Tooth extraction in Brooklyn
Who removes a broken or failing tooth in Brooklyn?
A periodontist. Brooklyn Periodontics removes teeth that are broken at the gumline, cracked, abscessed, loose from advanced bone loss, retained roots, and fully or partially impacted teeth, and we preserve the socket at the same visit so an implant is still possible later. We do not remove impacted wisdom teeth, those are better handled by an oral surgeon, and we will tell you that directly rather than take the case.
Extraction is never the first thing we reach for. If the tooth can be saved with non-surgical periodontal treatment or grafting, we say so.
What we extract, and what we send elsewhere
Stating this plainly saves you a wasted visit.
We do extract
Teeth broken at or below the gumline, retained roots left behind from an old extraction, cracked and non-restorable teeth, abscessed teeth, teeth loose from advanced periodontal bone loss, teeth being removed to make way for an implant or a full-arch reconstruction, and fully or partially impacted teeth other than wisdom teeth.
We do not extract
Impacted wisdom teeth. Those go to an oral surgeon, and we are glad to point you toward one. If your dentist has already referred you here for wisdom teeth, call us first and we will save you the appointment.
We often do not extract at all
A tooth that looks hopeless is sometimes salvageable with periodontal treatment, a graft, or crown lengthening. If yours is one of those, that is what we will recommend, even though it is the smaller procedure.
Why it matters that a periodontist does the extraction
The bone around a tooth starts resorbing as soon as the tooth comes out. How the tooth is removed decides how much of that bone survives.
We remove teeth atraumatically, working to keep the socket walls intact rather than levering against them, and we graft the socket at the same visit when an implant is in your future. That single decision is often the difference between a straightforward implant months later and a separate ridge augmentation surgery first.
Because we also place the implant, the extraction is planned backwards from where the implant needs to sit, and from the crown your own dentist will eventually put on it.
What the visit looks like
01
Exam and 3D imaging
In-office cone beam imaging shows the roots, the bone, and the nearby structures before anything is touched, so there are no surprises during the procedure.
02
The plan and the fee in writing
Whether the tooth needs to come out, whether the socket will be grafted, what replacing it would involve, and what it costs with your insurance applied. Nothing is booked until you agree.
03
The extraction, with the comfort option you choose
Local anesthesia for most cases, with sedation available for anxious patients or longer appointments. Discuss it at the consultation so it can be arranged.
04
Socket preservation at the same visit
When an implant is planned, grafting material is placed in the socket right away to hold the bone volume while it heals.
05
Recovery
Written post-operative instructions, a pain plan, and both doctors' direct cell numbers. Most patients are back to normal activity the next day, with a soft diet for the first week.
Questions patients ask
Extractions, answered
- Do you remove wisdom teeth?
- We do not remove impacted wisdom teeth. Those cases belong with an oral surgeon and we will help you find one. We do remove other fully and partially impacted teeth, broken teeth, retained roots, and failing teeth.
- Can a periodontist pull a tooth?
- Yes. Periodontists are surgical specialists in the gums and the bone that hold teeth, which includes extractions, socket grafting, and implant placement afterward.
- Does the socket need to be grafted?
- If you plan to replace the tooth with an implant, grafting the socket at the time of extraction protects the bone volume you will need. If the site will not be restored, grafting may not be necessary. We tell you which applies to you.
- How long after an extraction can I get an implant?
- It depends on the site and whether it was grafted. Some sites allow an implant at the same visit, most heal for a period of months first. Your timeline is set at the consultation after imaging, not guessed in advance.
- Is the extraction painful?
- The procedure itself is done under local anesthesia, with sedation available. Afterward, expect some swelling and soreness for a few days, managed with the pain plan we give you in writing.
- What does recovery look like?
- Soft or liquid diet for about seven days, no brushing the surgical area for seven days, cold packs on and off for swelling in the first two days, and no smoking. Full instructions are on our surgery FAQ page and you get a printed copy.
- Can the tooth be saved instead?
- Sometimes. Teeth that are loose from gum disease, decayed below the gumline, or cracked are evaluated individually, and periodontal treatment, grafting, or a gum lift can save some of them. We would rather keep your tooth than replace it.
Related
Dental implants in Brooklyn
What replacing the tooth involves, start to finish.
Before and after surgery
Pre-operative and post-operative instructions in full.
Non-surgical gum treatment
Whether the tooth can be stabilized instead of removed.
Second opinion
Told several teeth need to come out? Get it checked first.
Find out whether the tooth has to come out.
An exam with 3D imaging tells you whether it can be saved, and if not, how the site gets protected for what comes next.