TOOTH EXTRACTION · BETHESDA, MD

Sometimes the healthiest next step is to let one tooth go.

When severe decay, infection, fracture or another dental problem leaves a tooth that can no longer be predictably saved, extraction can remove the problem and protect the health of the rest of your smile.

Before recommending removal, we first look at whether the tooth can reasonably be saved.

WHEN TO HAVE IT CHECKED

Six signs a tooth may need a little help.

Not every cavity or damaged filling hurts. Sometimes the first clue is simply that a tooth looks, feels or bites differently than it used to.

Severe tooth decay

When decay has destroyed too much healthy structure, there may not be enough tooth left to restore predictably.

A badly fractured tooth

Some cracks or fractures extend too far into the tooth or root for a filling, crown or other restoration to save it.

Persistent infection

A severely infected or abscessed tooth may need removal when preserving it is no longer a predictable option.

Advanced gum disease

Loss of the tissues and bone supporting a tooth can eventually leave it too loose or compromised to keep.

Crowding or orthodontic needs

In selected cases, removing a tooth may create the space needed to achieve a healthier, more functional alignment.

A tooth that can’t be restored

Sometimes previous treatment, extensive damage or several problems together leave no reliable way to rebuild the tooth.

Not sure whether the tooth can still be saved? That’s what the evaluation is for.

After an extraction, a blood clot forms inside the socket and protects the area while healing begins. Taking care not to disturb it is an important part of early recovery.

WHEN SAVING THE TOOTH ISN’T THE BEST OPTION

Taking a tooth out should solve a problem — not create a new one.

Whenever possible, preserving a natural tooth is worth considering. But when a tooth is too damaged, infected, fractured or poorly supported to remain healthy, leaving it in place can mean continuing pain or problems for the surrounding tissues.

That’s why the decision starts with an exam and appropriate imaging. We look at what’s happening to the tooth, whether it can realistically be restored and what removing it would mean for the rest of your bite.

If extraction is the right choice, the conversation doesn’t end when the tooth comes out. For many permanent teeth, we’ll also discuss whether replacing the missing tooth makes sense and which options fit your situation. Bethesda Dental Group specifically identifies bridges and dental implants as potential replacement options.

THE RIGHT APPROACH FOR YOUR TOOTH

Not every extraction — or every next step — is the same.

The position of the tooth, how much of it remains and what you plan to do afterward all shape your treatment.

Simple Extraction

When a tooth is fully erupted and accessible, it may be loosened and removed without needing surgical access beneath the gum. AAOMS distinguishes this from surgical extraction.

Surgical Extraction

A tooth that is broken, difficult to access or positioned beneath the gum may require a surgical approach to remove it safely.

Tooth Replacement Planning

When a permanent tooth is removed, we can also discuss whether an implant, bridge or another solution should be considered for the space.

YOUR EXTRACTION · STEP BY STEP

From problem tooth to a clear next step.

We examine the tooth and review imaging when needed to understand the problem and whether extraction is the appropriate option.

The area is numbed for comfort, and the tooth is removed using the approach appropriate for its position and condition.

We give you specific aftercare instructions and, when appropriate, discuss what should happen with the space after healing begins.

What patients say

200 reasons to choose us.

We don't ask you to trust us. We let our patients do the talking.

If the tooth needs to come out, cost shouldn’t keep you waiting.

Tooth extraction and eligible follow-up treatment can be made easier to manage with Cherry, Sunbit, Proceed, Care Credit financing. No hard credit check · Approved in seconds · Plans from 3 to 24 months. We also accept most PPO insurance plans.

Not every tooth can stay. You can still move forward with a plan.

If a tooth is badly damaged, infected, loose or simply doesn’t feel right, come in and let us determine whether it can be saved — and what the best next step is if it can’t.