Tooth removal and bone grafting
Some teeth can't be saved: a break below the gum, deep decay or an infection. A surgeon removes the tooth, and when an implant or denture is planned, can rebuild the bone first.
Most patients are referred by a dentist who has already looked at the tooth. The surgeon looks again, with a scan, and explains whether the tooth can be saved and what the next step is.
What happens
- 01
Step 1: A consultation visit
The surgeon looks at the scan and explains the options and the risks. You get a written estimate.
- 02
Step 2: The removal
The tooth is taken out, usually in one visit. If bone needs rebuilding, a graft is placed in the same visit.
- 03
Step 3: Healing
The site heals over weeks. A graft needs longer than a removal alone.
- 04
Step 4: The next step
Your dentist continues with an implant, a bridge or a denture, and we send a note.
Comfort, choices and care
Comfort
Local anesthetic for every removal. Nitrous oxide and IV sedation are choices, and the surgeon explains each.
Anesthesia and comfortOther choices, and waiting
A tooth with an infection can spread the infection if it is left. A tooth that can be saved is sent back to your dentist. The surgeon says which applies.
Risks and after-care
Swelling, bruising and soreness are common. Bleeding, infection, a dry socket and, less often, numbness can happen. A graft may not take. You leave with written after-care instructions.
How it is billed
A removal may be billed to a dental or medical plan, and a graft may be billed differently. You get the estimate in writing first.
How fees work
Questions about removals and grafts
Why add a bone graft?
When a tooth is removed, the bone around it can shrink. A graft keeps bone in place for an implant or a denture later.
Will I need sedation?
Not always. The local anesthetic numbs the area, and the surgeon explains the other levels if you want them.
Who takes out the stitches?
The surgeon tells you at the visit. Many stitches dissolve on their own.
Refer a patient, or ask for a visit
Care here is provided by oral and maxillofacial surgeons.