Tooth Extractions in Locust Valley



When necessary, tooth extraction is performed to prevent damaged or decaying teeth from causing further problems in the mouth and is often performed alongside restorative dental procedures to keep your smile complete.

Why Do You Need Teeth Removed?

Tooth removal happens for two major reasons: when a tooth is broken or decayed below the gum line, or when wisdom teeth need to be removed.

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Wisdom Teeth Extractions

The last teeth to come in, or erupt, are the wisdom teeth: two pairs of extra molars in the back of the mouth. Many times these teeth are impacted, meaning there’s something wrong with the way they’re coming in, whether they are erupting at an angle or are not coming out of the jawbone. When this occurs, extraction is necessary to resolve tooth and jaw pain and to prevent damage to other teeth.

Besides removing the teeth, wisdom tooth dental procedures usually do not require any further treatment, and wisdom teeth do not need to be replaced with dental implants.

Damaged or Decayed Teeth Extractions

When teeth become decayed or are broken below the gum line, extraction may be the best dental treatment to correct and protect your teeth. Dr. Koster will only use tooth extraction procedures as a last resort when treatments such as root canal or dental crowns are not sufficient techniques. This is because removing a tooth causes the teeth next to it to shift inward and can cause abnormalities in the jawbone.

Tooth extraction is almost always paired with dental implants or other restorative dental procedures to prevent complications from arising with a gap in your teeth and to restore your natural smile.

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What is the Tooth Extraction Process?

Tooth extractions at Locust Valley Dentistry may be performed under local or general anesthesia depending on the type of extraction needed. In wisdom tooth removal, patients are put to sleep for the surgical removal of the teeth. When the tooth is already visible, usually only a local anesthetic is needed to help you feel comfortable.

Visible Tooth Removal

Teeth that are fully erupted and accessible to Dr. Koster can be removed with local anesthetic and a simple process. First, the tooth is lifted using a tool called an elevator, then gently wiggled out with forceps.

Depending on your personalized dental treatment plan, this process may be followed immediately with a dental implant or other restorative devices if possible, or an appointment can be scheduled for a later date.

Patients can leave immediately after the extraction if no general anesthesia is used, and may need to rest for the next 24 hours before returning to normal activity.

Surgical Tooth Removal

A more involved and invasive procedure, surgical tooth removal is used most often for wisdom teeth extraction. Patients are put to sleep using general and/or intravenous sedation, incisions are made through which the impacted teeth are removed. These are closed with stitches that may need to be removed after several days.

Surgical tooth extraction patients will need a caregiver to drive them home after the procedure, as the anesthesia will likely not have completely worn off.

Are There Any Risks Involved?

The risks of tooth extraction are low and are offset by the benefits of the procedure. Risks can include bleeding, dry socket, swelling, and pain. Because surgical extraction is more extensive, risks are greater, but both procedures are safe when performed by a qualified, experienced dentist like Dr. Adrianne Koster.

What is the Recovery Process Like?

Recovery from a non-surgical tooth extraction usually doesn’t take longer than a day. Any swelling, pain, or other side effects can be mitigated by over-the-counter medication, or Dr. Koster may prescribe pain medicine in certain situations.

Surgical tooth removal takes considerably more time to recover. Dr. Koster typically prescribes medication regimens to help manage pain.

Patients recovering from tooth extractions will need to treat their mouths very gently following the procedure for as long as Dr. Koster tells them. This usually means avoiding using straws, going on a liquid or soft food diet, resting, and rinsing with saltwater on a prescribed schedule.

Tooth Extraction FAQs

Are you awake during tooth extraction?

Tooth extractions may be performed under local or general anesthesia depending on the type of extraction being performed and patient preference.

Can a dentist pull an infected tooth?

Yes. If a tooth is infected, the best course of action to protect the teeth and gums surrounding it may be to remove it and replace it with dentures or a dental implant.

Can I brush my teeth with toothpaste after tooth extraction?

Dr. Koster will give you specific instructions about your after-care requirements during a consultation. Usually, patients of non-surgical tooth extraction can brush their teeth gently.

Can I drink cold water after tooth extraction?

Drinking cold or ice water can help reduce swelling and relieve pain after a tooth extraction.

Can I get my teeth pulled and dentures in the same day?

If you require tooth extraction, Dr. Koster will provide a temporary solution on the same day to help keep teeth in alignment and protect the gums. This may be done with dentures.

Can you see the blood clot after tooth extraction?

It is typically possible to see the blood clot that forms after a tooth extraction.

Can you shower after tooth extraction?

Yes, patients are free to shower as they are comfortable doing so following both surgical and non-surgical tooth extraction.

Do dentists prescribe painkillers for tooth extraction?

Dr. Koster may prescribe painkillers for a tooth extraction. You can discuss pain management prior to your procedure.

Do I keep gauze in overnight after tooth extraction?

You should not leave gauze in your mouth when you are asleep. This poses a choking hazard.

Do I need time off work after tooth extraction?

Most patients are advised to rest for two to three days after their tooth extractions.

Do I sleep with gauze after tooth extraction?

You should not sleep with gauze in your mouth after tooth extraction.

How do you eat after a tooth extraction?

Eat only soft foods or liquids for at least 24 hours after a tooth extraction.

How do you get a tooth out painless and fast?

Local anesthesia is used for a tooth extraction, so the procedure will be painless.

How do you sleep after a tooth extraction?

After a tooth extraction, you should sleep on your back with your head elevated. This helps reduce swelling.

How long do I keep gauze on tooth extraction?

After your tooth extraction, you should leave gauze on the surgical area for at least 30 to 45 minutes.

How long do you have to use salt water after tooth extraction?

For most patients, it is advised to rinse your mouth with warm salt water for seven days after a tooth extraction.

What does blood clot after tooth extraction look like?

Within 24 hours after your tooth extraction, a blood clot will begin to form to stop bleeding. This blood clot will eventually appear white in color.

What happens after tooth extraction?

After your tooth extraction, some discomfort is expected but can be treated with painkillers or ice packs. Your dentist will provide you with a gauze pad, which you should bite down on gently until a clot forms in about 3-4 hours.

What happens if you have a tooth pulled and dont replace it?

Leaving a gap in your teeth after an extraction causes the surrounding teeth to shift, often resulting in new gaps forming or the teeth becoming crooked.

Nervous About Visiting the Dentist?

The dentists and hygienists at Locust Valley Dentists are known for being gentle, warm, and friendly. We offer our patients eyewear, headphones, soothing music, aromatherapy, and blankets to decrease anxiety during treatment. This will be the most relaxing and comfortable dental experience of your life.


  • Convenient office hours to fit the busiest schedules


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No Insurance? No problem.

Even if you don’t have dental insurance, you can still get the healthy smile you’ve always wanted! At Locust Valley Dentists, we work with our patients and offer a variety of financing options. Wondering how much your dental exam and cleaning will cost? We’re here to answer all of your questions.

Insurance & Financing

For your exam, our office is able to work with many PPO insurance providers.

Our friendly front office team will help you file your claim and maximize your insurance benefits. If you don’t see your provider listed or if you have questions about payment options, contact our office to learn more.

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" Dr. Koster is a great dentist who is patient, attentive, and gentle.  She took the time to explain every treatment option available and made sure that all of my questions and concerns were addressed. The staff is very friendly and always willing to work around my schedule.  I would definitely recommend Dr. Koster for your dental care. "

- Jeniza K.

I love this office! Dr Koster knows what she’s doing and has great staff that are friendly and professional! What I appreciate the most is her attention to detail, looking out for my best interest and letting me know what’s happening with my health so I can take better care of myself. This Doctor is truly someone who cares about her patients!!! "

- Renee S.

Dr. Adrianne Koster is Amazing! She is caring, gentle, extremely personable, and provides exceptional dentistry. The staff is very professional and nice. Thank you! I love my new smile. "

- Maria G.

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