Extractions
Tooth Extractions in Greenwich, CT
When a tooth genuinely cannot be saved, removing it is straightforward, and the plan for what comes next should already be in place.
What it involves
We treat extraction as a last resort rather than a quick fix, because a gap changes how neighboring teeth stand and how the surrounding bone behaves over time. Where a tooth can be saved with a root canal and a crown, we tell you so.
When removal is the right decision, we care for the site so healing supports whatever comes next, whether that is a bridge or simply leaving the space. You know the replacement plan and its cost before the appointment begins.
Comfort
Local anesthetic, a careful pace, with aftercare written down
Healing
Soft tissue in about a week; bone over a couple of months
Next step
Bridge or nothing — decided before the extraction, not after
Patient rating
5.0 from 121 reviews
Who this is for
When we recommend it
- A tooth broken below the gum line with nothing left to rebuild.
- Advanced decay or a fracture that a root canal cannot reasonably fix.
- A loose tooth from gum disease that keeps getting worse despite treatment.
- A tooth causing repeated infection that keeps returning.
- Crowding that needs a tooth removed as part of an orthodontic plan.
Step by step
How the treatment runs
- 01
Confirm it can't be saved
An exam and X-ray check whether a root canal or crown is a realistic option before we agree to remove anything.
- 02
Agree the replacement plan
A bridge, or leaving the space — we decide and cost this out before the tooth comes out, not after.
- 03
The extraction itself
Done under local anesthetic and at a comfortable pace. Ask about comfort options if you are anxious about the appointment.
- 04
Aftercare
Written instructions on bleeding, swelling and diet for the days that follow, with a number to call.
- 05
Move to the replacement
Once the site has healed enough, we proceed with whatever was agreed beforehand.
Afterwards
What to expect once you leave
Same day
Some tenderness and a numb feeling as the anesthetic wears off. Rest and avoid rinsing hard for the first day.
First week
Soft tissue closes over in roughly a week. Stick to soft food for two or three days and use ordinary painkillers as needed.
Long term
The underlying bone remodels over a couple of months, which is part of why the replacement timeline is planned in advance.
A straightforward extraction is quoted before you sit down in the chair, once we can see the tooth and the bone around it on an X-ray.
If the site also needs a graft, or the case is surgical, that is priced and explained separately, along with any bridge that comes after.
A written estimate comes first either way, and a claim is filed for you regardless of the outcome. Cards and HSA or FSA funds are accepted.
Other ways to go
What we would also put in front of you
Root canal and crown
Keeps the natural tooth where the nerve is diseased but the structure is otherwise sound; often longer-lasting than starting over.
Read moreLeave the gap
Viable for some rear molars with a stable bite; further-forward gaps tend to let neighboring teeth drift and cost more to fix later.
Why patients choose us for this
Extraction is a last resort
We say plainly when a tooth can be saved instead of removed, rather than defaulting to the faster option.
Same-day when it makes sense
Straightforward cases can often be handled the day you are seen, without a second appointment for the removal itself.
The gap has a plan before it exists
You know what happens next and what it costs before the tooth is out, not after.
People come to us with
Q & A
Questions we are asked about tooth extractions
A straightforward extraction is quoted before treatment begins, and where it is clinically appropriate, we complete it at the same visit rather than asking you to return. More involved surgical cases are scheduled separately.
Not always. A back molar with a healthy bite in front of it can sometimes be left as is. A gap further forward tends to let neighboring teeth drift over time, which usually costs more to correct later.
Most patients take it easy for a day, eat soft foods for two or three, and manage comfortably with ordinary pain relievers. We give you written aftercare instructions and a number to call with any concerns.
A simple extraction is often done the same day it is diagnosed, once the tooth and bone have been checked on an X-ray. Surgical or complex cases are usually booked as a separate appointment.
The area is fully numbed with local anesthetic first, so the extraction itself is generally pressure rather than pain. Soreness for a day or two afterward is normal and manageable with ordinary painkillers.
Untreated, it tends to get infected, break further, or shift the bite as neighboring teeth move into the space. What starts as a simple extraction can become a more involved case the longer it waits.
If only local anesthetic is used, yes. If you and the office agree on a sedation option for a harder case, you will need someone to drive you — this is worth asking about when you book.
Not always — it depends on the site and what is planned to replace the tooth. We tell you during the assessment, before the extraction, if grafting is likely to be part of the plan.
Often considered alongside
Tell us what is bothering you and we will tell you what it takes to fix it.