Tooth Extraction | Tooth Removal

A Tooth extraction, put simply, is the removal of a tooth from the mouth. Dental extractions are most often performed because a tooth has sustained damage or decay, or cannot be saved by Root Canal treatment, or to prepare for the placement of a Dental Implant. Advanced gum disease may be another contributing factor in a tooth extraction.

Other reasons for a tooth extraction include making space in the mouth for braces or other orthodontic treatment, or in the case of pediatric patients, to allow room for adult teeth to grow. Our dentist will need to perform either a simple or surgical extraction. This may as well require a different procedure which then impacts the cost for tooth extraction When does a tooth removal become necessary? We will share some information with you to help you make a good decision

Tooth Extraction

Types of Tooth Extraction?

  • SIMPLE EXTRACTION: It involves using an instrument called an elevator to loosen the tooth. The dentist will then pull the tooth out using forceps. Most of the time, you just need an injection of local anesthetic, but you can also receive a sedative if you are particularly nervous. You will be awake throughout the entire procedure, but you will feel no pain . The dentist will usually use a simple extraction when the tooth is visible in the mouth. To be sure this is an appropriate method, the dentist will first take X-rays of your teeth and ask you about your medical history, including whether you are currently taking any medications.

  • SURGICAL EXTRACTION You need a surgical extraction if your tooth is broken off at the gum line or it has not yet erupted. Only some general dentists are qualified to carry out surgical extractions, along with all oral surgeons. The process involves cutting a small incision into your gum to access the tooth. Sometimes, it is also necessary to remove some of the bone around the tooth or cut the tooth into pieces to extract it. Although the procedure is more complex than a simple extraction, it is often possible to receive a surgical tooth extraction under local anesthetic. This may be administered through an injection or IV.

​​​​​​​Tooth extraction procedure?

The Tooth Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic. During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal. You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected. If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

​​​​​​​Cost and Insurance Coverage for Dental Extractions

Determining the cost of a tooth extraction depends on a variety of factors, which can only be determined by a having a dental exam, Some of such factors include: the type of tooth (e.g. molar, incisor, wisdom tooth), and if the tooth is broken, fractured or impacted. The location of the tooth, gum health and previous procedures performed on that tooth can also affect the cost. Prior to your procedure, The dentist will review what treatment is needed, and our staff will provide you with information about any fees associated with the procedure, as well as options available to help make sure you receive the dental care you need in a way that fits into your budget.

If you have dental insurance, your coverage often includes preventative care including regular exams and x-rays. Depending on the kind of extraction required, simple or surgical your insurance may cover it fully or partially or may not cover it all. Usually, simple extraction is covered in the basics. It is important to stay up to date with your insurance coverage. Our staff is happy to review your coverage with you to ensure you are maximizing your insurance benefits while minimizing any out of pocket expenses.

​​​​​​​Post-procedure care for Dental Extractions

It is very important for patients to follow the dentist’s post-procedure recovery instructions, which include avoiding smoking, chewing hard or tough foods, and strenuous physical activity for a period of time to allow the gums and jaw to heal.

If Nitrous Oxide or local anesthetic only was used during the extraction, you will be able to drive yourself home if you’d like. If a prescription sedative or anti-anxiety medication was used, you will need to have a friend drive you home. After an extraction, some pain and swelling can be expected for a while. Your dentist will tell you what you might expect, and also let you know when it may be a good idea to call the office to report if you are experiencing any problems beyond what is normally expected, such as bleeding or a dry socket.

Once the healing process is complete, people who have had tooth extractions can typically get right back to life as usual

Do you need a tooth Pulled?

During your consultation, you will receive a free Dental Exam and Consultation By one of Our Specialist Dentist who will assess you and also discuss your treatment plan with you. You will also receive a free Panoramic X-ray scan of your teeth, which gives the doctor a more in-depth look to develop a plan to give you the best results possible. Dr. Akeem Ayaji is a top rated dentist in the Houston, TX area and can help you with your dental needs.

Pricing and Offers

Simple Tooth Extraction

Starting at


Partial Bony Extraction

Starting at


Surgical Tooth Extraction

Starting at


Does Insurance cover tooth extraction?

Most insurances (including HMO and PPO) cover tooth extraction as this is still considered a basic service by most insurances here in the USA. This Includes both government and private insurances. Percentage of coverage will vary depending on the type of extraction (Coverage is usually 80% or 50% of the cost). It is not uncommon to find an Insurance carrier that will cover simple extractions but not surgical extractions. Coverage will also depend on the type of plan you have with your Insurance carrier.

What is the average cost of tooth extraction?

Even when patients come in with pain, the first question they usually ask is how much does it cost to have a tooth extracted? The average cost of a single tooth extraction in Houston is $200. Depending on the type of extraction (simple/surgical ) this can go as high as $500. It should also be noted that surgical extraction is mostly common associated with wisdom teeth extractions. If you need to pull any tooth other than wisdom tooth, it will cost you $150 at Keem Smile Dentistry. This price is assuming there are no “complications” which happens only 5% of the time and excludes the additional cost for procedures using anaesthesia.

How long does it take for your gums to heal after tooth extraction ?

This will vary from individual to individual. It will also depend on which tooth we are talking about and if it was a simple or surgical extraction. Either way, complete healing of the gums after a tooth extraction will take about 21-30 days. It should however be noted that healing starts with blood clot formation and that is why you should not do anything that will distort the clot like spitting continously, rinsing vigorously, eating/drinking warm or hot stuffs, smoking, drinking alcohol and the use of straw to drink following an extraction. It takes about 6 months for the socket (new bone formation) to fully heal.

How long should I wait to eat after getting a tooth pulled?

How soon can I eat and or drink after a tooth extraction? You can eat and drink shortly after you get your tooth extracted as long as the numbing has gone away and the bleeding has stopped. It just has to be a food you don't have to chew. It must be a food that you only swallow. If you must chew, you should wait at least 2-3 hours after getting a tooth pulled before chewing. This is because the numbness from the anesthesia usually lasts about 3 hrs during which if you try to chew on anything, you might bite or chew on your tongue, cheek and lips unknowingly causing more damage to your mouth. So wait till the effect of the anesthesia has worn off before chewing. It is also advisable to be on soft diet after getting a tooth pulled. Cold coffee is allowed bit hot coffee, hot drinks/foods, soda and spicy food should also be avoided. Also no straws for drinking for 48 hours.

Can the emergency room pull a tooth?

Only a dentist is trained and licensed to perform dentistry hence a tooth extraction procedure. So no, emergency room doctors can’t do much more than prescribe antibiotics and/or painkillers. This is to suppress the pain but it doesn't fix the problem and you will still need to see a dentist. Either way, you are better off seeing a dentist as the cost of an ER visit is usually higher than an Emergency Dental visit. Also, you won’t have to wait forever if you visit a dentist office unlike ER. We see emergency/walk-in patients at Keem Smile all the time.

How much does a tooth extraction cost without insurance?

For patients without insurance in Houston, TX or any nearby city, you can get your tooth pulled for $150 at Keem Smile Dentistry. 6434 HWY 6 N, Houston TX 77084. Surgical extractions like wisdom teeth that require removal of bone or sectioning of tooth will cost a little bit more depending how impacted the tooth is.

Can I go to work after getting a tooth pulled?

A simple answer to this would be yes, but that would leave out so many other important factors that needs to be considered before you decide to get back to work after getting a tooth pulled. The time it takes to return to work is relative to the type of extraction, type of anaesthesia used, overall health status and how well you follow the post op Instructions. Even though we expect some pain or discomfort after the anesthesia wears off, this can easily be managed with the prescribed pain medication. The best practice however is setting aside about 24 hours after tooth extraction for recovery to avoid post operative complications. Patients with jobs that require more vigorous activities will want to take more time off and avoid pain medication that might make them drowsy.

Is it dangerous to have a tooth pulled?

Tooth extraction is a minor surgery with very minimal risks. Still, it is worth putting the risks in perspective. While there is no accurate figure as to how often tooth extractions get bluffed, it is estimated that only 1 in about 365,000 patients suffer a brain injury or death when they are sedated during a tooth extraction procedure. Having the procedure done without being put to sleep reduces the risk significantly. Other complications might include infection spreading, bleeding or nerve damage; all of which are relatively uncommon. Nerve damage can mostly be avoided with good 3-dimensional X-ray.

Is tooth extraction painful?

Does tooth extraction hurt? No! Getting a tooth Pulled should not be painful. It might sound scary though especially considering that a lot of patients have dental anxiety and are scared of the dentist. The truth of the matter, howver, is dentistry has really evolved with so many new tools and techniques for surgical extraction and pain management. The dentist would usually administer local anesthesia to numb the extraction area so that you don’t feel pain while the tooth is being pulled. You could also be put to sleep so you sleep right through the procedure. Dentistry has evolved from the days of pulling teeth with the dentist's knee on your chest! Older generations would understand this better. Discuss pain management with your doctor and tooth extraction should not hurt.

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