Extractions Specialist

North Rockville Dental

General & Cosmetic Dentistry located in Rockville, MD

Although dentists are dedicated to saving a tooth before removing it, sometimes an extraction is the only healthy option. Thanh Lam, DDS FAGD, at North Rockville Dental evaluates all your options and, if a tooth extraction is necessary, he makes your experience as comfortable and relaxing as possible. When you have damaged teeth, dental pain, or you need an extraction, call the office in Rockville, Maryland, or book an appointment online.

Extractions Q & A

What dental problems require tooth extraction?

Teeth often need to be extracted or removed when they’re too damaged or decayed to be saved. Whenever possible, Dr. Lam uses other treatments like a crown or root canal to preserve your natural tooth, but sometimes there isn’t enough healthy tooth to restore.

Broken teeth can be sources of infection and can cause other serious problems throughout the body. You may need an extraction if your jaw is too small to hold all of your teeth. Extraction is also a common procedure for removing impacted wisdom teeth, which are teeth that stay in your jaw rather than growing in normally. Our office has the x-ray technology to image all the teeth in their entirety in a quick 30 second scan.

What happens before my tooth extraction?

Before an extraction, Dr. Lam performs a thorough dental exam and reviews your medical and drug history to be sure you don’t have problems that may prevent dental surgery. You may need to undergo treatment to eliminate an infection or to stop taking certain medications prior to the extraction.

After reviewing your X-rays and evaluating the position of the tooth and the condition of the underlying bone, Dr. Lam determines the type of extraction and type of anesthesia you may need.

Although many extractions use a local anesthetic, you may want additional sedation if the extraction is complex or more than one tooth is being removed.

How is a tooth extracted?

The extraction depends on the root placement and the condition of the tooth. If your tooth is above the gum line, Dr. Lam may only need to loosen it and then pull it out.

If the tooth is impacted or broken at or below the gum line it may be necessary to perform a simple procedure to facilitate removal of the tooth.

After the tooth is removed, Dr. Lam may place bone-grafting material into the socket to preserve the bone and promote healing.

You’ll receive specific self-care instructions to follow after an extraction. It’s especially important to allow a blood clot to form, which means eating a soft diet for a few days and avoiding swishing fluids, sucking through a straw, and smoking.


For Oral Surgery Post-Operative Instructions – Extraction, please click here


If you have damaged teeth or any questions about tooth extraction, call North Rockville Dental or book an appointment online.