A tooth extraction is the careful removal of a tooth from its socket in the jawbone. It’s recommended when a tooth is too damaged, decayed, or infected to be saved by other treatments like a crown or root canal. Extractions are also common for impacted wisdom teeth that are causing pain, crowding, or recurring infection.
Dr. Koman’s goal is always to preserve your natural teeth whenever possible. When extraction is the best option, we make the process as comfortable as possible and walk you through every replacement option, whether that’s an implant, bridge, or another solution, so you’re never left without a plan.
The area around the tooth is numbed with local anesthesia so you won’t feel pain during the procedure. For a simple extraction, Dr. Koman loosens the tooth and removes it from the socket. For more complex cases, such as impacted wisdom teeth or teeth that have broken below the gum line, a surgical approach may be needed to access and remove the tooth safely.
Once the tooth is removed, the socket is cleaned and may be packed with gauze or sutures to control bleeding and promote healing. In many cases, a bone graft can be placed at the same time to preserve the socket and prepare the site for a future implant.
Extraction is typically recommended when a tooth is too damaged or decayed to be repaired with a filling, crown, or root canal. It’s also necessary when wisdom teeth are impacted, partially erupted, or causing pain and infection. Other common reasons include severe gum disease that has compromised the bone supporting the tooth, overcrowding that needs to be resolved before orthodontic treatment, or a fractured tooth that can’t be restored.
Dr. Koman always explores every option to save a tooth before recommending extraction. If removal is the best path forward, he’ll explain exactly why and what comes next.
Patients with severely decayed or fractured teeth, impacted wisdom teeth, advanced gum disease, or teeth that are causing chronic pain or recurring infections are common candidates for extraction. It’s also sometimes necessary before orthodontic treatment or as preparation for a dental implant.
Dr. Koman will take digital imaging, evaluate the tooth and surrounding bone, and give you a clear recommendation. If extraction is the right call, he’ll discuss replacement options during the same visit so you can plan your next steps right away.
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Dr. Koman examines the tooth and takes digital imaging to assess the roots, surrounding bone, and the best approach for safe removal.
The area is thoroughly numbed with local anesthesia. If you need additional comfort, sedation options including nitrous oxide, oral sedation, or IV sedation are available.
The tooth is carefully removed from the socket. If needed, a bone graft is placed at the same time to preserve the site for future implant placement.
We provide clear aftercare instructions and discuss your replacement options. Most patients recover within a few days and are back to normal quickly.
No. The area is completely numbed before the procedure begins. You'll feel pressure but not pain. We also offer sedation for patients who want additional comfort or have dental anxiety.
Most patients feel significantly better within 2 to 3 days. Swelling and minor discomfort are normal and managed with medication. Full healing of the socket typically takes 1 to 2 weeks.
Depending on the location and your goals, options include a dental implant, bridge, or partial denture. Dr. Koman will discuss replacement options during your visit so you can plan ahead.
Not always, but it's often recommended if you're planning to get an implant. Placing a graft at the time of extraction preserves the bone and gives the implant the strongest possible foundation.
Stick to soft foods for the first day or two and avoid the extraction site when chewing. Most patients return to their normal diet within a few days as the area heals.
Call us at (303) 759-0731 or book online. We'll evaluate the tooth, explain your options, and take care of everything from there.
Whether you need a simple filling, an extraction, or a full reconstruction, we’ll take the time to do it right. Request an appointment online or give us a call.