Our philosophy at Newpoint Family Dental is always to save a natural tooth when we can. But sometimes — due to severe decay, advanced infection, fracture below the gumline, or crowding — extraction is the most responsible recommendation. When that's the case, we want you to know exactly what to expect and to feel genuinely cared for throughout the process.
When Is an Extraction Necessary?
We recommend extraction when a tooth is damaged or diseased beyond what a filling, crown, or root canal can repair. Common reasons include:
- Severe decay that has destroyed the majority of the tooth structure
- Infection or abscess that hasn't responded to other treatment
- A cracked or fractured tooth below the gumline
- Advanced gum disease that has loosened the tooth
- Wisdom teeth that are impacted, crowded, or causing recurrent problems
- Orthodontic treatment that requires creating space
What to Expect During an Extraction
We begin by thoroughly numbing the area with local anesthesia. For patients who are anxious, nitrous oxide sedation is available to help you relax. Simple extractions typically take just a few minutes — you'll feel pressure but no sharp pain. Surgical extractions (for impacted or broken teeth) take a bit longer, and we'll explain the process clearly beforehand.
After the tooth is removed, we place gauze and provide detailed aftercare instructions. Most patients manage recovery comfortably with over-the-counter pain relievers and are back to normal activities within a day or two.
Replacing an Extracted Tooth
We always discuss replacement options before an extraction — because leaving a gap can lead to shifting teeth, bite changes, and bone loss over time. Depending on your situation, options include dental implants, bridges, or partial dentures. We'll help you choose the solution that best fits your health, budget, and long-term goals.
Patients from across Farmington Valley, CT trust Dr. Tabai and our team for extractions because we communicate clearly, work gently, and always have a plan for what comes next.