Extractions

Extractions

When a tooth can’t be saved, we make removal simple.

Sometimes a tooth is damaged or infected beyond what a filling or root canal can fix. At Bayside Dental Arts, Dr. Andrey Ilyabayev only recommends removing a tooth after other options have been ruled out, since keeping your natural tooth is almost always better for your long-term oral health. Once an extraction is truly needed, putting it off rarely helps, since an infected tooth can let bacteria spread further and a fractured one grows more prone to painful complications the longer it stays in place.

When a Tooth Needs to Come Out

A few situations commonly lead to extraction:

Extensive Decay or Fracture
Too extensive to repair with a filling or crown
Unresolved Infection
Has not resolved with a root canal
Advanced Gum Disease
Has loosened the tooth
Impacted Wisdom Tooth
Impacted or has no room to erupt
Orthodontic Crowding
Needs relief before orthodontic care
Retained Baby Tooth
Has not fallen out on its own

If you are in sudden, severe pain from a badly infected or broken tooth, same-day evaluation through our emergency dentist service can determine quickly whether the tooth can be saved or needs to come out.


Simple vs. Surgical Extractions

Not every extraction is the same. Which approach fits your case depends on how the tooth is positioned and how much of it is visible above the gumline.

Straightforward

Simple Extraction
Used when the tooth is visible above the gums and can be loosened and removed without cutting into the gum tissue. Most decayed or loose teeth fall into this category.
More Involved

Surgical Extraction
Needed when a tooth is impacted, broken below the gumline, or has complex roots. This involves a small incision to access and remove the tooth safely.

Wisdom Teeth

Wisdom teeth, the last set of molars to come in, are removed more often than any other tooth. Many mouths do not have enough room for them, which can leave them impacted, growing in at an angle, or pushing against the teeth next to them. Because they are often below the gumline or angled, wisdom tooth removal is frequently a surgical extraction rather than a simple one. Dr. Ilyabayev evaluates wisdom teeth with an X-ray well before they cause pain.


The Extraction Process

01 / EXAM

Exam and X-Ray
Dr. Ilyabayev evaluates the tooth and surrounding bone before recommending extraction.
02 / NUMB

Local Anesthesia
The area is fully numbed so you feel pressure rather than pain.
03 / REMOVE

Removing the Tooth
The tooth is gently loosened and removed, protecting the surrounding bone and gum.
04 / CARE

Aftercare Instructions
Gauze controls bleeding while a blood clot forms, and you leave with clear healing instructions.
1%
Rate of dry socket after routine extractions, per a 2024 study of over 1,300 patients
1 Visit
Most extractions are completed the same day
24-48h
Typical time before most soreness fades
Free
Consultation to check whether extraction is needed

Replacing the Tooth Afterward

An empty space left by an extracted tooth can let the teeth around it shift over time, which can affect your bite.

Planning Ahead
For most single-tooth extractions, Dr. Ilyabayev discusses dental implants as a long-term replacement, since an implant functions like a natural tooth root. When several teeth need to come out, dentures may be the better fit.

If you might want an implant down the road, mention it before your extraction. Placing a small amount of bone graft material into the socket at the time of extraction, called socket preservation, helps maintain the width and height of the jawbone, which can make a future implant more straightforward.


Recovery and Aftercare

Most patients feel back to normal within a few days. Biting on gauze for the first hour, resting for the rest of the day, and sticking to soft foods help the extraction site heal properly. Surgical extractions, including most wisdom teeth, may involve a slightly longer recovery than a simple extraction. Call our office if you develop a fever, heavy bleeding that does not slow down, or pain that gets worse instead of better after the first day or two.


Frequently Asked Questions

Does Getting a Tooth Pulled Hurt

The area is fully numbed before Dr. Ilyabayev begins, so you should feel pressure rather than pain during the procedure. Most soreness afterward is mild and responds well to over-the-counter pain relievers.

What Is the Difference Between a Simple and Surgical Extraction

A simple extraction removes a tooth that is fully visible above the gumline without cutting into tissue. A surgical extraction is needed for teeth that are impacted, broken below the gumline, or have complex roots, and involves a small incision to access the tooth safely.

How Common Is Dry Socket

A 2024 study of more than 1,300 patients found dry socket developed in about 1 percent of routine extractions, with the risk rising in cases involving smoking, longer procedures, or impacted wisdom teeth (PMC).

How Long Does Recovery Take

Soft tissue typically heals within one to two weeks, though the bone underneath continues to fill in for a few months. Most patients return to normal eating and activity well before that.

What Should I Eat After an Extraction

Stick to soft foods like yogurt, mashed potatoes, and soup for the first day or two, and avoid hot liquids, alcohol, and drinking through a straw, since suction can dislodge the healing blood clot.

Does Insurance Cover Tooth Extractions

Most PPO dental plans cover at least part of an extraction, especially when it is medically necessary. Bayside Dental Arts accepts PPO insurance and can help verify your benefits beforehand.

Do Not Wait on a Damaged Tooth

Dr. Andrey Ilyabayev and our dental team have helped patients throughout Bayside, Queens, Brooklyn, and Long Island avoid unnecessary tooth loss for years.

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