The aim of dental treatments is to help you retain your natural teeth for the longest possible time, but in some cases, extraction is the only option to protect your oral health. Extraction refers to the removal of a tooth from its socket in the jaw bone. At the office of Dean Israel and Associates, we provide comfortable extraction services for a variety of reasons including damage and decay that cannot be repaired, impacted wisdom teeth and overcrowded teeth. We make use of local anesthesia, oral sedation, IV sedation and laughing gas sedation (as applicable) to help our patients stay comfortable during the procedure.

The process of extracting a tooth begins by taking an X-ray of the site. This helps to plan the best way to remove the tooth, depending upon its position and condition. Local anesthesia and sedation are administered before the procedure starts. In most cases, patients only feel some pressure but no pain while the tooth is being removed. Sometimes, a tooth may have to be extracted in pieces instead of being pulled out at once. After removing the tooth, the extraction site is cleaned and flushed, and stitches are placed if needed. A piece of gauze is placed at the extraction site, and you are asked to bite on it for some time so that a blood clot can form. We will also give you instructions for post-surgical care. 

It is common to experience mild discomfort after the procedure. Painkillers may be prescribed to control pain after the effect of anesthesia has worn off. If you experience swelling, use an ice pack. Eat cold, soft foods for a few days following the procedure, and rinse your mouth with warm saline water to help keep the area clean. Avoid smoking, spitting or drinking with a straw as these can dislodge the clot at the extraction site.


Wisdom Teeth Removal

Before removing a wisdom tooth, we will give you a local anesthetic to numb the area where the tooth will be removed. A pre-medication “sleep dentistry” may be used, especially if several or all of your wisdom teeth will be removed at the same time. A pre-medication will make you groggy or cause you to sleep through the procedure.

To remove the wisdom tooth, we will open up the gum tissue over the tooth and take out any bone that is covering the tooth. We will separate the tissue connecting the tooth to the bone and then remove the tooth. Sometimes we will cut the tooth into smaller pieces to make it easier to remove.



People with missing teeth always wish for a restoration that looks and feels as close to natural teeth as possible. Thanks to advances in dentistry, this has become possible with dental implants. An implant is a screw-like fixture that fits into the jawbone at the site of a lost tooth to act as an artificial root. A prosthetic tooth or a set of teeth can then be placed over the implant to act as a fixed, natural-looking and properly functioning tooth.