Tooth Extractions In San Jose, CA: Your Care Guide
Tooth extractions in San Jose, CA, are sometimes the safest way to protect your oral health. This page from My AZ Dental explains when an extraction is recommended, what happens during the visit, and how recovery works. The goal is to help you make informed decisions and feel prepared at every step.
Tooth Extractions Explained
A tooth extraction is the removal of a tooth from the jawbone. Dentists recommend it when a tooth cannot be restored with fillings, crowns, or root canal therapy, or when keeping the tooth would harm the surrounding teeth and gums. Common reasons include severe decay, a deep crack, advanced gum disease, impacted wisdom teeth, and crowding that affects orthodontic plans.
There are two main approaches. A simple extraction removes a tooth that is visible above the gumline with gentle loosening and elevation. A surgical extraction is used when a tooth is broken at the gumline, has curved roots, or is impacted. In that case, a small incision and, at times, sectioning of the tooth help remove it safely. Wisdom tooth removal is often a surgical procedure due to impaction or lack of space.
Why Consider Tooth Extraction?
- Relieves pain from severe infection, abscesses, or fractures that cannot be repaired.
- Prevents the spread of decay or gum infection to neighboring teeth and bone.
- Creates space for orthodontic movement when crowding prevents proper alignment.
- Protects adjacent teeth from damage caused by impacted wisdom teeth.
- Supports long-term oral health when a compromised tooth threatens overall stability.
The Tooth Extraction Process
Your visit typically begins with an exam and X-rays to evaluate the roots and surrounding bone. Local anesthesia numbs the area so you stay comfortable. For simple extractions, the tooth is gently loosened and removed. For surgical extractions, a small opening in the gum is made to access the tooth, and stitches may be placed to aid healing.
The appointment time varies. A single simple extraction may take about 20 to 40 minutes. A surgical or impacted tooth can take longer. You will receive detailed instructions before you leave, including how to manage discomfort, bleeding, and swelling over the first 24 to 48 hours.
Your Recovery And Aftercare
Most patients notice improvement after the first two days, with soft-tissue healing continuing for one to two weeks. Normal symptoms include mild swelling, small amounts of oozing on the first day, and soreness controlled with over-the-counter medication unless otherwise directed.
- Keep firm pressure on the gauze for the first hour as directed.
- Do not disturb the blood clot. Avoid straws, spitting forcefully, or smoking for at least 48 to 72 hours.
- Use a cold compress in 15-minute intervals during the first day to reduce swelling.
- Choose soft, cool foods at first, and chew away from the extraction site.
- Begin gentle warm saltwater rinses after 24 hours unless told otherwise.
- Sleep with your head elevated the first night and limit strenuous activity for 24 to 48 hours.
Contact a dentist promptly if you experience worsening pain after day two, persistent bleeding, fever, or a bad taste with no clot present, which can signal a dry socket. Replacing a removed tooth with a bridge, implant, or partial denture may be discussed once healing is complete.