extracting. For instance, teeth that have fully erupted (or properly grown) through the gumline may not require any incision, whereas impacted teeth (or teeth that have failed to erupt) may warrant minor surgery, as is often the case with wisdom teeth. Rest assured that your dentist will thoroughly examine your entire mouth before deciding upon a surgical technique.

Stitches are sometimes necessary to stabilize the surrounding tissues. In some cases, patients will need to return for a suture removal visit; but oftentimes when sutures are necessary, the doctor can use a resorbable suture, which will go away on its own. Because local anesthesia is generally used during extractions, we recommend patients arrange for a family member or friend to drive them home.

What Is Recovery After Tooth Extraction Like?

Immediately following the procedure, you will be given gauze to facilitate the stability of the initial clot. Depending on the extent of treatment, you may be prescribed antibiotics or pain medication, though over-the-counter anti-inflammatories are often sufficient.

Recovery time after tooth extractions can vary from patient to patient depending on the extent of treatment and each individual’s response to healing. Most patients can expect the initial healing phase to last a few days, during which swelling and mild discomfort are normal. Following all post-operative instructions—such as avoiding strenuous activity, refraining from smoking, and eating soft foods—can help promote faster healing and reduce the risk of complications.

What Type of Tooth Extraction Aftercare Is Needed? 

We advise patients to refrain from smoking, drinking alcohol, using a straw, and spitting for the first few days following the extraction, as these habits can disrupt the healing process. You should ice the area for the first day, and it is recommended to sleep with an extra pillow that evening to help keep the area elevated. You may brush the surrounding teeth, but you should not brush in the extraction site. Starting the day after the surgery, patients can rinse gently with a warm salt water rinse and let it roll out of their mouth so as to minimize stress on the clot, which is necessary to ensure proper healing.

For each patient, your doctor will provide you with personalized recovery instructions to help ensure proper healing.

What Is Bone Grafting? 

Bone grafting can be an excellent option for patients who lack strength or density in their jawbone after extraction. Also referred to as “pre-prosthetic surgery”, bone grafting is also often used to prepare for dental implant surgery, a procedure which relies on adequate jawbone strength. During treatment, bone mass can be replenished using bone from elsewhere in the patient’s mouth or body, or, if the patient would prefer, a synthetic alternative. Like extractions, bone grafts are extremely routine, and performed in the interest of preserving jawbone strength.  

What Are the Different Bone Grafting Types?

There are multiple ways bone grafting can be performed, with each having their own advantages. At Eastern Virginia Family & Cosmetic Dentistry, the types of bone grafting offered are:

Both options allow for an increase in jawbone density, which can increase the potential for candidacy for a variety of dental procedures, such as dental implants. The type of bone grafting that is most ideal will often be determined by a patient’s individual needs and can be discussed during the consultation process.

What Are Replacement Options for Missing Teeth?

Depending on your individual needs and goals, our dentists can help you choose from a number of tooth replacement options after extraction. Some of the most popular restorative treatments include: 

Our team will work closely with you to determine which solution best fits your lifestyle, oral health, and budget, ensuring both functional and aesthetic results.

How Much Does Tooth Extraction Cost? 

The cost of tooth extraction is contingent upon several factors, such as: 

We can determine a more specific cost estimate for your extraction during your consultation. Please feel free to explore our dental financing options, which include most PPO dental plans and major credit cards. We also offer select plans, including our own Dental Wellness Plan, to help eligible patients pay for treatment in convenient installments.

For more information about tooth extraction and bone grafting, please contact our office to schedule a consultation.