Tri-Cities Oral & Facial Surgery

When is a Tooth Extraction Necessary?

There are many reasons why your dentist may refer you to an oral surgeon for a tooth extraction. Typically, it is because other treatment options have been exhausted or would not be effective in preserving the tooth. Common reasons include:

  • The tooth is severely decayed due to periodontal disease or excessive plaque or tartar buildup.
  • The tooth is impacted and is fully beneath the gum or only partially erupted.
  • The tooth is badly damaged or broken, possibly through a traumatic event or strong impact.
  • There is significant pain due to an abscess that has formed around the tooth.
  • The teeth are overcrowded, resulting in pain or preventing other teeth from erupting.

A Walkthrough of Our Process

The first step is to schedule a consultation with Dr. Smiley, who will review your dental and medical history, examine your teeth and gums, and take some x-rays or images if necessary. Using this information, he can develop a customized treatment plan to effectively remove the problematic tooth or teeth. He will also discuss your options for sedation to decide what type of anesthesia is most appropriate to keep you comfortable and pain-free.

During your consultation, it is a great time to ask any questions you may have about the tooth extraction procedure, what to expect, and what recovery is like. You can also express any concerns you may have so that Dr. Smiley can put your mind at ease.

On the day of the procedure, the anesthesia will be administered first. If it is a simple extraction, hand tools will be used to loosen the tooth. Then, dental forceps will grasp and remove the tooth from the socket. If it is a surgical extraction, Dr. Smiley will make an incision in the gum to expose the tooth and root, then remove it in either a single piece or in several smaller pieces. The site will be closed and packed with gauze to stop any bleeding and protect the empty socket.

Depending on whether it is a simple or surgical extraction and how many teeth are being removed, the whole process may take anywhere from 15 minutes to around an hour.

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5 STAR REVIEWS Read Patient Reviews

“When I saw Dr. Smiley he was able to put my dental anxiety at ease. I’ve struggled with this anxiety since childhood, but Dr. Smiley’s bedside manner made me feel comforted and safe. I knew I would be well cared for with him.”


Tri-Cities Oral & Facial Surgery Dental Implants & Wisdom Teeth in Richland, WA

Richland | Pasco | Kennewick

Tri-Cities Oral & Facial Surgery is proud to serve patients throughout Richland, Pasco and Kennewick, WA and surrounding areas. We offer a wide range of oral surgery services including dental implants, wisdom teeth removal, tooth extractions, and bone grafting, as well as sedation options to enhance your safety and comfort. Centrally located near Pasco and Kennewick, WA, we are the convenient practice to visit for your wisdom teeth, dental implant and other oral surgery needs.