Are you experiencing tooth pain that won’t go away? Dealing with wisdom teeth that are causing problems? At David Eskow DDS, we provide gentle, professional tooth extraction services in Olney, MD to help relieve your discomfort and protect your overall oral health.
Our team of skilled dentists understands that the thought of having a tooth removed can cause anxiety. That’s why we take the time to explain every step of the process, ensure your comfort throughout the procedure, and provide detailed aftercare instructions to promote quick healing.
Whether you’re dealing with impacted wisdom teeth, severe decay, or need an extraction as part of another dental treatment plan, our experienced team is here to help you maintain your healthiest smile.
Why Tooth Extractions Might Be Necessary
When it comes to your oral health, saving your natural teeth is always our priority at David Eskow DDS. We explore all possible treatments before recommending an extraction. However, there are situations where removing a tooth becomes the best option for your overall dental health.
Severe decay that has damaged a tooth beyond repair often necessitates extraction. When decay reaches deep into the tooth structure, affecting the pulp and causing extensive damage, removing the tooth may prevent infection from spreading to surrounding teeth. This is particularly important when root canal therapy isn’t a viable option.
Periodontal (gum) disease that has loosened teeth by damaging the supporting tissues and bone may also require extraction. In advanced stages of gum disease, teeth can become so loose that they’re painful and cannot function properly, making extraction necessary to alleviate discomfort and prepare for replacement options.
Physical injury or trauma to the mouth that has severely damaged teeth sometimes leaves extraction as the only option. While our team strives to save damaged teeth through restorative procedures, extractions become necessary when teeth are fractured below the gumline or shattered beyond repair.
Understanding Wisdom Teeth and Their Complications
Most adults develop 32 teeth in total, with 28 functional teeth needed for proper biting and chewing. The additional 4 teeth, known as wisdom teeth or third molars, typically emerge between ages 17-25. These teeth are located at the very back of your mouth and are often the last to develop.
While our ancestors benefited from these extra molars to process rough, uncooked foods, modern diets and food preparation methods have made wisdom teeth largely unnecessary. Today’s refined diets don’t require the extra chewing power these teeth once provided. Additionally, evolutionary changes in jaw size mean many people don’t have enough space in their mouths to accommodate these final molars.
When wisdom teeth lack sufficient space to emerge properly, they often become “impacted.” This means they remain partially or completely trapped beneath the gum line or grow at awkward angles. Impacted wisdom teeth can create several serious problems, including pushing against adjacent teeth, causing misalignment, creating painful pressure, and forming pockets where bacteria can accumulate, leading to infection, decay, and persistent bad breath.
The Benefits of Early Wisdom Tooth Removal
Removing problematic wisdom teeth at a younger age offers several significant advantages. Research shows that younger patients typically experience faster healing and fewer complications following extraction procedures. The roots of wisdom teeth are not fully formed in younger patients, making extraction technically easier and often less traumatic.
Proactive removal prevents future oral health issues that commonly arise from impacted or partially erupted wisdom teeth. By removing these teeth before they cause problems, you can avoid painful infections, damage to adjacent teeth, and the development of cysts or tumors in some cases. Many dental professionals recommend evaluation of wisdom teeth during late adolescence, even before symptoms appear.
Early extraction also helps maintain the alignment of your other teeth. As wisdom teeth develop, they can exert pressure on adjacent teeth, potentially undoing years of orthodontic treatment or causing newly developed crowding. This is particularly important if you’ve previously invested in braces or other orthodontic treatments to achieve proper alignment.
Beyond Wisdom Teeth: Other Reasons for Tooth Extraction
While wisdom teeth are commonly extracted, there are several other situations where tooth extraction becomes necessary for optimal oral health. Understanding these circumstances can help you make informed decisions about your dental care.
Severe tooth decay that has progressed beyond what can be treated with fillings, crowns, or root canal therapy often requires extraction. When decay reaches the tooth’s pulp, causing infection that can’t be effectively treated with antibiotics or root canal therapy, removing the tooth prevents the spread of infection to surrounding tissues and other teeth. This is especially critical in patients with compromised immune systems.
Orthodontic considerations sometimes necessitate the removal of certain teeth. When a patient has overcrowded teeth, extracting one or more can create the space needed for proper alignment. This is often part of a comprehensive orthodontic treatment plan designed to achieve proper bite function and aesthetic results. Your dentist or orthodontist will carefully evaluate your unique situation to determine if extractions are beneficial for your treatment.
Fractured teeth that cannot be repaired with bonding, crowns, or other restorative methods may require extraction. Teeth that have broken below the gum line or have split vertically through the root generally cannot be saved. In these cases, extraction followed by appropriate replacement options (such as implants or bridges) is the recommended treatment approach to restore function and appearance.
| Common Reasons for Tooth Extraction | Description | Typical Symptoms |
| Impacted Wisdom Teeth | Wisdom teeth that cannot fully emerge through the gums | Pain, swelling, infection, damage to adjacent teeth |
| Severe Decay | Tooth decay that has progressed beyond repair | Persistent toothache, sensitivity, visible cavities |
| Periodontal Disease | Advanced gum disease affecting tooth stability | Loose teeth, receding gums, chronic bad breath |
| Orthodontic Treatment | Creating space for proper tooth alignment | Overcrowding, misalignment |
| Fractured Teeth | Teeth broken beyond repair | Sharp pain, visible fracture, sensitivity |
What to Expect During the Tooth Extraction Process
Understanding the extraction process can help ease anxiety about the procedure. At David Eskow DDS, we ensure your experience is as comfortable and stress-free as possible with our patient-centered approach to dental care in Olney.
Before the procedure, Dr. Eskow or Dr. Chillari will conduct a thorough examination, including X-rays to determine the position of the tooth and the best approach for removal. This is the perfect time to discuss any concerns or questions you might have about the procedure. We’ll also review your medical history to ensure there are no underlying conditions that might affect the extraction or healing process. If you’re particularly anxious about the procedure, we can discuss sedation options to help you remain comfortable.
During the extraction, you’ll receive local anesthesia to numb the area around the tooth being removed. Once we’ve confirmed you’re comfortable, the dentist will begin the extraction process. For a simple extraction of a fully erupted tooth, we use specialized instruments to gently loosen and remove the tooth. For impacted teeth or more complex cases, a surgical approach may be necessary, involving a small incision in the gum tissue. Throughout the procedure, our team monitors your comfort level and can provide additional numbing if needed.
Immediately after the extraction, we’ll place gauze over the socket and provide instructions on how to care for the area. You might experience some swelling and discomfort, which is normal and can be managed with over-the-counter pain relievers or prescribed medication. We’ll schedule a follow-up appointment if necessary and provide detailed aftercare instructions to promote healing and prevent complications.
Aftercare Tips for Speedy Recovery After Tooth Extraction
Proper aftercare following a tooth extraction is crucial for comfortable, complication-free healing. Following these guidelines will help ensure a smooth recovery process.
- First 24 Hours:
- Maintain gentle pressure on the gauze pad placed over the extraction site for about 30-45 minutes
- Avoid rinsing, spitting, or using a straw as these actions can dislodge the blood clot
- Apply ice packs to the outside of your face for 10 minutes at a time to reduce swelling
- Take prescribed pain medications or over-the-counter pain relievers as directed
- Avoid smoking, which can significantly delay healing
- Stick to soft foods and avoid chewing near the extraction site
- Days 2-7:
- After 24 hours, gently rinse with warm salt water (1/2 teaspoon of salt in 8 ounces of water) several times daily
- Continue eating soft foods, gradually introducing normal foods as comfort allows
- Keep your head elevated while sleeping to reduce swelling
- Continue good oral hygiene, brushing and flossing normally but avoiding the extraction site
- Avoid strenuous activities for 2-3 days after the procedure
- When to Call Us:
- If bleeding continues beyond 24 hours
- If you experience increased pain after 2-3 days
- If you notice signs of infection (fever, severe swelling, unusual discharge)
- If you experience difficulty swallowing or breathing
- If the extraction site remains very painful or has a foul taste or odor
Tooth Replacement Options Following Extraction
After a tooth extraction, replacing the missing tooth is often recommended to maintain proper oral function and appearance. At David Eskow DDS, we offer several replacement options tailored to your specific needs.
Dental implants provide the most natural-looking and functioning replacement for extracted teeth. These titanium posts are surgically placed in the jawbone where they fuse with the bone over time, creating a strong foundation for an artificial tooth. Implants offer exceptional stability, preserve bone health, and can last a lifetime with proper care. They function just like natural teeth, allowing you to eat, speak, and smile with confidence. While implants represent a higher initial investment, their longevity and health benefits often make them the most cost-effective solution over time.
Dental bridges offer another excellent option for replacing missing teeth, especially when adjacent teeth would benefit from crowns. A bridge consists of one or more artificial teeth anchored by crowns placed on the natural teeth on either side of the gap. This provides a fixed solution that restores the appearance and function of your smile. Bridges are typically less expensive than implants initially and can be completed in fewer appointments. However, they do require modification of neighboring teeth and generally don’t last as long as implants.
For patients missing multiple teeth or requiring a temporary solution while deciding on permanent options, partial or full dentures can be effective. Modern dentures are more comfortable and natural-looking than ever before. They’re removable for easy cleaning and maintenance and represent the most economical option for replacing multiple teeth. While they don’t provide the same stability or bone preservation benefits as implants, today’s advanced dentures can still significantly improve quality of life for those missing teeth.
Why Choose David Eskow DDS for Your Tooth Extraction in Olney, MD
Selecting the right dental provider for a tooth extraction is crucial for ensuring a comfortable experience and optimal outcome. David Eskow DDS offers several compelling advantages for patients in Olney and surrounding communities.
Our team brings extensive experience and specialized training in oral surgery and tooth extractions. Dr. David Eskow and Dr. John Chillari stay current with the latest techniques and technologies through ongoing professional education, ensuring you receive the most advanced care available. This expertise translates to more efficient procedures, reduced discomfort, and faster healing times. Both dentists have successfully performed countless extractions, from straightforward cases to complex impacted wisdom teeth.
We understand that dental procedures, particularly extractions, can cause anxiety for many patients. That’s why we prioritize your comfort with a range of options, including local anesthesia, conscious sedation for those with dental anxiety, and detailed explanations of each step of the process. Our compassionate team takes the time to address all your questions and concerns before, during, and after the procedure. Our office is designed with patient comfort in mind, featuring amenities to help you relax throughout your visit.
At David Eskow DDS, we take pride in offering comprehensive care that extends beyond the extraction procedure itself. We provide thorough pre-operative consultations, detailed aftercare instructions, and follow-up appointments to monitor your healing. If tooth replacement is needed, we offer a full range of options, from implants to bridges to dentures, all conveniently available at our Olney location. This integrated approach ensures continuity of care and optimal long-term results for your oral health.
Frequently Asked Questions About Tooth Extractions
How do I know if I need a tooth extraction?
Only a dental professional can determine if extraction is necessary, but warning signs include severe tooth pain, significant visible damage, loose teeth, gum disease, or impacted wisdom teeth causing discomfort. Regular dental check-ups help identify potential issues before they become problematic enough to require extraction.
Is tooth extraction painful?
At David Eskow DDS, we use effective local anesthesia to ensure you feel no pain during the procedure. You may feel pressure but shouldn’t experience sharp pain. For anxious patients or complex extractions, we offer additional sedation options. After the procedure, any discomfort can typically be managed with prescribed or over-the-counter pain relievers.
How long is the recovery period after a tooth extraction?
Most patients can return to normal activities within 24-48 hours, though complete healing of the socket takes about 1-2 weeks. The recovery timeline depends on several factors, including the complexity of the extraction, whether it was surgical, and your individual healing capacity. Following aftercare instructions carefully helps ensure the fastest possible recovery.
Can I drive myself home after having a tooth extracted?
If you receive only local anesthesia, you can typically drive yourself home afterward. However, if you opt for sedation or are prescribed medications that cause drowsiness, you’ll need someone to drive you home. We’ll discuss transportation arrangements during your pre-extraction consultation based on your specific treatment plan.
Will my dental insurance cover tooth extractions?
Most dental insurance plans provide some coverage for tooth extractions, especially when medically necessary. Coverage percentages vary by plan and type of extraction (simple vs. surgical). Our office staff can help verify your benefits before the procedure and explain any out-of-pocket costs. We also offer payment plans to make necessary treatments affordable for all our patients.
Schedule Your Tooth Extraction Consultation Today
Don’t let tooth pain or concerns about wisdom teeth impact your quality of life. Our experienced team at David Eskow DDS is ready to provide the gentle, expert care you deserve right here in Olney, MD.
During your consultation, we’ll thoroughly evaluate your situation, discuss all treatment options, and create a personalized plan for your needs. We’ll take the time to answer all your questions and ensure you feel completely comfortable with the recommended approach.
Visit Us: 18119 Cashell Road, Olney, MD 20832
Call: 301.774.2000
Or Request an Appointment Online Today
Recognized as a top dentist by Washingtonian Magazine 2025, David Eskow DDS offers high-quality dental care you can trust for a healthy and beautiful smile.