Tooth Extractions in Dallas, TX
When a tooth cannot be saved through root canal therapy, a crown, or other restorative measures, tooth extraction in Dallas, TX is sometimes the best path toward restoring your oral health. Dr. R. David Brumbaugh performs both simple and surgical extractions in our Cole Avenue office, with IV sedation available for patients who want to remain deeply relaxed during the procedure.
Why Choose Our Office
IV Sedation Available
Over 15 years of sedation experience ensures you remain comfortable throughout.
3D-Guided Planning
CBCT imaging maps root position and nerve proximity before surgery begins.
Same-Day Implant Option
When conditions allow, an implant can be placed immediately at extraction.
Socket Preservation
Bone grafting at extraction protects your jawbone for future restoration.
All-in-One Office
Extraction, grafting, and implant placement all handled under one roof.
The Extraction Process
3D Imaging & Consultation
CBCT scan reveals root anatomy and Dr. Brumbaugh discusses all options.
Anesthesia & Sedation
Local anesthesia numbs the area; IV sedation is available for added comfort.
Extraction
The tooth is carefully removed using the gentlest effective technique.
Bone Grafting
Bone graft material is placed if needed to maintain the ridge for future implants.
Recovery Instructions
Detailed post-op guidance ensures smooth, predictable healing.
Detailed Information
Dr. Brumbaugh always prioritizes saving natural teeth. However, extraction may be recommended when a tooth is too severely decayed or damaged to restore, advanced periodontal disease has destroyed supporting bone, a crack extends below the gumline, wisdom teeth are impacted, or preparation is needed for full-arch restorations like All-on-4 implants.
If the tooth can be saved with a root canal or crown, Dr. Brumbaugh will present that option first.
Simple Extraction — Performed on a tooth visible above the gumline. The area is numbed, the tooth is loosened and removed. Recovery is typically quick with minimal downtime.
Surgical Extraction — Needed for teeth broken below the gumline, impacted, or with complex root anatomy. Dr. Brumbaugh makes a small incision and may section the tooth for easier removal. CBCT imaging provides a precise surgical roadmap.
Wisdom Tooth Removal — Impacted or partially erupted wisdom teeth frequently cause crowding, infection, or damage to adjacent teeth. 3D imaging plans the safest, most efficient approach.
Tooth extraction is one of the procedures patients worry about most. With over 15 years of IV sedation experience, Dr. Brumbaugh provides comfort that transforms the extraction experience. Most sedated patients have no memory of the procedure.
IV sedation is especially valuable when multiple teeth need extraction in one visit, the procedure is surgical, the patient has significant dental anxiety, or wisdom teeth are impacted and require bone removal.
Leaving a gap after extraction can lead to shifting teeth, bone loss, and bite problems. Dr. Brumbaugh discusses replacement options during your consultation:
Dental implants — the gold standard for permanent replacement. Bridges — a fixed restoration anchored to adjacent teeth. Implant-supported dentures — for patients missing multiple teeth. In some cases, an implant can be placed immediately at extraction.
When a tooth is removed, surrounding bone begins to resorb immediately. Socket preservation grafting maintains the ridge volume needed for future implant placement. Dr. Brumbaugh places bone graft material into the empty socket at the time of extraction.
Without preservation, the jawbone can lose up to 30% of its width within the first year. Grafting at extraction preserves your options and simplifies future treatment.
Simple extractions typically heal within 3–5 days. Surgical extractions may take 1–2 weeks for soft tissue closure. Our team provides detailed post-op instructions covering gauze placement, ice application, soft food diet, and pain management.
Most patients return to normal activities within 1–3 days for simple extractions and 3–5 days for surgical procedures. A follow-up appointment confirms proper healing and discusses next steps for tooth replacement.
Frequently Asked Questions
Extraction costs depend on whether the procedure is simple or surgical, the tooth location, and whether sedation is used. Most PPO dental insurance plans cover extractions as a basic or major restorative procedure. Our team provides a clear estimate before treatment begins, and financing through CareCredit and Cherry is available.
With proper local anesthesia, you should feel pressure but not pain during the extraction. IV sedation takes comfort a step further by placing you in a deeply relaxed state where most patients have no memory of the procedure. Post-operative discomfort is typically manageable with over-the-counter pain medication.
Simple extractions typically heal within three to five days. Surgical extractions (including wisdom teeth) may take one to two weeks for the soft tissue to close, though most patients resume normal activities within a few days. Complete bone healing takes several months.
In some cases, yes. Immediate implant placement is possible when there is adequate bone and no active infection. Dr. Brumbaugh evaluates this possibility using 3D imaging during your consultation. When immediate placement is not appropriate, bone grafting preserves the socket for a future implant.
Yes. When a tooth is causing severe pain due to infection or fracture and cannot be saved, same-day extraction may be the appropriate emergency treatment. Our office accommodates emergency patients and can perform extractions with IV sedation on the same day when clinically indicated.
Schedule Your Extraction Consultation
If you have been told you need an extraction, or if a painful tooth is affecting your daily life, call 214-369-5159 or request an appointment online.